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Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 60-63

Segmental maxillary distraction with a novel device for closure of a wide alveolar cleft

Department of Maxillofacial, Great Ormond Street Hospital, London, UK

Correspondence Address:
Peter R. Ayliffe
Al. Mihailidi 9, Thessaloniki, 54640 Greece

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DOI: 10.4103/2231-0746.133067

PMID: 24987601

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Treatment of a wide alveolar cleft with initial application of segmental distraction osteogenesis is reported, in order to minimise cleft size prior to secondary alveolar bone grafting. The lesser maxillary segment was mobilised with osteotomy at Le Fort I level and, a novel distractor, facilitated horizontal movement of the dental/alveolar segment along the curvature of the maxillary dental arch. Following a latency period of 4 days distraction was applied for 7 days at a rate of 0.5 mm twice daily. Radiographic, ultrasonographic and clinical assessment revealed new bone and soft tissue formation 8 weeks after completion of the distraction phase. Overall the maxillary segment did move minimising the width of the cleft, which allowed successful closure with a secondary alveolar bone graft.

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