The aim of this paper was to share our experience and treatment results of over 8 -years follow up of surgical, orthognatic and prosthetic rehabilitation of cleft patients. These patients required correction orthognatic surgery. In our material we operated on 28 patients in whom LeFort I and LeFort II osteotomies with maxillary advancements were performed. In 19 cases as adjuvant procedure BSSO of the mandibular ramus were performed to achieve good facial proportions. In 5 cases open rhinoplasty as a separate procedure was performed. In 19 cases (out of 28) cleft defects were grafted by autogenous bone from the hip. In 18 cases LeFort osteotomy was accompanied by transposition of the cleft bone segments which closed the defects. Modifications of the Le Fort I osteotomy with transposition of the maxillary segments closing the defect proved to be a very good method of treatment. Maxillary osteotomy with segmental rotation is medicated in multiply operated patients where excessive bone grafting of the defect did not give satisfactory results.
展开▼
机译：本文的目的是分享我们的经验和治疗结果，超过8年的外科患者的外科，正向和假体康复。这些患者需要矫正原因外科手术。在我们的材料中，我们在28名患者操作leforti和lefort II截骨术患者中进行了颌面瘤。在19例时，作为辅助程序BSSO的颌骨Ramus进行达到良好的面部比例。在5例中，开放鼻落成形术作为单独的程序进行。在19例（28例中）通过来自臀部的自生骨接枝裂隙缺陷。 18例lefort骨质术伴随着裂缝骨段的转子，该裂缝骨段关闭了缺陷。 left i uTsteoTomy对缩小缺陷的转子的修饰被证明是一种非常好的治疗方法。在常压患者中，上颌截骨术在繁殖的患者中被药物，其中缺陷过度骨嫁接没有给出令人满意的结果。
展开▼
