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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2004 August-December;15(2-3):69-74
Mandible osseous distraction in a patient suffering from consequences of bilateral cleft lip and cleft palate
Su un caso di distrazione ossea mascellare in paziente con gravi esiti di labiopalatoschisi bilaterale
Maxillofacial Surgery George Eastman Hospital, ASL RM/A, Rome, Italy
A case of guided bone distraction in a patient affected by severe hypoplasia of the upper jaw, as a result of bilateral cleft lip and cleft palate, that resolved a severe discrepancy between the bone bases, is herein presented.
Placing of the distraction devices was obtained by means of subapical osteotomy of the upper jaw, without moving the palatine aponeurosis and thus the insertion of the the tensor and elevator of the velum (external and internal peristaphyline respectively), which have a basic role in the motility of the velum and in determining the degree of velo-pharyngeal incompetence.