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Abstract Objectives: 1. To compare the surgical treatment methods of ...

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deformities.<br />

The effect <strong>of</strong> Le Fort I maxillary osteotomy and distraction<br />

osteogenesis on velopharyngeal function remains a controversial issue. Both<br />

distraction osteogenesis and conventional osteotomy can induce significant s<strong>of</strong>t<br />

tissue changes affecting <strong>the</strong> facial aes<strong>the</strong>tics.<br />

Part II:<br />

This study highlights that intra-operative and post-operative complications may<br />

develop in ei<strong>the</strong>r distraction by internal maxillary distractor or <strong>the</strong> conventional<br />

osteotomy in CLP patients. Clinical occlusal relapse may develop during <strong>the</strong> early<br />

post-operative period in <strong>the</strong> transposed maxilla with ei<strong>the</strong>r distraction or conventional<br />

osteotomy. Conventional osteotomy by immediate maxillary transposition produces<br />

more skeletal relapse in both vertical and horizontal plane than <strong>the</strong> cleft distraction,<br />

particularly in <strong>the</strong> early post-operative 3 months.

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