Two-Stage Treatment of a Large Premaxillary Defect

Rami P. Dibbs, Han Zhuang Beh, Andrew M. Ferry, Lesley W. Davies, Jenny L. Nguyen, Edward M. Reece, David M. Alfi, William C. Pederson, Edward P. Buchanan

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Bilateral cleft lip and palate (CLP) patients commonly require surgical management to treat maxillary hypoplasia following the primary repair. Rarer is the CLP patient who also presents with a missing premaxillary segment. Here the authors present the case of a 19-year-old female with a history of bilateral CLP who demonstrated significant maxillary hypoplasia in addition to a large premaxillary defect. To correct this deformity, LeFort I advancement with fibular reconstruction of the maxilla and dental implant placement was performed as a single surgical procedure. The authors discuss the advantages of undergoing this single-staged operation. By utilizing virtual surgical planning (VSP) and incorporating a multidisciplinary team within the operating room, the patient was able to successfully undergo maxillary reconstruction and dental implant placement in a single operation.

Original languageEnglish (US)
Pages (from-to)2827-2829
Number of pages3
JournalJournal of Craniofacial Surgery
Issue number8
StatePublished - Nov 1 2021


  • Bilateral cleft lip and palate
  • LeFort I
  • free fibula flap
  • premaxillary segment
  • single-staged procedure

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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