Abstract
Fixation techniques in surgical repositioning of the prognathic pre-maxilla during alveolar bone graft surgery in bi-lateral cleft lip and palate patients
Highlights
Patients with bilateral cleft lip and palate (CLP) may present with a prognathic pre-maxilla
Several techniques have been used for fixation of the osteotomized segment, but no single technique is considered the standard [3,4,5]
We describe different techniques used in a tertiary care facility for fixation of the PM following osteotomy
Summary
Patients with bilateral cleft lip and palate (CLP) may present with a prognathic pre-maxilla. Many erroneous surgical practices have been executed in the past for management of pre-maxillary segment such as amputation of pre-maxilla [1]. With better understanding of the vascularity and growth potential of the premaxilla (PM) in the growing child, surgeons revisited previous surgical techniques. The current surgical practice of alveolar bone grafting promotes mobilization and repositioning of the PM between lateral segments [2]. The firm stabilization of the osteotomized and mobilized prolabium is vital for the success of the alveolar bone graft surgery. Several techniques have been used for fixation of the osteotomized segment, but no single technique is considered the standard [3,4,5]. We describe different techniques used in a tertiary care facility for fixation of the PM following osteotomy
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