A Novel Approach in Developing Facial Esthetics in Cleft Lip and Palate Patients

2014 ◽  
pp. 31-46
Author(s):  
Nejat Erverdi ◽  
Melih Motro
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Facial Esthetics ◽  
Novel Approach

scholarly journals Archwise distraction appliance: A novel approach for developing facial and dental esthetics in cleft lip and palate patients

2015 ◽  
Vol 5 ◽  
pp. 127-132
Author(s):  
Nejat Erverdi
Keyword(s):  
Orthognathic Surgery ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Velopharyngeal Insufficiency ◽  
Treatment Modalities ◽  
Congenital Deformity ◽  
Open Communication ◽  
Dental Esthetics ◽  
Novel Approach ◽  
Custom Made

Cleft lip and palate (CLP) is defined as a congenital deformity caused by failed fusion of medial and lateral palatine processes during 4-12th weeks of embryogenesis, resulting in an open communication between oral and nasal cavities. In CLP patients, maxillary hypoplasia, velopharyngeal insufficiency, and alveolar clefts are the major issues that have to be taken care of after labiopalatal reconstruction. Rather than several consecutive operations, such as bone-grafting and orthognathic surgery, alveolar distraction can be a better treatment option in many cases. Archwise Distraction Appliance (AWDA) is a rigid, tooth-borne, custom-made appliance that is developed to control the distraction vector with double archwire system. Our experiences show that the AWDA is a successful appliance in cases of distraction osteogenesis. Moreover, alveolar distraction has significant advantages over conventional treatment modalities for CLP patients.

A Novel Approach for the Reconstruction of Premaxilla by Archwise Distraction in Bilateral Cleft Lip and Palate

2019 ◽  
Vol 30 (1) ◽  
pp. e40-e43 ◽  
Author(s):  
Hanife Nuray Yilmaz ◽  
Gulden Karabiber ◽  
Nejat Erverdi
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Novel Approach ◽  
Bilateral Cleft Lip

Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age

2012 ◽  
Vol 16 (1) ◽  
pp. 36-43 ◽  
Author(s):  
B. Offert ◽  
J. Janiszewska-Olszowska ◽  
Z. Dudkiewicz ◽  
A. Brudnicki ◽  
C. Katsaros ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Facial Esthetics

scholarly journals A Case of Cleft Hypoplastic Maxilla corrected by Single-stage Lefort 1 Osteotomy to improve Esthetics and Function

2015 ◽  
Vol 6 (1) ◽  
pp. 25-27
Author(s):  
Pradeep Christopher ◽  
Bala Gughan ◽  
Poorna Devadoss ◽  
Naveen H Krishnamurthy
Keyword(s):  
Cleft Lip ◽  
Total Population ◽  
Cleft Lip And Palate ◽  
Healing Process ◽  
Single Stage ◽  
Palatal Fistula ◽  
Facial Esthetics ◽  
Bilateral Cleft Lip ◽  
And Function ◽  
Palatal Mucosa

ABSTRACT Among the congenital anomalies, cleft lip and palate take about 14% of the total population; among them, unilateral cleft lip and palate is predominant than bilateral. Cleft lip correction preceding the cleft palate is usually done within a gap of 3 years. Due to the wide median palatal cleft, a perfectly performed Langenbeck pushback closures can leave behind persistent oronasal fistulas during the healing process, due to which severe scarring of palatal mucosa takes place. Secondary alveolar grafting is a procedure performed irrespective of the age for persistent oronasal fistulas. Further closure of nasal and palatal fistula with intervening bone graft is always successful but can compromise the growth of maxilla resulting in hypoplasia. In one such case of a failed secondary alveolar grafting, a Lefort 1 advancement alone was done not only to improve the facial esthetics but also function. This paper discusses in detail the comprehensive surgical procedure performed. How to cite this article Christopher P, Gughan B, Devadoss P, Krishnamurthy NH. A Case of Cleft Hypoplastic Maxilla corrected by Single-stage Lefort 1 Osteotomy to improve Esthetics and Function. J Health Sci Res 2015;6(1):25-27.

Occlusal and Functional Improvement of Patients With Midfacial Hypoplasia Corrected Using Intraoral Tooth-Borne Mid-Maxillary Osteodistractors at Teaching Hospital-Karapitiya, Sri Lanka

2020 ◽  
pp. 105566562098022
Author(s):  
Wattage Kathya Leoni Perera ◽  
Ranatunga Arachchige Don Tilan Madujith Jayawardana ◽  
Sumith Loku Pathirage ◽  
Dayanath Kumara Dias ◽  
D. A. R. K. Dasanayaka
Keyword(s):  
Teaching Hospital ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Peer Assessment ◽  
Functional Improvement ◽  
Novel Approach ◽  
Lateral Cephalograms ◽  
Midfacial Hypoplasia ◽  
Angle Point ◽  
Improved Function

Objective: Mid-maxillary osteodistraction (MMOD) is a novel technique. This study seeks to assess the occlusal and functional improvement of patients with midfacial hypoplasia secondary to cleft lip and palate. Design: This was done as a retrospective study at the Regional Cleft Centre of the Teaching Hospital-Karapitiya (THK). Participants: A total of 81 patient records were accessed on those who underwent MMOD with a tooth-borne intraoral device from January 1, 2007, to December 31, 2016, at THK. Methods: Records of the patients included pre- and post-treatment lateral cephalograms, study models, speech assessments, and photographs. Results: An advancement ranging from 5 to 12 mm (mean, 8.14 mm) was achieved in all patients; 80% (n = 63) and 87.65% (n = 71) showed improvement in consonant production and quality of speech. These were statistically significant (P < .05). With regard to the Peer Assessment Rating score assessing the occlusal improvement, 97.6% showed an improvement whereas only 2 patients showed no improvement. There was a significant improvement in sella (S), nasion (N), and point A (SNA) angle; point A, the nasion, and point B (ANB) angle; and the maxillary length over the treatment period (P < .05). The change in the ANB angle and maxillary length significantly differed between genders with males having a comparatively higher improvement. The profile improvements were noteworthy on the profile photographs. Conclusion: This relatively novel approach to maxillary advancement by maxillary distraction using a combined surgical and modified orthodontic technique has proven to be successful. This protocol and the technique have improved function, occlusion, and the aesthetics.

Multidisciplinary treatment focussing on comprehensive orthodontic approach for improving facial esthetics in cleft lip and palate patients

2016 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Veerendra Prasad ◽  
ArunKumar Singh ◽  
Vijay Kumar ◽  
Brijesh Mishra ◽  
DivyaNarain Upadhyaya ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Treatment ◽  
Facial Esthetics
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