One-Piece Le Fort I Osteotomy Versus Segmental Le Fort I Osteotomy
Stability of One-Piece Le Fort I Osteotomy Versus Segmental Le Fort I Osteotomy: A Prospective Study
Stability of One-Piece Le Fort I Osteotomy Versus Segmental Le Fort I Osteotomy: A Prospective Study
Sponsor study identifier
interventional
60
1 country
1
Study Start
April 2013
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
March 2016
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2016
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Le Fort I osteotomy is often used in orthognathic surgery for patients to solve midface retrusion. It is known that post-surgical stability of Le Fort I osteotomy can be influenced by single jaw or bimaxillary procedures, fixation techniques or interpositional grafting. In patients with cleft lip and palate, the postoperative instability of Le Fort I osteotomy can be even worse due to scar tissue resulted from palate surgery. Segmental LeFort I osteotomy is another useful surgical modifications that can be easily done through the alveolar cleft. It is performed to allow the correction of differences in the occlusal planes, correction of transverse discrepancy or to facilitate an optimal occlusion. The most important benefits is that the alveolar cleft in patients who have not had alveolar bone graft surgery or failed to have successful result can be narrow down or even closed by approximation of two separating alveolar segments. However, there are limited previous studies comparing the stability of segmental versus one-piece Le Fort I osteotomy especially in patients with cleft. It is our aim to investigate whether one-piece Le Fort I osteotomy or segmental Le Fort I osteotomy can provide a better stability after surgery.
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December 2016
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April 2013
Date type not reportedThis date has not been verified as actual or estimated.
May 23, 2013
Actual (reported)June 7, 2013
Actual (reported)March 2016
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
December 2016
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
stability and relapse rate of surgical movement
to compare the stability and relapse rate in vertical, horizontal and transverse among two kinds of different surgical techniuques
6 months after surgery & 1-2 years till the completion of the treatment
Presence of pathological change of cleft-adjacent teeth
immediate after surgery, 6 months after surgery & 2 years till the completion of the treatment
For some cases that bone filling over cleft site is not good enough for tooth movement, it is possible that we put them into this group which means by using Segmental Le Fort I Osteotomy to approximate two dental alveolar segments.
For patients having ideal bone graft result over cleft site, traditional One-piece Le Fort I Osteotomy will be performed.
comparison the stability of segmental Le Fort I osteotomy with conventional approach of one-piece Le Fort I osteotomy
conventional approach
Chang Gung Craniofacial Center
Taipei / Taoyuan, Taiwan
Yu Fang Liao, Ph.D.
Chang Gung Craniofacial Center , Chang Gung Memorial Hospial , Taoyuan , Taiwa
First Submitted
May 23, 2013
First Posted
June 7, 2013
Study Start
April 2013
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
March 2016
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This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2016
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
June 7, 2013
Record last verified: 2013-03
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