PMC5192017_01
(a and b) Pretreatment photographs of the patient at age 14 y prior to treatment. (c) Pretreatment study casts. (d) Initial panoramic view and lateral cephalogram.
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Physical examination revealed bilateral cleft lip and palate with paramedian lip pits (Fig. 1). Her profile showed a protruded lower lip and mandible, and retruded midface and a drooping nasal tip were noted on the facial view (Fig. 1). Traced lateral cephalograms show notable increments in angular as well as linear measurements (Fig. 4, Table 1).
Distraction osteogenesis with RED appliance frontal and lateral view. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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After a Le Fort I type osteotomy, a rigid external device (KLS Martin, Gebruder Martin GmbH & Co., Germany) was fixed to the cranium to obtain rigid anchorage, and was connected to the maxillary bone via miniplates (bone-borne appliance) on both sides (Fig. 2).
(a)Post treatment photograph of the patient (b) Post treatment study models (c) Post treatmet Panoramic view and lateral cephalogram.
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Finally, a functional and stable occlusion was achieved (Fig. 3).
Pretreatment and post treatment lateral cephalogram superimposition.
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Traced lateral cephalograms show notable increments in angular as well as linear measurements (Fig. 4, Table 1).