open access
메뉴
open access
메뉴
ISSN : 0376-4672
In cleft lip and palate (CLP) patients, there are various degree of residual maxillofacial deformities in adolescent period. Usually, orthoganthic surgery for the cleft patients needs Le Fort I osteotomy and/or mandibular set back surgery. Previous report from other institute had been shown that there is significant relapse after maxillary movement after Le Fort I osteotomy when the surgical advancement of the maxilla was over than 5 or 7mm in average. Recent comphrehensive report showed that most of the relapse was happened within 1 year and the total horizontal relapse of the maxilla was as high as 30% in average. Therefore, overcorrection is needed in maxillary surgery for cleft patients. Another concerns for cleft orthognathic surgery is the anatomical variation in pterygomaxillary region in cleft patients compared to control patients. Patients with CLP had larger and thicker pterygomaxillary dimensions, and the results imply that careful attention to pterygomaxillary anatomy is needed in patients with CLP undergoing Le Fort I surgery. This article reviews the pre and postoperative considering factors for orthognathic surgery for CLP patients.
Salyer KE, Xu H, Portnof JE, Yamada A, Chong DK, Genecov ER Skeletal facial balance and harmony in the cleft patient: Principles and techniques in orthognathic surgery Indian J Plast Surg 2009; 42Suppl:S149-167
Good PM, Mulliken JB, Padwa BL Frequency of le fort i osteotomy after repaired cleft lip and palate or cleft palate Cleft Palate Craniofac J 2007; 44:396-401
Lee JC, Slack GC, Walker R, Graves L, Yen S, Woo J, Ambaram R, Martz MG, Kawamoto HK, Jr , Bradley JP Maxillary hypoplasia in the cleft patient: Contribution of orthodontic dental space closure to orthognathic surgery Plast Reconstr Surg 2014; 133:355-361
Daskalogiannakis J, Mehta M The need for orthognathic surgery in patients with repaired complete unilateral and complete b lateral cleft lip and palate Cleft Palate Craniofac J 2009; 46:498-502
Heliovaara A, Leikola J, Hukki J Craniofacial cephalometric morphology and later need for orthognathic surgery in 6-year-old children with b lateral cleft lip and palate Cleft Palate Craniofac J 2013; 50:e35-40
Phillips JH, Nish I, Daskalogiannakis J Orthognathic surgery in cleft patients Plast Reconstr Surg 2012; 129:535e-548e
Hathaway R, Daskalogiannakis J, Mercado A, Russell K, Long RE, Jr , Cohen M, Semb G, Shaw W The americleft study: An inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 2 Dental arch relationships Cleft Palate Craniofac J 2011; 48:244-251
Skoog T The use of periosteal flaps in the repair of clefts of the primary palate Cleft Palate J 1965 ; 2:332-339
Millard DR, Latham R, Huifen X, Spiro S, Morovic C Cleft lip and palate treated by presurgical orthopedics, gingivoperiosteoplasty, and lip adhesion (popla) compared with previous lip adhesion method: A preliminary study of serial dental casts Plast Reconstr Surg 1999; 103:1630-1644
Caganova V, Borsky J, Smahel Z, Veleminska J Facial growth and development in unilateral cleft lip and palate: Comparison between secondary alveolar bone grafting and primary periosteoplasty Cleft Palate Craniofac J 2014; 51:15-22
Andlin Sobocki A, Tehrani D, Skoog V Long-term influence of infant periosteoplasty on facial growth and occlusion in patients with bilateral cleft lip and palate J Plast Surg Hand Surg 2012; 46:229-234
Daskalogiannakis J, Ross RB Effect of alveolar bone grafting in the mixed dentition on maxillary growth in complete un lateral cleft lip and palate patients Cleft Palate Craniofac J 1997; 34:455-458
Brattstrom V Craniofacial development in cleft lip and palate children related to different treatment regimes Scand J Plast Reconstr Surg Hand Surg Suppl 1991; 25:1-31
Shi B, Losee JE The impact of cleft lip and palate repair on maxillofacial growth Int J Oral Sci 2015; 7:14-17
Wolford LM, Cassano DS, Cottrell DA, El Deeb M, Karras SC, Goncalves JR Orthognathic surgery in the young cleft patient: Preliminary study on subsequent facial growth J Oral Maxillofac Surg 2008; 66:2524-2536
James JN, Costello BJ, Ruiz RL Management of cleft lip and palate and cleft orthognathic considerations Oral Maxillofac Surg Clin North Am 2014; 26:565-572
Heliovaara A, Rautio J A comparison of craniofacial cephalometric morphology and the later need for orthognathic surgery in 6-year-old cleft children J Craniomaxillofac Surg 2011; 39:173-176
Posnick JC, Ricalde P Cleft-orthognathic surgery Clin Plast Surg 2004; 31:315-330
Rachmiel A Treatment of maxillary cleft palate:Distraction osteogenesis versus orthognathic surgery--part one: Maxillary distraction J Oral Maxillofac Surg 2007; 65:753-757
Lee SH, Mori Y, Minami K, Park HS, Kwon TG Evaluation of pterygomaxillary anatomy using computed tomography: Are there any structural variations in cleft patients? J Oral Maxillofac Surg 2011; 69:2644-2649
Lo LJ, Hung KF, Chen YR Blindness as a complication of le fort i osteotomy for maxillary distraction Plast Reconstr Surg 2002; 109:688-698; discussion 699-700
Janulewicz J, Costello BJ, Buckley MJ, Ford MD, Close J, Gassner R The effects of le fort i osteotomies on velopharyngeal and speech functions in cleft patients J Oral Maxillofac Surg 2004; 62:308-314
Watzke I, Turvey TA, Warren DW, Dalston R Alterations in velopharyngeal function after maxillary advancement in cleft palate patients J Oral Maxillofac Surg 1990; 48:685-689
Smedberg E, Neovius E, Lohmander A Impact of maxillary advancement on speech and velopharyngeal function in patients with cleft lip and palate Cleft Palate Craniofac J 2014; 51:334-343
Pereira V, Sell D, Ponniah A, Evans R, Dunaway D Midface osteotomy versus distraction: The effect on speech, nasality, and velopharyngeal function in craniofacial dysostosis Cleft Palate Craniofac J 2008; 45:353-363
Chua HD, Whitehill TL, Samman N, Cheung LK Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: Effects on speech and velopharyngeal function Int J Oral Maxillofac Surg 2010; 39:633-640
Kumari P, Roy SK, Roy ID, Kumar P, Datana S, Rahman S Stability of cleft maxilla in le fort i maxillary advancement Ann Maxillofac Surg 2013; 3:139-143
Saltaji H, Major MP, Alfakir H, Al-Saleh MA, Flores-Mir C Maxillary advancement with conventional orthognathic surgery in patients with cleft lip and palate: Is it a stable technique? J Oral Maxillofac Surg 2012; 70:2859-2866