Oral and maxillofacial surgery approaches and techniques are important considerations
in the comprehensive management of cleft nasal deformities. Establishing a proper
bony base for the soft tissues can involve secondary procedures such as alveolar cleft
grafting and orthognathic surgery. The cleft deformity itself, but particularly previous
surgery, usually dictate modifications of orthognathic surgery techniques. Distration
osteogenesis potentially allows for earlier intervention as well as more extensive
bony changes with decreased surgical risk.
Oral and maxillofacial surgery - alveolar cleft bone grafting - distraction osteogenesis