지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 407 - 414 (8page)
이용수
초록· 키워드
오류제보하기
Objectives: The study was designed to evaluate the efficacy of performing a second, repeat anterior maxillary distraction (AMD) to treat residual cleft maxillary hypoplasia.Materials and Methods: Five patients between the ages of 12 to 15 years with a history of AMD and with residual cleft maxillary hypoplasia were included in the study. Inclusion was irrespective of gender, type of cleft lip and palate, and the amount of advancement needed. Repeat AMD was executed in these patients 4 to 5 years after the primary AMD procedure to correct the cleft maxillary hypoplasia that had developed since the initial procedure. Orthopantomogram (OPG) and lateral cephalograms were taken for evaluation preoperatively, immediately after distraction, after consoli-dation, and one year postoperatively. The data obtained was tabulated and a Mann Whitney U-test was used for statistical comparisons.Results: At the time of presentation, a residual maxillary hypoplasia was observed with a well maintained distraction gap on the OPG which ruled out the occurrence of a relapse. Favorable movement of the segments without any resistance was seen in all patients. Mean maxillary advancement of 10.56 mm was achieved at repeat AMD. Statistically significant increases in midfacial length, SNA angle, and nasion perpendicular to point A distance was achieved (P=0.012, P=0.011, and P=0.012, respectively). Good profile was achieved for all patients. Minimal transient complications, for example anterior open bite and bleeding episodes, were managed.Conclusion: Addressing the problem of cleft maxillary hypoplasia at an early age (12-15 years) is beneficial for the child. Residual hypoplasia may develop in some patients, which may require additional corrective procedures. The results of our study show that AMD can be repeated when residual deformity develops with the previous procedure having no negative impact on the results of the repeat procedure.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Bansal A / 2015 / A noble, easy and conceptual radiographic analysis to assess the type of tooth movement (molar distalization) / J Clin Diagn Res 9 : ZC22 ~ ZC25
Bengi O / 2007 / Cephalometric evaluation of patients treated by maxillary anterior segmental distraction: a preliminary report / J Craniomaxillofac Surg 35 : 302 ~ 310
Block MS / 1994 / Use of distraction osteogenesis for maxillary advancement: preliminary results / J Oral Maxillofac Surg 52 : 282 ~ 286
Cheung LK / 2006 / A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis / Int J Oral Maxillofac Surg 35 : 14 ~ 24
Dogan S / 2012 / The effects of face mask therapy in cleft lip and palate patients / Ann Maxillofac Surg 2 : 116 ~ 120
Bengi O / 2007 / Cephalometric evaluation of patients treated by maxillary anterior segmental distraction: a preliminary report / J Craniomaxillofac Surg 35 : 302 ~ 310
Block MS / 1994 / Use of distraction osteogenesis for maxillary advancement: preliminary results / J Oral Maxillofac Surg 52 : 282 ~ 286
Cheung LK / 2006 / A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis / Int J Oral Maxillofac Surg 35 : 14 ~ 24
Dogan S / 2012 / The effects of face mask therapy in cleft lip and palate patients / Ann Maxillofac Surg 2 : 116 ~ 120
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