The AAPS 101st Annual Meeting

Complex bilateral alveolar clefts solved in one operation: Premaxillary osteotomy with simultaneous bone grafting in 25 consecutive patients

Background:

•Effective bilateral alveolar cleft grafting is a challenge to the cleft surgeon.

•Patients often have multiple failed attempts at grafting with residual fistulae and compromised anterior teeth.

•It is the purpose here to present outcomes of a group of consecutive patients with bilateral cleft lip and palate who underwent simultaneous pre-maxillary osteotomy and bilateral bone grafting.

Methods:

•Retrospective review of bilateral cleft lip and palate patients (2015-present) with a mal-positioned premaxilla and un-grafted alveolar clefts , who underwent premaxillary osteotomy and simultaneous bilateral alveolar cleft grafting.

•CT scan preoperatively and 6 months postoperatively.

Results:

•25 consecutive patients, age range was 7 - 18 years.

•Follow up ranged from 6 months to 6 years.

•22/25 had successful grafts on both sides.

•3/25 had union on one side only.

•Excluding the three unilateral failures, volume fill approximated 70 percent.

•There were no cases of premaxillary necrosis.

•There were no residual fistulae.

Conclusions:

•Premaxillary osteotomy with simultaneous alveolar bone grafting is a highly effective procedure to achieve a consolidated maxillary arch in one operation, with few complications.

•Judicious use of premaxillary osteotomy, when necessary:

•Properly positions misaligned segments

•Allows closure of anterior palatal fistula

•Affords improved access for surgery

The AAPS 101st Annual Meeting

Complex Bilateral Alveolar Clefts Solved In One Operation: Premaxillary Osteotomy With Simultaneous Bone Grafting In 25 Consecutive Patients

Poster Presenter

Authors

Affiliations

Part of Topic