Maxillary Advancement using Distraction Osteogenesis Devices in Cleft Palate Patients

악정형 장치를 이용한 구순구개열 환자의 상악골 전방 견인

  • Jin, Im-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry,Seoul National University) ;
  • Shin, Jung-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Park, Seong-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Seong-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Choung, Pil-Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Hwang, Soon-Jung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 진임건 (서울대학교 치의학대학원 구강악안면외과) ;
  • 신정현 (서울대학교 치의학대학원 구강악안면외과) ;
  • 박성수 (서울대학교 치의학대학원 구강악안면외과) ;
  • 김성민 (서울대학교 치의학대학원 구강악안면외과) ;
  • 명훈 (서울대학교 치의학대학원 구강악안면외과) ;
  • 최진영 (서울대학교 치의학대학원 구강악안면외과) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과) ;
  • 정필훈 (서울대학교 치의학대학원 구강악안면외과) ;
  • 김명진 (서울대학교 치의학대학원 구강악안면외과) ;
  • 황순정 (서울대학교 치의학대학원 구강악안면외과)
  • Published : 2007.12.31

Abstract

For the treatment of cleft palate patients, orthognathic surgery has been used by standard protocol. Predictable results have been achieved with standard techniques in slight to moderate maxillary hypoplasia. However, limited advancement and high relapse rate was reported in severe cases. The purpose of the present study was to review the clinical results of distraction osteogenesis in the patients with cleft lip and palate. Distraction osteogenesis has improved results in these patients by allowing soft tissue relaxation and gradual bone generation. Therefore, greater movement of the craniofacial skeleton is possible in severe cases of maxillary retrusion with lower relapse rates. In conclusion, distraction osteogenesis for the advancement of hypoplastic maxilla of cleft patients has shown successful treatment method.

Keywords