Restricted accessResearch articleFirst published online 2003-5
Unilateral Advancement of the Maxillary Minor Segment by Distraction Osteogenesis in Patients with Repaired Unilateral Cleft Lip and Palate: Report of Two Cases
Collapse of the maxillary minor segment with lateral crossbite is a common feature in patients with repaired unilateral cleft lip/palate because of maxillary alveolar bony defect and palatal scar tissue. Distraction osteogenesis (DOG) is an effective technique of lengthening and augmentation for bone and gingiva. This case report describes the effects of unilateral advancement of the maxillary minor segment by DOG in two patients with the repaired unilateral cleft lip/palate.
AurouzeC.MollerK.T.BevisR.R.RehmK.RudneyJ.The presurgical status of the alveolar cleft and success of secondary bone grafting.Cleft Palate CraniofacJ.2000; 37: 179–184.
2.
BettsN.J.VanarsdallR.L.BarberH.D.Higgins BarberK.FonsecaR.J.Diagnosis and treatment of transverse maxillary deficiency.Int J Adult Orthodon Orthognath Surg.1995; 10: 75–96.
3.
BlockM.S.DaireJ.StoverJ.MatthewsM.Changes in the inferior alveolar nerve following mandibular lengthening in the dog using distraction osteogenesis.J Oral Maxillofac Surg.1993; 51: 652–660.
4.
CooperH.K.LongRESrLongREJr.PepekJM., Orthodontics and oral orthopedics. In: CooperH.K.HardlingR.L.KrogmanW.M.MazaheriM.MillardR.T., eds. Cleft Palate and Cleft Lip: A Team Approach to Clinical Management and Rehabilitation of the Patient.Philadelphia: WB Saunders; 1979: 358–429.
5.
De DeyneP.G.HayatsuK.MeyerR.PaleyD.HerzenbergJ.E.Muscle regeneration and fiber-type transformation during distraction osteogenesis.J Orthop Res.1999; 17: 560–570.
6.
EppleyB.L.SadoveA.M.Management of alveolar cleft bone grafting—state of the art.Cleft Palate CraniofacJ.2000; 37: 229–233.
7.
GuerreroC.A.BellW.H.Intraoral distraction. In: McCarthyJ.G., ed. Distraction of the Craniofacial Skeleton.New York: Springer;1999: 230–248.
8.
GuyetteT.W.PolleyJ.W.FigueroaA.SmithB.E.Changes in speech following maxillary distraction osteogenesis.Cleft Palate CraniofacJ.2001; 38: 199–205.
9.
IlizarovG.A.The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft tissue preservation.Clin Orthop.1989; 238: 249–281.
10.
IshikawaH.NakamuraS.MisakiK.KudohM.FukudaH.YoshidaS.Scar tissue distribution on palates and its relation to maxillary dental arch form.Cleft Palate CraniofacJ.1998; 35: 313–319.
11.
KarpN.S.ThorneC.H.McCarthyJ.G.SissonsH.A.Bone lengthening in the craniofacial skeleton.Ann Plast Surg.1990; 24: 231–237.
12.
KleinC.HowaldH.P.Mandibular distraction osteogenesis as first step in the early treatment of severe dysgnathia in childhood.J Orofac Orthop.1996; 57: 46–54.
13.
LiouE.J.W.ChenP.K.T.HuangC.S.Interdental distraction osteogenesis and rapid orthodontic tooth movement: a novel approach to approximate a wide alveolar cleft or bony defect.Plast Reconstr Surg.2000; 105: 1262–1272.
14.
McCarthyJ.G.The role of distraction osteogenesis in the reconstruction of the mandible in unilateral craniofacial microsomia.Clin Plast Surg.1994; 21: 625–631.
15.
McCarthyJ.G.SchreiberJ.KarpN.S.ThorneC.H.GraysonB.H.Lengthening the human mandible by gradual distraction.Plast Reconstr Surg.1992; 89: 1–8.
16.
McCarthyJ.G.StelnickiE.J.GraysonB.H.Distraction osteogenesis of the mandible: a ten-year experience.Semin Orthod.1999; 5: 3–8.
17.
MolinaF.Distraction of the maxilla. In: McCarthyJ.G., ed. Distraction of the Craniofacial Skeleton.New York: Springer;1999: 308–320.
18.
MolstedK.PalmbergA.DahlE.Fogh-AndersenP.Malocclusion in complete unilateral and bilateral cleft lip and palate. The results of a change in the surgical procedure.Scand J Plast Reconstr Surg Hand Surg.1987; 21: 81–85.
19.
MorrisD.O.Roberts-HarryD.MarsM.Dental arch relationship in Yorkshire children with unilateral cleft lip and palate.Cleft Palate Craniofac J.2000; 37: 453–462.
20.
MossazC.F.ByloffF.K.RichterM.Unilateral and bilateral corticotomies for correction of maxillary transverse discrepancies.Eur J Orthod.1992; 14: 110–116.
21.
NicholsonP.T.PlintD.A.A long-term study of rapid maxillary expansion and bone grafting in cleft lip and palate patients.Eur J Orthod.1989; 11: 186–192.
22.
PolleyJ.W.FigueroaA.A.Rigid external maxillary distraction. In: McCarthyJ.G., ed. Distraction of the Craniofacial Skeleton.New York: Springer;1999: 321–336.
23.
RoweN.M.MehraraB.J.LuchsJ.S.DudziakM.E.SteinbrechD.S.IlleiP.B.FernandezG.J.GittesG.K.LongakerM.T.Angiogenesis during mandibular distraction osteogenesis.Ann Plast Surg.1999; 42: 470–475.
24.
RuneB.SarnasK.V.SelvikG.JacobssonS.Movement of maxillary segments after expansion and/or secondary bone grafting in cleft lip and palate: a roentgen stereophotogrammetric study with the aid of metallic implants.Am J Orthod.1980; 77: 643–653.
25.
SusamiT.KurodaT.AmagasaT.Orthodontic treatment of a cleft palate patient with surgically assisted rapid maxillary expansion.Cleft Palate Craniofac J.1996; 33: 445–449.
26.
TanA.E.BroganW.F.McCombH.K.HenryP.J.Secondary alveolar bone grafting—five-year periodontal and radiographic evaluation in 100 consecutive cases.Cleft Palate Craniofac J.1996; 33: 513–518.
27.
TateG.S.TharanonW.SinnD.P.Transoral maxillary distraction osteogenesis of an unrepaired bilateral alveolar cleft.J Craniomaxillofac Surg.1999; 10: 369–374.