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Official Journal of the Italian Society of Maxillofacial Surgery
Cipriani O. 1, Amodeo G. 2, Papi P. 1, Marrocco S. 1, Scopelliti D. 1
1 Organizational Unit of Maxillofacial Surgery, S. Spirito ASL RM E Roma Hospital, Rome, Italy;
2 Department of Odontostomatologic and Maxillofacial Sciences, La Sapienza University, Rome, Italy
The aim of this study is to introduce a technique that allows to fill the bony gap that results by the primary surgery on the lip and cleft palate patients. The maxillary transversal and anteroposterior dimension alterations occur when bony continuity is not reconstructed in correspondence of the cleft or when the premaxilla has been damaged. It achieves a contraction of the maxillary diameters for reduction of bone mass that determines both occlusal than skeletal alterations. The use of the distractor allows to reach good results. It permits in fact to reduce the surgical times, to take advantage of the normal and physiological production of bone without use of alloplastic insert and to get gradual but stable results in time with an amplification of the space of the arcades, a best occlusion and the correction of the bone skeletal bases through the formation of bone tissue produced by the distraction of the bone callus.