Indian Journal of Plastic Surgery
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Year : 2009  |  Volume : 42  |  Issue : 3  |  Page : 149--167

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

1 World Craniofacial Foundation, Dallas, Texas; Department of Biomedical Sciences and Department of Orthodontics, Baylor College of Dentistry, Texas A&M Health Science Center, Texas, U.S.A
2 World Craniofacial Foundation, Dallas, Texas, U.S.A.; Department of Plastic Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
3 Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Melbourne, Australia
4 World Craniofacial Foundation, Dallas, Texas, U.S.A.
5 Department of Orthodontics, Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Texas, USA

Correspondence Address:
Kenneth E Salyer
World Craniofacial Foundation, 7777 Forest Lane, Suite C-616, Dallas TX USA 75230

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-0358.57196

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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.


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