Management of maxillary cleft deficiency using external and internal distraction devices — long-term results
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منابع مشابه
Distraction osteogenesis treatment of maxillary deficiency for cleft patient using internal distraction device: a case report.
A case of severe maxillary hypoplasia in a 21 years old male Thai patient with a complete unilateral cleft of primary and secondary palates treated by internal distraction osteogenesis for maxillary advancement is presented. Initial evaluation showed Class III malocclusion with total crossbite and Class III skeletal malrelationship. Two intraoral distractors were placed following a Le Fort I os...
متن کاملInternal vs. Rigid External Distraction Device for the Maxillary Hypoplasia of Cleft Patients
McCarthy에 의해 하악골의 길이 신장을 위한 골신장술 (Distraction Osteogenesis)이 사용된 이후, 반안면왜소증 (hemifacial microsomia)등 하악골뿐 아니라, 상악골을 포 함한 중안면골의 전진, 임플란트 식립을 위한 치조골 증강 술, transport distraction을 이용한 악골의 재건 등 다양 한 방면에서 골신장술이 응용되어 왔다. 구순구개열과 동반된 상악골의 열성장은 구순구개열 환자 의 22�27%에서 수술을 통한 상악골의 전방이동이 필요하 다고 보고되어 왔다. 악교정수술을 통한 상악골의 전 진술이 주로 사용되어 왔으나, 상악의 반흔으로 인해 6mm 이상의 상악골 전진은 한계를 가지는 것으로 여겨 진다. 이러한 한계점으로 인해 전치부의 반대교합을 해소할...
متن کاملMaxillary Distraction Osteogenesis in Unilateral Cleft Lip and Palate Patients with Rigid External Distraction System
AIM Distraction osteogenesis (DO) is a treatment option for patients with maxillary hypoplasia secondary to cleft lip and palate (CLP). PURPOSE The aim of this study is to present a technique for maxillary DO using Le Fort I osteotomy with rigid external distraction (RED) system. SUBJECTS AND METHODS The patient presented in this paper was an Asian female with CLP aged 13 years and 6 months...
متن کاملClinical controversies in oral and maxillofacial surgery: Part one. Maxillary distraction osteogenesis for advancement in cleft patients, internal devices.
t f t p a c adiation therapy was originally considered a contrandication for installation of dental implants. Neverheless, the need to optimally rehabilitate cancer paients has challenged this position. To answer hether the irradiated cancer patient who is schedled for rehabilitation with osseointegrated implants OI) would need hyperbaric oxygen therapy (HBO) efore surgery, one fundamental ques...
متن کاملAnesthetic concerns of external maxillary distraction osteogenesis.
BACKGROUND External maxillary distractions present additional anesthetic concerns to the existing complexity of the patient with craniofacial disorder. The distraction hardware is rigidly fixed to the cranium and projects in the frontofacial midline, thus limiting oronasal airway access. METHODS A review of 16 patients (10 male, 6 female) having external maxillary distraction was done. Patien...
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ژورنال
عنوان ژورنال: International Journal of Oral and Maxillofacial Surgery
سال: 2017
ISSN: 0901-5027
DOI: 10.1016/j.ijom.2017.02.160