Treatment of a Patient with Cleft Lip and Palate Using an Internal Distraction Device
| Autor: | Suheyl Pocan, Huseyin Kurtulmus, H. Ayberk Altug, Emel Sari, Oytun Türk, Cihan Ucar |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
Cephalometric analysis Palatal Expansion Technique Cephalometry Cleft Lip medicine.medical_treatment Osteogenesis Distraction Dentistry Mandible Retrognathia Osteotomy Prosthodontist Young Adult Imaging Three-Dimensional Radiography Panoramic Maxilla medicine Humans Osteotomy Le Fort Radiography Bitewing Patient Care Team Orthodontics business.industry Open Bite Maxillary Osteotomy Denture Overlay Internal Fixators Models Dental Cleft Palate Otorhinolaryngology Photography Dental Bilateral cleft lip Oral Surgery Tomography X-Ray Computed business |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 45:552-560 |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1597/07-075.1 |
| Popis: | A 24-year-old man with a bilateral cleft lip and palate was treated by a multidisciplinary team composed of an orthodontist, plastic surgeon, and prosthodontist with assistance from an engineer. Before treatment, clinical photographs, dental casts, lateral and posteroanterior cephalograms, periapical and panoramic radiographs, and three-dimensional computed tomography (3D CT) images were obtained. He presented with a narrow and retrognathic maxilla with a 23-mm anterior open bite. Following maxillary expansion with rapid palatal expansion, a Le Fort I maxillary osteotomy was performed, and an internal distractor was placed. After a 5-day latency period, internal maxillary distraction was performed at a rate of 1 mm/day achieved by two activations per day. Cephalometric analysis showed a 7-mm maxillary advancement. Mandibular bilateral sagittal split osteotomy was also performed to close the open bite following maxillary distraction and a 3-month stabilization period. Finally, the treatment was completed with prosthetic rehabilitation. The changes in speech production were evaluated using an automatic speech recognition system. |
| Databáze: | OpenAIRE |
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