Management of common problems of nasal airway obstruction in cleft and noncleft patients by the subnasal approach through the maxillary Le Fort I osteotomy are discussed. The effects of maxillary surgical repositioning on the esthetics of the nose and upper lip are presented, as well as the sequencing and timing of orthognathic surgery and nasal reconstruction in the cleft patient. Case presentations illustrate the results of this treatment approach.
GuymonM.Crosby DR, Wolford LM. The alar base cinch suture to control nasal width in maxillary osteotomies.Int J Adull Orlhod Orthognath Surg1988; 2: 89–95.
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KawauchiM., SachdevaR., BossollaE., MitaniH., WolfordL.M.Frontal and lateral changes in lip and chin morphology as a result of orthognathic surgery. Abstract presented at AADR Annual Meeting, Boston, March 1992a.
4.
KawauchiM., SachdevaR., BossollaE., VahadiA., WolfordL.M.Nasal dimensional changes in response to maxillary surgery in the lateral and frontal perspective. Abstract presented at AADR Annual Meeting, Boston, March 1992b.
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SatromK.D., SinclairP.M., WolfordL.M.The stability of double jaw surgery: a comparison of rigid versus wire fixation.Am J Orthod1991; 6: 550–563.
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WardropR.W., WolfordL.M.Maxillary stability following downgraft and/or advancement procedures with stabilization using rigid fixation and porous block hydroxyapatite implants.J Oral Maxillofac Surg1989; 47: 336–342.
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WolfordL.M.The use of porous block hydroxyapatite in orthognathic surgery. In: BellW.H., ed. Modern practice in orthognathic and reconstructive surgery.Philadelphia: WB Saunders, 1991: 854–871.
8.
WolfordL.M., CooperR.L., El DeebM.Orthognathic surgery on the young cleft patient and the effect on growth. Abstract presented at American Cleft Palate Association Annual Meeting, St Louis, May 1990.
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WolfordL.M., WardropR.W., HartogJ.M.Coralline porous hydroxyapatite as a bone graft substitute in orthognathic surgery.J Oral Maxillofac Surg1987; 45: 1034–1042.
