Abstract
Orthognathic surgery and distraction osteogenesis play a prime role in the correction of maxillary hypoplasia in patients with cleft lip and palate (CLP). Advancement of the anterior maxilla alone without interfering with the velopharyngeal sphincter may be advantageous in cleft patients, who more commonly have speech deficits and dental crowding. We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. A custom-made tooth-borne distraction device with a hyrax screw positioned anteroposteriorly was used. The evaluation comprised of hard and soft tissue analysis and speech assessment. A stable occlusion with positive overjet and correction of dental-crowding without extraction was achieved at one year post-distraction. Facial profile and lip support improved. There was no deterioration in speech.
Publication details
- DOI
- 10.18295/2075-0528.1503
- Journal
- Sultan Qaboos University Medical Journal, 13(3), 447-452
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
(Janardhan), S. R., Kotrashetti, S. M., Pinto, J. B., X., P., Keluskar, K. M., Jain, S., Sone, P., & Rao, S. (2025). Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases. Sultan Qaboos University Medical Journal, 13(3), 447-452. https://doi.org/10.18295/2075-0528.1503
MLA 9
(Janardhan), Sruthi Rao, et al. "Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases." Sultan Qaboos University Medical Journal, vol. 13, no. 3, 2025, pp. 447-452. https://doi.org/10.18295/2075-0528.1503.
Chicago (author–date)
(Janardhan), Sruthi Rao, S M. Kotrashetti, J B. Pinto, P X., K M. Keluskar, Siddharth Jain, Piyush Sone, and Santhosh Rao. 2025. "Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases." Sultan Qaboos University Medical Journal 13 (3): 447-452. https://doi.org/10.18295/2075-0528.1503.
Harvard
(Janardhan), S. R., Kotrashetti, S. M., Pinto, J. B., X., P., Keluskar, K. M., Jain, S., Sone, P. and Rao, S. (2025) 'Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases', Sultan Qaboos University Medical Journal, 13(3), pp. 447-452. doi:10.18295/2075-0528.1503.
Vancouver
(Janardhan) SR, Kotrashetti SM, Pinto JB, X. P, Keluskar KM, Jain S, et al. Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases. Sultan Qaboos University Medical Journal. 2025;13(3):447-452. doi:10.18295/2075-0528.1503
IEEE
S. R. (Janardhan), S. M. Kotrashetti, J. B. Pinto, P. X., K. M. Keluskar, S. Jain, P. Sone, and S. Rao, "Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla: Report of five cases," Sultan Qaboos University Medical Journal, vol. 13, no. 3, pp. 447-452, 2025, doi: 10.18295/2075-0528.1503.