Alveolar distraction osteogenesis applications in cleft lip and palate patients: a literature review

Year 2016, Volume: 33 Issue: 2, 102 - 8, 04.05.2016

Öznur Mülayim Fatma Uzuner , Belma Işık Aslan

https://doi.org/10.17214/aot.22882

Cited By: 1

Abstract

Distraction osteogenesis technique has been successfully applied in the craniofacial area for long time, and it is being applied increasingly more in cleft lip and palate patients also. Especially in large cleft palate cases, bone grafting or surgical procedures such as distraction osteogenesis can be applied in order to ensure a smooth alveolar arc. In this literature review, alveolar (segmental) distraction osteogenesis applications in patients with cleft lip and palate, indications of the technique, advantages and disadvantages, application methods and types of appliances used for this purpose have been evaluated. As conclusion, especially with the application of alveolar (segmental) distraction osteogenesis, successful outcome can be achieved in cleft lip and palate patients with velopharyngeal insufficiency, maxillary hypoplasia and maxillary crowding, and this technique may be an alternative to conventional osteotomies and extraoral distractions.

Keywords

Cleft lip, cleft palate, distraction osteogenesis, orthodontics

Dudak damak yarıklı hastalarda alveoler distraksiyon osteogenez uygulamaları: literatür derlemesi

Abstract

Kraniyofasiyal bölgede başarıyla uygulanmakta olan distraksiyon osteogenezis yönteminin dudak damak yarıklı bireylerde uygulanmasının giderek arttığı görülmektedir. Özellikle geniş damak yarıklı hastalarda düzgün bir alveolar ark sağlanmasına yönelik olarak kemik greftleme veya distraksiyon osteogenezis gibi cerrahi işlemler uygulanabilmektedir. Bu derlemede dudak damak yarığı olan bireylerde alveolar (segmental) distraksiyon osteogenezis uygulayan çalışmaların verileri ışığında, uygulamanın endikasyonları, avantaj ve dezavantajları, uygulama metodları ve bu amaçla kullanılan aparey çeşitleri değerlendirildi. Sonuç olarak, özellikle alveolar distraksiyon osteogenezis uygulaması ile velofaringeal yetmezlik, maksiller hipoplazi ve maksiller çapraşıklığa sahip dudak damak yarığı olan hastalarda başarılı sonuçlar elde edilebildiği ve bu yöntemin konvansiyonel osteotomilere ve ağız dışı distraktörlerle yapılan distraksiyon uygulamalarına alternatif olabileceği belirlendi.

Keywords

Distraksiyon osteogenezis, ortodonti, yarık damak, yarık dudak

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