Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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Immediate Fixation after Maxillary Distraction with Mandibular Setback Surgery in Cleft Lip and Palate Patient : Case Reports

구순구개열 환자에서 상악골 신장술 후 상악골의 견고고정과 하악 후방이동 수술의 동시시행 : 증례보고

  • Song, Won-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Lee, Hyo-Ji (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Sung-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Jung, Jin-Hwan (Department of Oral and Maxillofacial Surgery, Gil Dental Hospital, Gachon University) ;
  • Lee, Seul-Ki (Department of Oral and Maxillofacial Surgery, Gil Dental Hospital, Gachon University) ;
  • Jeong, You-Min (Department of Oral and Maxillofacial Surgery, Gu-Ro Medical Hospital, Korea University) ;
  • Kim, Jong-Ryoul (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 송원욱 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이효지 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김성원 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정진환 (가천의과학대학교 길병원 구강악안면외과학교실) ;
  • 이슬기 (가천의과학대학교 길병원 구강악안면외과학교실) ;
  • 정유민 (고려대학교 구로병원 구강악안면외과학교실) ;
  • 김종렬 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Published : 2009.12.30
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Abstract

Cleft lip and palate patients show midface hypoplasia, maxillary hypoplasia due to scar of previous surgery, and manifest as a class III malocclusion, retruded midface and shallow palate. These deformities have been treated with traditional orthognathic surgery. Although conventional Le Fort I osteotomy was performed on most cleft patinets with midface hypoplasia, it showed limited amount of maxillary advancement and high relapse tendency. Recently, when great amount of advancement are required in severe maxillary hypoplasia, distraction osteogenesis using RED system is widely used. But, several months of consolidation period is needed after distraction osteogenesis, occlusal relationship is not stable until mandibular setback surgery has done in mandibular hyperplasia cases and during these period, patients may feel discomfort. We present clinical cases of immediate rigid internal fixation after completion of maxillary distraction using RED system and simultaneous mandibular setback procedure in adult cleft and lip patients who show both maxillary hypoplasia and mandibular prognathism.

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