ANTERIOR MAXILLARY DISTRACTION: A VIABLE SURGICAL ALTERNATIVE TO CONVENTIONAL ORTHOGNATHIC SURGERY OR TOTAL MAXILLARY DISTRACTION OSTEOGENESIS FOR MILD TO MODERATE CLEFT MAXILLARY HYPOPLASIA

  • Rakshit Khandeparker Lecturer, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India
  • Purva Khandeparker Private Practitioner, Consultant Oral and Maxillofacial Surgeon, Margao, Goa India
  • Siya Dukle Private Practitioner, Consultant Pedodontist, Ponda, Goa, India
  • Saurabh Kamat Lecturer, Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India
Keywords: Cleft maxillary hypoplasia, anterior maxillary distraction, orthognathic surgery, relapse, distraction osteogenesis

Abstract

Although cleft maxillary hypoplasia can be effectively managed using either Lefort 1 maxillary advancement with conventional orthognathic surgery or with total maxillary distraction osteogenesis, yet many studies have demonstrated velopharyngeal closure problems and distortion of speech post-surgery with either of the two modalities. Further more conventional orthognathic surgery is riddled with high relapse rates and requires completion of growth to perform the surgery. Therefore, the need for a surgical procedure that is not only stable but also has minimal or no effect on velopharyngeal function and speech becomes prudent. Anterior maxillary distraction is one such modality of treating cleft maxillary hypoplasia. This article presents a short comprehensive review about anterior maxillary distraction including the merits and demerits of the technique.

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How to Cite
1.
Rakshit Khandeparker, Purva Khandeparker, Siya Dukle, Saurabh Kamat. ANTERIOR MAXILLARY DISTRACTION: A VIABLE SURGICAL ALTERNATIVE TO CONVENTIONAL ORTHOGNATHIC SURGERY OR TOTAL MAXILLARY DISTRACTION OSTEOGENESIS FOR MILD TO MODERATE CLEFT MAXILLARY HYPOPLASIA. Med. res. chronicles [Internet]. 2017Oct.31 [cited 2024May7];4(05):508-11. Available from: https://medrech.com/index.php/medrech/article/view/267
Issue
Vol. 4 No. 05 (2017): Sep-Oct
Section
Original Research Article