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CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(S 01): S149-S167
DOI: 10.1055/s-0039-1699389
Review Article
Association of Plastic Surgeons of India

Skeletal facial balance and harmony in the cleft patient: Principles and techniques in orthognathic surgery

Kenneth E. Salyer
1   World Craniofacial Foundation, Dallas, Texas, U.S.A.
2   Department of Biomedical Sciences and Department of Orthodontics, Baylor College of Dentistry, Texas A&M Health Science Center, China
,
Haisong Xu
1   World Craniofacial Foundation, Dallas, Texas, U.S.A.
3   Department of Plastic Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
,
Jason E. Portnof
4   Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Melbourne, Australia, USA
,
Akira Yamada
1   World Craniofacial Foundation, Dallas, Texas, U.S.A.
,
David K. Chong
4   Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Melbourne, Australia, USA
,
Edward R. Genecov
5   Department of Orthodontics, Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Texas, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

The management of the palatal cleft, dental arch, and subsequent maxillary form is a challenge for the craniomaxillofacial surgeon. The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate. This paper focuses on the experience of a recent series of 103 consecutive orthognathic cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach. It will concentrate on not only correcting the occlusion, as others have described, but also on how a surgeon who was trying to achieve optimal aesthetic balance, harmony, and beauty, approached this problem.

KEY WORDS

Cleft lip and palate - Orthognathic surgery - Skeletal facial balance
 

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