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Indian Journal of Plastic Surgery
Medknow Publications on behalf of Indian Journal of Plastic Surgery
ISSN: 0970-0358 EISSN: 0970-0358
Vol. 42, No. S1, 2009, pp. 168-173
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Bioline Code: pl09092
Full paper language: English
Document type: Review Article
Document available free of charge
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Indian Journal of Plastic Surgery, Vol. 42, No. S1, 2009, pp. 168-173
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External frame distraction osteogenesis of the midface in the cleft patient
Hussain, Syed Altaf
Abstract
Distraction osteogenesis has established itself as an accepted form of treatment in the management of midface deficiency in cleft patients. However, it is well known that some amount of relapse is inevitable in patients who undergo this procedure. Like most surgical techniques, it has its specific indications, limitations, and complications. The problems are amplified in some patients because of severe fibrosis resulting from previous palate and lip operations. This article reviews treatment planning, pre- and postoperative orthodontic management, operative technique, and mechanics of distraction. It also discusses long-term changes following distraction and protocols to optimize the results and minimize complications.
Keywords
Cleft; Distraction in clefts; Midface distraction
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© Copyright 2009 Indian Journal of Plastic Surgery. Alternative site location: http://www.ijps.org/
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