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Case Report
Late maxillary distraction osteogenesis in a middle-aged cleft lip and palate patient: A multidisciplinary approach
1 Lecturer, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
2 Chairman, Medical Corporation Koushikai Ekimae Orthodontic Office, 9F Keihan Kyoto Bldg., Shichijosagaru, Karasuma-dori, Shimogyo-ku, Kyoto, Japan
3 Assistant Professor, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan
4 Lecturer, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan
5 Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan
Address correspondence to:
Takuma Watanabe
54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507,
Japan
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Article ID: 101521Z01TW2025
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Watanabe T, Yamashita K, Katsube M, Yamaguchi A, Hirota M. Late maxillary distraction osteogenesis in a middle-aged cleft lip and palate patient: A multidisciplinary approach. Int J Case Rep Images 2025;16(2):46–52.ABSTRACT
Introduction: Patients with cleft lip and palate often present maxillary hypoplasia owing to early surgical scarring, necessitating surgical advancement to restore facial balance and functional occlusion. Maxillary distraction osteogenesis, particularly with internal devices, is an effective technique for advancing the maxilla and surrounding soft tissues in patients with cleft lip and palate. These patients often present with complex jaw deformities requiring a multidisciplinary approach.
Case Report: A 43-year-old male with unilateral cleft lip and palate presented with facial asymmetry and malocclusion. A multidisciplinary team performed maxillary distraction osteogenesis using an internal device, sagittal split ramus osteotomy, and plastic surgery. Maxillary distraction osteogenesis achieved maxillary advancement, clockwise rotation, and rolling. Subsequently, genioplasty and structural rhinoplasty were performed. The patient was satisfied with skeletal improvements and stable occlusion.
Conclusion: A middle-aged patient with unilateral cleft lip and palate, who required maxillary distraction osteogenesis was successfully treated through close collaboration among multiple professionals. Maxillary distraction osteogenesis effectively corrects maxillary malposition by enabling three-dimensional movement of the maxilla. A multidisciplinary team approach is crucial for addressing jaw deformity.
Keywords: Genioplasty, Oral and maxillofacial surgeon, Plastic surgeon, Rhinoplasty
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Acknowledgments
The authors thank ChatGPT (version 3.5 from OpenAI) for its assistance in improving the English language and grammar of the manuscript draft. The authors take full responsibility for the final content.
Author ContributionsTakuma Watanabe - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kazuo Yamashita - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Motoki Katsube - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Akihiko Yamaguchi - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Makoto Hirota - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Takuma Watanabe et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
