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J Yeungnam Med Sci > Volume 9(1); 1992 > Article
Yeungnam University Journal of Medicine 1992;9(1):189-196.
DOI: https://doi.org/10.12701/yujm.1992.9.1.189    Published online June 30, 1992.
A case of orthognatic surgery in congenital alveolar-palatal cleft patient.
Jae Hyun Park, Myung Jin Lee, Chang Kon Lee, Jong Sub Kim, Byung Rho Chin, Hee Kyung Lee
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.
Key Words: Alveolar palatal cleft, Midface depression, Iliac Marrow-cancellous bone graft, Le Fort I osteotomy, Speech and esthetic improvement


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