Abstract
It is not unusual for the protruding premaxilla to attain an undesirable position
after cleft lip repair. Such a premaxilla may lead to considerable problems in facial
aesthetics, or oral functions, or both in early childhood. These abnormal premaxillas
may produce difficulties in bone grafting and orthodontic treatment in late childhood.
In such cases, surgical correction of the premaxilla in childhood is justified. From
2013 to 2018, 11 children, aged 2 to 11 years, had a secondary ostectomy of their
premaxilla. A new stabilisation method (developed by us) was used to provide rigid
fixation to the premaxilla. The follow up period ranged from 1 - 6 years. The results
were satisfactory in all except for a few minor issues in three patients. There was
significant improvement in their appearance, oral functions, and most importantly
in their quality of life. The need for secondary osteotomy of the premaxilla should
always be weighed against its potential complications. The fixation technique described
by us, though, provides rigid fixation, but may potentially be associated with a few
complications if not practised carefully.
Keywords
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Article info
Publication history
Published online: July 04, 2020
Accepted:
June 10,
2020
Received:
December 19,
2019
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
