| REVIEW ARTICLE |
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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
Kenneth E Salyer1, Haisong Xu2, Jason E Portnof3, Akira Yamada4, David K Chong3, Edward R Genecov5
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
DOI: 10.4103/0970-0358.57196 PMID: 19884671
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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