Long-term outcome of simultaneous repair of bilateral cleft lip and nose (a 15 year experience)

Objective: This report introduces the possibilities of callus distraction in the extremely atrophied, edentulous midface in a cleft lip and palate patient. Intervention: After a subtotal Le Fort II osteotomy, tension wires were fixed to the zygomatic buttresses and frontal sinus walls by way of titanium mini-plates and mesh and connected to a rigid external distractor. Then distraction of the whole midface (1 mm/d) was performed. Results: Even in severe atrophy a distraction of the maxilla of 20 mm was possible. Stability has been shown for more than 5 months. Conclusions: Rigid external midfacial distraction may be used in difficult cases for the correction of sagittal discrepancies where conventional orthognatic surgery is likely to be insufficient. Further investigations will concentrate on the long-term outcome.

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Unilateral cleft lip-nose repair – long-term outcome

Clinics in Plastic Surgery ◽

10.1016/s0094-1298(03)00128-7 ◽

2004 ◽

Vol 31 (2) ◽

pp. 191-208 ◽

Cited By ~ 29

Author(s):

Kenneth E Salyer ◽

Edward R Genecov ◽

David G Genecov

Keyword(s):

Cleft Lip ◽

Term Outcome ◽

Long Term Outcome ◽

Cleft Lip Nose

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Long-Term Outcome of Cleft Lip Repair Using Fisher's Technique With Modification of Nasal Dissection

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2015.06.090 ◽

2015 ◽

Vol 73 (9) ◽

pp. e50-e51

Author(s):

N.F. Callahan ◽

M.W. Awadallah ◽

L.M. Puig ◽

S.K. Lazow ◽

D.C. Hoffman

Keyword(s):

Cleft Lip ◽

Term Outcome ◽

Long Term Outcome ◽

Cleft Lip Repair

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O.207 Secondary corrections of cleft lip/palate deformities. Long-term outcome

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(08)71331-3 ◽

2008 ◽

Vol 36 ◽

pp. S52-S53

Author(s):

G. Anastassov

Keyword(s):

Cleft Lip ◽

Term Outcome ◽

Long Term Outcome ◽

Cleft Lip Palate

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Long-Term Outcome of Cleft Lip Nasal Reconstruction in Childhood

Plastic & Reconstructive Surgery ◽

10.1097/00006534-200004050-00002 ◽

2000 ◽

Vol 105 (5) ◽

pp. 1600-1608 ◽

Cited By ~ 30

Author(s):

Alex A. Kane ◽

Thomas K. Pilgram ◽

Mazyar Moshiri ◽

Jeffrey L. Marsh

Keyword(s):

Cleft Lip ◽

Nasal Reconstruction ◽

Term Outcome ◽

Long Term Outcome

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Fixed prosthetic treatment in patients with cleft lip and palate

Vojnosanitetski pregled ◽

10.2298/vsp141114161b ◽

2017 ◽

Vol 74 (2) ◽

pp. 189-192

Author(s):

Jagoda Bajevska ◽

Jana Bajevska ◽

Biljana Bajevska-Stefanovska

Keyword(s):

Case Report ◽

Oral Health ◽

Oral Cavity ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Treatment Options ◽

Term Outcome ◽

Long Term Outcome ◽

And Function

Introduction. The prosthetic treatment of patients with cleft palate includes various treatment options such as fixed partial dentures, removable partial prosthesis, etc. The type of prosthetic appliance is determined by the oral health of each individual and the circumstances. We presented three adult patients with the cleft lip and palate subjected to prosthetic treatment. Case report. From the possible prosthetic solutions according to the conditions in the oral cavity and the circumstances, fixed partial dentures veneered with composite or ceramic were chosen. A proper relationship between the teeth was reached with the fixed partial dentures, and function established, the phonetics improved and satisfying aesthetics effect accomplished improving the profile appearance of the patient?s face. Plastic surgery of the nose was performed after that. Conclusion. Multidisclipinary treatment is necessary for favourable long-term outcome in cleft lip and palate patients.

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