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Stomatologija 2011; 13 (1): 25-30 356 KB

Transantral distraction devices in correction of severe maxillary deformity in cleft patients

Shokhruh Shokirov, Konrad Wangerin

Summary

Maxillary advancement by Le Fort I osteotomy in cleft patients has an average relapse of about 40-60 percent. With extraoral distraction devices it is possible to obtain an almost unlimited advancement of the upper jaw. Due to the social problems the retention period is normally reduced to some monthes. A relapse of 10-25 % can be seen in these cases. Le Fort I internal distraction osteogenesis offers an alternative to one-step orthognathic advancement, with advantages of gradual lengthening through scar and earlier treatment in growing patients. The objective of this study was to present our experience in the treatment of maxillary deficiency in cleft patients using transantral internal distraction devices. The distraction procedure was successfully accomplished in seventeen patients. For all the seventeen patients maxillary distraction device designed by Konrad Wangerin was used. The distraction distances were 8 to 24 mm. Preoperative, postoperative, and follow-up (12 and 24 months) lateral cephalogram measurements were compared including angular and linear changes. A good new bone was found that was formed in distraction pitch between lines of osteotomy. After distraction of median facial zone, occlusion and profile of soft tissues were considerably improved. All patients after postoperative time required final orthodontic treatment and their final occlusal relationships were satisfactory. The transantral distraction device is a new option for the treatment of severe maxillary hypoplasia in cleft patients.

Key words: cleft lip and palate patient, distraction osteogenesis, cleft maxillary distraction.

Received: 30 06 2010

Accepted for publishing: 30 03 2011

¹Tashkent Medical Academy

² Department of Maxillofacial Surgery, Marienhospital, Stuttgart, Germany

Shokhruh Shokirov¹ – Ph.D.

Konrad Wangerin² – Prof., Dr. med., Dr. med. dent., Dr. h. c.

Address correspondence to Dr. Konrad Wangerin, Böheimstraße 37, D 70199 Stuttgart, Germany

E-mail address: mkg@vinzenz.de



	Baltic Dental and Maxillofacial Journal

March, 2011, Vol. 13, No. 1 CONTENTS SCIENTIFIC ARTICLES Percutaneous injuries and hepatitis B vaccination among Lithuanian dentists Jurate Rimkuviene, Alina Puriene, Vytaute Peciuliene, Linas Zaleckas 2-7 Assessment of the Posteroanterior Cephalograms of the Parents of Children with Cleft Lip and/or Cleft Palate in Latvia Ieva Maulina, Ilze Akota 8-14 Accuracy of the second pour casts using dual-arch trays Josué Ricardo Broilo, Paula Cristine Ghiggi, Gilberto Antonio Borges, Luiz Henrique Burnett Jr, Ana Maria Spohr 15-18 The influence of bone mineral density and body mass index on resorption of edentulous jaws Baiba Ozola, Anda Slaidina, Lija Laurina, Una Soboleva, Aivars Lejnieks 19-24 Transantral distraction devices in correction of severe maxillary deformity in cleft patients Shokhruh Shokirov, Konrad Wangerin 25-30 © 2011 Stomatologija		Stomatologija 2011; 13 (1): 25-30 356 KB Transantral distraction devices in correction of severe maxillary deformity in cleft patients Shokhruh Shokirov, Konrad Wangerin Summary Maxillary advancement by Le Fort I osteotomy in cleft patients has an average relapse of about 40-60 percent. With extraoral distraction devices it is possible to obtain an almost unlimited advancement of the upper jaw. Due to the social problems the retention period is normally reduced to some monthes. A relapse of 10-25 % can be seen in these cases. Le Fort I internal distraction osteogenesis offers an alternative to one-step orthognathic advancement, with advantages of gradual lengthening through scar and earlier treatment in growing patients. The objective of this study was to present our experience in the treatment of maxillary deficiency in cleft patients using transantral internal distraction devices. The distraction procedure was successfully accomplished in seventeen patients. For all the seventeen patients maxillary distraction device designed by Konrad Wangerin was used. The distraction distances were 8 to 24 mm. Preoperative, postoperative, and follow-up (12 and 24 months) lateral cephalogram measurements were compared including angular and linear changes. A good new bone was found that was formed in distraction pitch between lines of osteotomy. After distraction of median facial zone, occlusion and profile of soft tissues were considerably improved. All patients after postoperative time required final orthodontic treatment and their final occlusal relationships were satisfactory. The transantral distraction device is a new option for the treatment of severe maxillary hypoplasia in cleft patients. Key words: cleft lip and palate patient, distraction osteogenesis, cleft maxillary distraction. Received: 30 06 2010 Accepted for publishing: 30 03 2011 ¹Tashkent Medical Academy ² Department of Maxillofacial Surgery, Marienhospital, Stuttgart, Germany Shokhruh Shokirov¹ – Ph.D. Konrad Wangerin² – Prof., Dr. med., Dr. med. dent., Dr. h. c. Address correspondence to Dr. Konrad Wangerin, Böheimstraße 37, D 70199 Stuttgart, Germany E-mail address: mkg@vinzenz.de