Long-term results of the two-stage palatoplasty/Hotz’ plate approach for complete bilateral cleft lip, alveolus and palate patients

2003 ◽  
Vol 31 (4) ◽  
pp. 215-227 ◽  
Author(s):  
Alcibiades E Silvera Q ◽  
Kazuhiro Ishii ◽  
Toru Arai ◽  
Shuichi Morita ◽  
Kazuhiro Ono ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Long Term Results ◽  
Two Stage ◽  
Bilateral Cleft Lip

Alveolar Bone Formation in Patients with Unilateral and Bilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty: Long-Term Results

2007 ◽  
Vol 119 (5) ◽  
pp. 1527-1537 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Chiara Tortora ◽  
Alberto Morabito ◽  
Giovanna Garattini ◽  
Roberto Brusati
Keyword(s):  
Bone Formation ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Long Term Results ◽  
Bilateral Cleft Lip

Aesthetic and Functional Outcome of Surgical and Orthodontic Correction of Bilateral Clefts of Lip, Palate, and Alveolus

1999 ◽  
Vol 36 (5) ◽  
pp. 407-412 ◽  
Author(s):  
Alexander Gaggl ◽  
Günter Schultes ◽  
Hans Kärcher
Keyword(s):  
Cleft Lip ◽  
Functional Results ◽  
Model Analysis ◽  
Long Term Results ◽  
Slight Reduction ◽  
Lateral Cephalograms ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Palate ◽  
Maxilla And Mandible

Objective: To assess the aesthetic and functional long-term results of surgical and orthodontic treatment of patients with bilateral cleft lip, palate, and alveolus. Design: Long-term follow-up study. Setting: Teaching hospital in Austria. Patients: Twenty adult patients who had been operated on as children for bilateral cleft lip, palate, and alveolus. Interventions: Lateral cephalometric and model analysis. The sum of all mesiodistal tooth diameters in the maxilla and mandible were compared with standard Bolton tracings. Main outcome measures: Aesthetic and functional results. Results (model analysis): The upper arch was too wide in 12 patients and the mandibular arch was too wide in 4 patients. In 11 patients, the lateral teeth were crowded, and all had a persistent transverse space deficit and a reduction in sagittal measurements. Fifteen patients had alveolar midline displacement of the maxilla as well as of the mandible. Results (lateral cephalometric measurements): The lateral cephalograms showed a mean sella-nasion-A point angle of 77° and a maxillary baseline-nasion-sella line angle of 9°, indicating a tendency toward maxillary retrognathia. An anterior facial height index of 42% (compared with the standard 58%) indicated a slight reduction in midface height with consequent increase in the height of the lower face. Conclusion: There is specific growth impairment of the midface in adults who were treated as children for bilateral clefts of lip, palate, and alveolus. An optimal result can be achieved only by additional orthognathic surgery (Le Fort II osteotomy).

Long-Term Results in the Bilateral Cleft Lip Repair by Mulliken's Method

2009 ◽  
Vol 20 (5) ◽  
pp. 1455-1461 ◽  
Author(s):  
Seok-Kwun Kim ◽  
Myung-Hoon Kim ◽  
Yong-Seok Kwon ◽  
Keun-Cheol Lee
Keyword(s):  
Cleft Lip ◽  
Long Term Results ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Repair

Repair of Asymmetric Bilateral Cleft lip: 1 Stage or 2 Stage

2021 ◽  
pp. 105566562110139
Author(s):  
Xinran Zhao ◽  
Yilai Wu ◽  
Guomin Wang ◽  
Yusheng Yang ◽  
Ming Cai
Keyword(s):  
Cleft Lip ◽  
Outcome Measure ◽  
Scar Tissue ◽  
Anatomical Reduction ◽  
Scoring Method ◽  
Two Stage ◽  
One Stage ◽  
Significant Difference ◽  
Bilateral Cleft Lip ◽  
Surgery Outcomes

Objective: To verify the advantages and indications of 1-stage and 2-stage repair for asymmetric bilateral cleft lip (BCL). Design: Retrospective study. Setting: From January 2004 to December 2016 in our department. Patients: Patients with BCL. Main Outcome Measure(s): Over 6 months after the operation, the surgery outcomes were evaluated and graded by 2 experienced surgeons. Results: The result of surgery was evaluated using the scoring method of Mortier et al and Anastassov and Chipkov. Among 133 patients with asymmetric BCL, 61 (45.9%) had 1-stage repair and 72 (54.1%) had 2-stage repair. Sixty-eight (51.1%) patients had complete-incomplete cleft lip (CL), and those who underwent 1-stage repair showed a trend of better outcome ( P = .028). Fifty (37.6%) patients with incomplete-microform CL showed no significant difference between the outcomes of 2 surgery plans ( P = .253). In 15 (11.3%) patients with complete-microform CL, only one had 1-stage repair with a score of 8.5. The other 14 patients with 2-stage repair were scored 3.68 ± 1.28. Two-stage repair was preferable when the deformity degree was very different on 2 sides, as it could reduce unnecessary scar tissue and extend the nasal columella. One-stage repair could help to achieve the anatomical reduction of the orbicularis oris and a better contour of the vermilion tubercle. Conclusion: One-stage repair is recommended for patients with complete-incomplete CL and incomplete-microform CL. Two-stage repair for patients with complete-microform CL is preferred in our center, but more studies are required to support this conclusion.

Surgical Repositioning of the Premaxilla in Combination with Two-Stage Alveolar Bone Grafting in Bilateral Cleft Lip and Palate

1998 ◽  
Vol 35 (4) ◽  
pp. 304-309 ◽  
Author(s):  
Mitsuyoshi Iino ◽  
Tomokazu Sasaki ◽  
Shoko Kochi ◽  
Masayuki Fukuda ◽  
Tetsu Takahashi ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Surgical Procedure ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Two Stage ◽  
Alveolar Bone Grafting ◽  
Bilateral Cleft Lip

Objective This paper introduces a surgical technique for premaxillary repositioning in combination with two-stage alveolar bone grafting for the correction of the premaxillary deformity of patients with bilateral cleft lip and palate (BCLP). The paper also reports on two patients with BCLP who underwent this surgical management. Surgical Procedure The operation is usually performed when the patient is 8 to 14 years of age. In the first stage of surgery, the side more accessible to the septopremaxillary junction is selected, and an osteotomy of the premaxilla and unilateral alveolar bone grafting are performed. Approximately 4 to 12 months after the first stage of surgery, contralateral alveolar bone grafting is carried out. Conclusion We have found that this surgical procedure is highly effective, because it ensures the blood supply to the premaxilla and minimizes the potential for surgical failure. Moreover, it affords wide exposure of the premaxillary bone surface, facilitating sufficient boney bridging and allowing for orthodontic tooth movement.

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