편측성 구순구개열 환자의 상악 전진술을 통한 안모개선 치험례

Treatment of Cleft Lip and Palate Patient by Le Fort I Maxillary Advancement

Cleft lip and/or palate (CLP) is the most common congenital deformity in the craniofacial region. The growth and development of maxilla is restrained by scars on upper lip and palatal region. This case report is about a patient with unilateral cleft lip and palate patient. Our patient had his first visit at age of eight, however, his compliance was not good enough for treatment effect from his Face-mask wearing. Returning back to the department at 19-year-old, rapid palatal expansion appliance was used for expansion of narrowed maxillary arch and the dental decompensation was completed after maxillary teeth were well aligned. Finally, the second orthodontic treatment and orthognathic-surgery with iliac bone graft were performed for functional and esthetic improvement of maxilla and mandible. After two-year follow up, we could find some horizontal relapse on cleft palate area.