Premaxillary osteotomy fixation in bilateral cleft lip/palate: Introducing a new technique

Rahpeyma, A. and Khajehahmadi, S. and Ghasemi, A. (2016) Premaxillary osteotomy fixation in bilateral cleft lip/palate: Introducing a new technique. Asian Journal of Surgery, 39 (2). pp. 90-95.

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Objectives In bilateral cleft lip/palate patients, sometimes the premaxilla is severely protruded and twisted. In such situations premaxillary osteotomy is beneficial. In this article a new technique for fixation of premaxilla after osteotomy is presented. Methods The lip-split approach and premaxillary osteotomy and ostectomy from bony nasal septum were carried out. Fixation of osteotomized premaxilla was achieved with low profile miniplate or microplate. Bone grafting of that side was performed during the same session. Results This procedure was performed in three patients, with good labial repair after the lip split. The bone graft was successful in all the three cases and there were no complication for premaxillary osteotomy in this series. Conclusion In protruding premaxilla, osteotomy and fixation of premaxilla with miniplate to the vomer bone during alveolar bone grafting through a lip-split approach yielded satisfactory results in patients requiring secondary functional cheilorhinoplasty. Copyright © 2015, Asian Surgical Association. Published by Elsevier Taiwan LLC.

Item Type: Article
Additional Information: Cited By :3 Export Date: 16 February 2020 CODEN: AJSUE Correspondence Address: Khajehahmadi, S.; Dental Research Center of Mashhad, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Iran; email:
Uncontrolled Keywords: alveolar cleft bone grafting internal fixation premaxillary osteotomy Stabilization of premaxilla abnormalities alveolar bone grafting bone plate case report child cleft lip cleft palate female human male maxilla maxilla osteotomy nose septum osteosynthesis procedures soft palate young adult Bone Plates Fracture Fixation, Internal Humans Maxillary Osteotomy Nasal Septum Palate, Soft
Subjects: WV Otolaryngology
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 29 Feb 2020 10:54
Last Modified: 29 Feb 2020 10:54

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