Impact of Virtual Planning on Surgical Reposition of the Premaxilla Using an Endonasal Approach and Simultaneous Alveoloplasty

Objective: Describe the surgical repositioning of the premaxilla using an innovative minimally invasive endonasal approach and secondary bone graft at the same time. We want to emphasize the importance of virtual surgical planning in this technique. Material and Methods: A total of 6 patients with b...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2019-04, Vol.56 (4), p.548-551
Hauptverfasser: Martínez Plaza, Adoración, Martínez, Elena Bullejos, Tara, Miguel Pérez de Perceval, Fernandez, Ana Belén Marín, Iglesias, Fernando Monsalve, López, Antonio España
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container_end_page 551
container_issue 4
container_start_page 548
container_title The Cleft palate-craniofacial journal
container_volume 56
creator Martínez Plaza, Adoración
Martínez, Elena Bullejos
Tara, Miguel Pérez de Perceval
Fernandez, Ana Belén Marín
Iglesias, Fernando Monsalve
López, Antonio España
description Objective: Describe the surgical repositioning of the premaxilla using an innovative minimally invasive endonasal approach and secondary bone graft at the same time. We want to emphasize the importance of virtual surgical planning in this technique. Material and Methods: A total of 6 patients with bilateral complete cleft lip and palate underwent a surgical repositioning of the premaxilla. Virtual surgical planning was performed in all cases. The ages varied between 8 and 12 years and all were male. Five patients were in the mixed dentition phase and 1 patient was in the definitive phase. Three of the patients had been prepared with presurgical nasoalveolar molding. The other 3 were not prepared for various reasons. All patients had primary repair of cleft lip and palate. Interventions: An innovative minimally invasive endonasal approach is presented that has allowed a safe 3-D reposition of the premaxilla in patients with bilateral cleft palate. A simultaneous secondary alveoloplasty with the use of absorbable osteosynthesis is a good choice to achieve symmetry and stability. Conclusions: Virtual surgical planning is an exceptional instrument to make an appropriate presurgical selection of the patients in which combine the 2 procedures.
doi_str_mv 10.1177/1055665618791706
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source SAGE Complete A-Z List; MEDLINE
subjects Alveoloplasty
Child
Cleft Lip
Cleft Palate
Dentistry
Humans
Male
Maxilla
Nose
title Impact of Virtual Planning on Surgical Reposition of the Premaxilla Using an Endonasal Approach and Simultaneous Alveoloplasty
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