Cleft Palate Repair, Gingivoperiosteoplasty, and Alveolar Bone Grafting

2016 ◽  
Vol 24 (4) ◽  
pp. 467-476 ◽  
Author(s):  
Ashley M. Dao ◽  
Steven L. Goudy
2021 ◽  
Vol 71 (1) ◽  
pp. 370-72
Author(s):  
Memuna Kausar Satti ◽  
Zainab Qasim ◽  
Farwa Rais ◽  
Ayousha Iqbal ◽  
Maahin Shoaib ◽  
...  

A clinical case of bilateral cleft palate repair using previous tongue flap followed by Alveolar Bone Grafting(ABG). After pre-surgical orthodontics a surgical procedure whereby previous tongue Flaps were reflected, nasalbeds were prepared on both sides. A cortico-cancellous bone of 2 cm was harvested from iliac crest and grafted inclefts. Patient is kept on follow up to monitor healing, postoperative results and any post- operative complication.


FACE ◽  
2021 ◽  
pp. 273250162110489
Author(s):  
Mert Calis ◽  
Raymond W. Tse

Obtaining a tension-free 2-layer anatomic closure at cleft palate repair reduces risks of fistula and facilitates later alveolar bone grafting. Anterior nasal lining closure can be one of the most challenging aspects of repair but is rarely discussed. We present our approach to palatoplasty for BCLP and additional technical maneuvers for closure in the unfavorable configuration when the lesser segments are collapsed against the vomer: “inside-out” approach along the cleft margin provides access for accurate incision; elevation of medial pterygoid mucoperiosteum provides access further anteriorly to separate nasal lining from palatal shelf; mobilization of lining off of bone when 2 structures are in apposition opens a space for access; nasal lining can be drawn into view with a hook; and the nasal lining closure can be passed back through the space to heal in an anatomic relationship, cephalic to the bony shelves.


2020 ◽  
Vol 26 (11-12) ◽  
pp. 591-601 ◽  
Author(s):  
Suchit Sahai ◽  
Marysuna Wilkerson ◽  
Hasen Xue ◽  
Nicolas Moreno ◽  
Louis Carrillo ◽  
...  

Author(s):  
Raj M. Vyas ◽  
Gennaya L. Mattison

Alveolar bone grafting plays a crucial role in cleft reconstruction. When neonatal presurgical orthodontia is successful in aligning the cleft segments, alveolar reconstruction can be initiated as a gingivoperiosteoplasty during primary cleft lip repair. In children with cleft palate, alveolar bone grafting is usually done after transverse maxillary expansion with a palatal expander. Exact timing of bone grafting is controversial; most centers initiate orthodontic evaluation/expansion between ages 7 and 8 years (beginning of mixed dentition) with an aim to bone graft before age 10 in order to allow osteogenic incorporation prior to eruption of the permanent canine teeth.


2005 ◽  
Vol 42 (1) ◽  
pp. 99-101 ◽  
Author(s):  
Ananth S. Murthy ◽  
James A. Lehman

Objective To evaluate the management of alveolar clefts by cleft palate and craniofacial teams in North America. Design An anonymous survey was mailed to 240 American Cleft Palate– Craniofacial Association teams across North America regarding alveolar bone grafting. The questionnaire included multiple questions about each team's approach to alveolar bone grafting and options for the missing tooth. Results Consensus was achieved in three areas: 90% of centers performed secondary alveolar bone grafting, 78% performed grafting between ages 6 and 9 years, and iliac crest donor site was the most popular site (83%). There was no consensus with respect to dental criteria for the timing of grafting, follow-up x-rays, or the use of a grading system for evaluating results. In addition, there was no consensus on the management of the missing tooth. Conclusion There is wide acceptance of secondary bone grafting and there is a consensus for the age of grafting (6 to 9 years) and donor site (iliac crest). The disturbing finding was the lack of postoperative x-ray evaluation of the results. With so much variability in management, the use of a routine, standardized scale to measure postoperative results would allow for better outcome studies in alveolar bone grafting.


2012 ◽  
Vol 23 (5) ◽  
pp. 1283-1286 ◽  
Author(s):  
Ivy Kiemle Trindade-Suedam ◽  
Omar Gabriel da Silva Filho ◽  
Roberta Martinelli Carvalho ◽  
Renato André de Souza Faco ◽  
Adriana Maria Calvo ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document