Surgical Premaxilla Reposition and Secondary Bone Grafting in a Children with Complete Bilateral Trans-Foramen Cleft Lip and Palate: a Case Report
DOI:
https://doi.org/10.21270/archi.v13i7.6401Palavras-chave:
Cleft Lip, Cleft Palate, Osteotomy, Skeletal Fixation, Alveolar Cleft GraftingResumo
The objective of this study is to report the clinical case of a child with complete bilateral trans-foramen CLP who underwent surgical repositioning of the premaxilla with internal rigid fixation and a secondary bone grafting. The boy was following by different specialists since five days of life, being subjected to the entire surgical protocol to close the lip and palate. At 9 years old it was proposed surgical premaxilla reposition and, in a second surgery, a bone grafting in the alveolar process. After a virtual planning, surgery was performed under general anesthesia. The access was performed maintaining the vestibular pedicle of premaxilla, and after remove the interferences at the vomer and maxilla, premaxilla was fixed with titanium plates and screws. Six months after, fixation material was removed and the remaining gaps were grafted with iliac bone. After 21 months of the first surgery, the patient presents a good anteroposterior positioning of the maxilla and lip seal and, those responsible for the patient, reported an improvement in the patient's quality of life, with improvements mainly in speech, chewing and the patient's social life.
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Referências
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