PREMAXILLARY OSTEOTOMY AND FIXATION IN BILATERAL CLEFT LIP AND PALATE: A CASE REPORT

Summera Kanwal; Tahera Ayub; Muhammad Ashraf Ganatra; Navid Rashid Qureshi

doi:10.46663/ajsmu.v11i2.67-70

Summera Kanwal Assistant professor, Karachi Metropolitan university
Tahera Ayub Professor of OMFS, Liaquat College of Medicine & Dentistry, Karachi, Pakistan
Muhammad Ashraf Ganatra Professor of Plastic Surgery, Liaquat College of Medicine & Dentistry, Karachi, Pakistan
Navid Rashid Qureshi Professor & Head of Department, OMFS, Liaquat College of Medicine & Dentistry, Karachi, Pakistan

DOI: https://doi.org/10.46663/ajsmu.v11i2.67-70

Keywords: Stabilization of premaxilla, vomer bone, internal fixation, premaxillary osteotomy

Abstract

OBJECTIVES:

In bilateral cleft lip/palate patients, usually the premaxilla is severely protruded and rotated to right or left side with downward displacement. In such cases, osteotomy of premaxilla is one of the option to reposition premaxilla. In this case report we are documenting a technique for fixation of premaxilla to vomerine bone after osteotomy and ostectomy of vomerine bone without damaging to erupted and unerupted teeth.

METHODS:

The premaxillary osteotomy and ostectomy from bony nasal septum were carried out with Fixation of premaxillary segment to the vomer bone with low profile miniplate. This procedure was performed in one patient, with good labial repair. There was no complication for premaxillary osteotomy in this case.

CONCLUSION:

In protruding premaxilla, osteotomy and fixation of premaxilla with miniplate to the vomer bone yielded satisfactory result without damaging to adjacent vital structures.

KEYWORDS: Stabilization of premaxilla, vomer bone, internal fixation, premaxillary osteotomy.

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