Abstract
Background and objectives: Bilateral cleft lip palate patients often present vertical and horizontal excess in the premaxilla, together with dental torque alterations, due to unrestrained premaxilla displacement and premaxillary-vomerine suture overgrowth. Access to premaxilla osteotomy is generally achieved through an oral intrasulcular incision. However, this approach can compromise the vascularization of the premaxilla.
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