Treatment of patient with maxillary hypoplasia caused by congenital cleft lip and palate using intraoral distraction devices for advancement

Treatment of patients with maxillary hypoplasia caused by congenital cleft lip and palate remains a relevant problem today. Maxillary advancement by distraction method is generally accepted but the stability of this manipulation remains controversial. The article presents an observation of 22 year-old patient with maxillary hypoplasia caused by total left-sided cleft lip, alveolar cleft, cleft hard and soft palate. The patient underwent maxillary advancement by distraction osteogenesis using intraoral distractors. The intervention effectiveness was assessed using cone beam computed tomography by results of which lateral teleradiographs were reconstructed: before the surgery, after the distraction period and 8 months after the surgery. It has been shown that maxillary advancement in patients with congenital cleft lip, alveolar cleft, cleft hard and soft palate by distraction method is a stable treatment option in moderate and severe maxillary hypoplasia.