Orthognathic Surgery for the Correction of Facial Bone Deformity in Cleft Patients

Abstract

Background: The facial deformities following primary lip and palate repair are quite often seen among cleft patients in their teenage. The application of orthognathic surgery can correct these deformities and achieve satisfactory outcomes. This article reviewed the outcomes of orthognathic surgery in this specific group of patients. Materials and Methods: Fifty-eight patients in recent four years who underwent orthognathic surgery combined with orthodontic treatment were reviewed. Each patient received speech counseling before and after surgery. All of them were followed up for more than one year to evaluate the dental occlusion, speech, and esthetic outcomes. Results: Three patients had improvement of velopharyngeal function. Most patients obtained satisfactory functional and aesthetic outcomes. Moreover, the occlusion and the facial profile were maintained well in long term follow-up. Conclusion: The orthognathic surgery poses as an effective method to correct various facial deformities in cleft patients. A detailed assessment of patients and a careful surgical plan are essential to achieving a satisfactory outcome.