편측성 구순구개열을 동반한 골격성 III급 부정교합 환자의 골 신장술을 동반한 교정치료: 증례보고

• 영문명: Orthodontic Treatment with Distraction Osteogenesis for a Skeletal Class III Patient with Unilateral Cleft Lip and Palate: A Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 임승원(Seung-Weon Lim) 추현희(Hyun-Hee Choo) 황현식(Hyeon-Shik Hwang) 조진형(Jin-Hyoung Cho) 이경민(Kyungmin Clara
• 간행물 정보: 『대한구순구개열학회지』제24권 제2호, 84~95쪽, 전체 12쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2021.12.31

영문 초록

Maxillary deficiency is a common feature in patients with repaired cleft lip and palate. Orthognathic surgery has been a conventional approach in adult patients with cleft-related severe maxillary deficiency. However, for growing patients with a severe maxillary deficiency, distraction osteogenesis has many advantages, such as larger amount of maxillary advancement, higher stability, better soft tissue adaptation, lower possibilities of velopharyngeal problems when compared to the orthognathic surgery. In this case report, we present on the use of a rigid external distraction device for maxillary advancement in a 14-year-old male patient with a unilateral cleft lip and palate and severe mid-facial deficiency. After distraction osteogenesis, orthodontic and prosthodontic treatments were performed for functional and esthetic improvement of occlusion and facial profile. Maxillary distraction osteogenesis and consecutive orthodontic treatment provided effective treatment for adolescent patient with cleft lip and palate, and which maintained well after 1.5-year retention.

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증례보고

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키워드

Distraction osteogenesis Orthodontic treatment Skeletal class III Unilateral cleft lip and palate