Orthodontic Considerations for Orthognathic Surgery: VeloPharyngeal Need - Abstract
Changes in cranio-pharyngeal and maxilla-facial morphology in patients (cleft palate, for example) suffering chronic velopharyngeal dysfunction are often characterized by a
short palate, wide-based and counter-clockwise-rotated
pharyngeal triangle (upper pharynx), and a posteriorly/
superiorly-positioned posterior pharyngeal wall1. Such patients with significant developmental or acquired skeletal and/or dentofacial deformities causing functional and/or psycho-social problems are often referred to oral and maxillofacial surgeons for assessment of growth anomalies and corrective treatment [1,2]. While oral and maxillofacial surgery plays a central role in many aesthetic and functional procedures affecting the face and the oral cavity, a wide range of minor and major skeletal and dental irregularities are often involved, thereby requiring correction [1-3]. Herein, orthodontics can be combined with orthognathic surgery to alleviate/adjust the misalignment of jaws and teeth, and improve chewing, deglutition (swallowing), speaking, breathing and the overall appearance of the face [3,4].