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Case Reports
. 2021 Dec;20(4):581-585.
doi: 10.1007/s12663-020-01443-7. Epub 2020 Aug 31.

Patient-Specific Implants (PSI) in Maxillary Hypoplasia Secondary to Cleft Lip and Palate Deformity

Sandeep Kr Pachisia  1 , Arun Ganguli  2 , Sudipta Sahu  1 , Chirantan Maity  1 , Adhiraj Ghosh  1 , Saikat Sen  1
Affiliations
Case Reports

Patient-Specific Implants (PSI) in Maxillary Hypoplasia Secondary to Cleft Lip and Palate Deformity

Sandeep Kr Pachisia et al. J Maxillofac Oral Surg. 2021 Dec.

Abstract

Maxillary hypoplasia is often evident in cleft patients due to impaired growth and dense scarring from previous cleft surgeries. For these patients, treatment scenario has taken many turns over ages, evolved from orthognathic correction to distraction osteogenesis, with mixed prognosis and outcome depending on severity of the case and other several factors. We are reporting a case of 24-year-old female with maxillary hypoplasia secondary to bilateral cleft lip and palate with hypoplastic prolabium, who has been treated with two patient-specific implants in bilateral maxillary region for facial profile enhancement.

Keywords: Cleft lip and palate; Maxillary hypoplasia; Patient-specific implant; Secondary deformity.

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Figures

Fig. 1
Fig. 1
Pre-operative frontal (a), three-quarter (b) and lateral (c) facial photographs
Fig. 2
Fig. 2
Titanium made non-identical side-specific (left & right) PSI on stereolithographic model (a); PSI on software interface (b)
Fig. 3
Fig. 3
Intra-operative photographs showing the PSI fixed in the hypoplastic right (a) and left (b) maxillae
Fig. 4
Fig. 4
Post-operative orthopantomogram showing the fixed PSI in maxilla (a); before/after comparison in lateral and three-quarter facial view depicting post-operative midfacial enhancement (b); post-operative facial photographs in lateral, three-quarter and worm’s eye view (c)
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References

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