Rigid External Distraction: Its Application in Cleft Maxillary Deformities

  • John W. PolleyEmail author
  • Alvaro A. Figueroa


Patients with severe maxillary deficiency secondary to orofacial clefting present multiple challenging problems for the reconstructive team. These patients exhibit multidimensional maxillary hypoplasia and skeletal clefting with absence of maxillary and alveolar bone, as well as scarring, residual fistulas, and dental anomalies. Traditional surgical/orthodontic approaches to treat these patients, while sometimes successful in obtaining stable occlusal relationships, often fall short of expectations with respect to facial balance and aesthetics. The application of maxillary distraction osteogenesis in the treatment protocol of patients with severe maxillofacial anomalies offers a powerful alternative for the reconstructive team.


Face Mask Distraction Osteogenesis Distraction Process Orofacial Clefting Distraction Device 
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© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Craniofacial Clinic, Rush University Medical CenterChicagoUSA
  2. 2.Rush Craniofacial CenterChicagoUSA

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