Refined New Technique for Correction of the Minor-Form, Microform Cleft Lip and Minor-Form Bilateral Cleft Lip through the Intraoral Incision and Long-Term Results

2011 ◽  
Vol 127 (2) ◽  
pp. 781-783 ◽  
Author(s):  
Byung Chae Cho
2007 ◽  
Vol 119 (5) ◽  
pp. 1527-1537 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Chiara Tortora ◽  
Alberto Morabito ◽  
Giovanna Garattini ◽  
Roberto Brusati

1999 ◽  
Vol 36 (5) ◽  
pp. 407-412 ◽  
Author(s):  
Alexander Gaggl ◽  
Günter Schultes ◽  
Hans Kärcher

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).


2003 ◽  
Vol 31 (4) ◽  
pp. 215-227 ◽  
Author(s):  
Alcibiades E Silvera Q ◽  
Kazuhiro Ishii ◽  
Toru Arai ◽  
Shuichi Morita ◽  
Kazuhiro Ono ◽  
...  

2009 ◽  
Vol 20 (5) ◽  
pp. 1455-1461 ◽  
Author(s):  
Seok-Kwun Kim ◽  
Myung-Hoon Kim ◽  
Yong-Seok Kwon ◽  
Keun-Cheol Lee

1994 ◽  
Vol 31 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Kiki L.W.M. Heidbüchel ◽  
Anne Marie Kuijpers-Jagtman ◽  
Hans Peter M. Freihofer

In this study, sagittal facial growth of bilateral cleft lip and palate (BCLP) patients between 6 and 20 years of age is analyzed. The data of Nljmegen were derived from 131 lateral cephalograms taken in 21 BCLP patients who were treated In the Cleft Lip and Palate Center of the University Hospital of Nljmegen. Reported data of 90 BCLP patients treated at the Center of Oslo were used as a reference for comparison. Results of this Investigation showed mandibular growth to be similar in both centers. In the premaxillary region some differences were found: The Nljmegen patients presented a more protrusive premaxilla than those at Oslo. The upper front teeth and hence, the premaxilla, were more retroclined In the Nljmegen sample. There were also statistically significant differences in the soft tissue profile. The mean z-score was positive for the nasolabial angle and negative for the angle N'-Sn-Pg'. At 18 years of age, these differences are still apparent. In comparison with Broadbent's values of normal individuals, the SNPg-angle was smaller and the mandibular angle greater in Nljmegen and Oslo. The profiles of the BCLP patients are more convex in Nljmegen and more concave in Oslo than In the noncleft group. Finally, the different treatment strategies of the Cleft Lip and Palate Centers of Nljmegen and Oslo are compared and discussed In terms of their long-term results.


1990 ◽  
Vol 27 (4) ◽  
pp. 354-361 ◽  
Author(s):  
Hans Enemark ◽  
Stig Bolund ◽  
Inge Jørgensen

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