Forward traction of the maxilla in cleft lip and palate patients

摘要: The effect of forward maxillary traction from an extraoral appliance was studied in four patients with complete unilateral cleft lip and palate. Primary surgical treatment included various methods surgery palatal closure by the push-back technique. One had two periosteoplasty procedures infancy another underwent bone grafting combination fistula at age 8½ years. Traction on maxilla initiated ages between 8 13 years its duration varied 7 months 4 analyzed means roentgencephalometry, metallic implants three patients, dental casts. The basal favourable patients. poor result one other subjects ascribed to graft, which may have prevented sliding maxilla, patient lack cooperation possibly influence periosteoplasty. Side-effects protrusion dentition transient retrusion mandible. It concluded that has a beneficial retrognathic mid-face children palate provided displacement is not blocked, e.g. graft.