Yeungnam Univ J Med.  1992 Jun;9(1):189-196. 10.12701/yujm.1992.9.1.189.

A case of orthognatic surgery in congenital alveolar-palatal cleft patient

• Park JH
• Lee MJ
• Lee CK
• Kim JS
• Chin BR
• Lee HK

• KMID: 2377618
• DOI: http://doi.org/10.12701/yujm.1992.9.1.189

Abstract

Pre-surgical and post-surgical change in adult clef lip and palate patient following Le Fort I advancement osteotomy combined with bone graft was evaluated clinically and cephalometically. We obtained a successful function and esthetic improvement. The bone graft of alveolo-palatal clefts provides a stable bone support to the adjacent teeth of the cleft area, and well union of adjacent bone tissue, the closure of oronasal fistula and improvement of speech problem. Le Fort I osteotomy following the ostectomy of nasal septum for advancement of the maxilla was obtained relative improvement of esthetics and functional occlusion. 1. The orthodontic correction was required before and after surgery. 2. In this case, there was a limited range of anterior advancement of the Premaxillary-segment due to the scar tissue. 3. After 8 months of operation, we could show the new bone deposition on the cleft sites in dental radiograph and then the prosthetic treatment to the missing teeth was done.

Keyword

Alveolar palatal cleft; Midface depression; Iliac Marrow-cancellous bone graft; Le Fort I osteotomy; Speech and esthetic improvement

MeSH Terms

Adult
Bone and Bones
Cicatrix
Esthetics
Fistula
Humans
Lip
Maxilla
Nasal Septum
Osteotomy
Palate
Tooth
Transplants