Segmental Maxillary Osteotomy to Close Wide Alveolar Clefts

Introduction: Wide alveolar clefts are challenging to treat and are often associated with a higher chance of failure requiring repeated bone grafts. Even if successful, an excessively large cleft leads to a wide edentulous space, and patients are faced with prolonged orthodontic treatment. We present a series of large alveolar clefts closed with the aid of segmental maxillary osteotomies. Cases of alveolar clefts treated by segmental maxillary osteotomy were reviewed from 2014-2016. Preoperative and postoperative CTs were analyzed to assess alveolar gap and bone fill.

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