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.

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

scholarly journals Facial profile esthetics in operated children with bilateral cleft lip and palate

2017 ◽  
Vol 22 (4) ◽  
pp. 41-46 ◽  
Author(s):  
Rita de Cássia Moura Carvalho Lauris ◽  
Leopoldino Capelozza Filho ◽  
Louise Resti Calil ◽  
José Roberto Pereira Lauris ◽  
Guilherme Janson ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mixed Dentition ◽  
Spearman Correlation ◽  
Friedman Test ◽  
Upper Lip ◽  
Oral Clefts ◽  
Facial Profile ◽  
Facial Esthetics ◽  
Bilateral Cleft Lip

ABSTRACT Objective: The aim of this study was to evaluate the facial profile esthetics of rehabilitated children with complete bilateral cleft lip and palate (BCLP), comparing the judgment of professionals related and not related to cleft rehabilitation and laypersons. Methods: Thirty children in the mixed dentition (24 male; 6 female) with a mean age of 7.8 years were evaluated using facial profile photographs by 25 examiners: 5 orthodontists and 5 plastic surgeons with experience in cleft care, 5 orthodontists and 5 plastic surgeons without experience in oral cleft rehabilitation and 5 graduated laymen. Their facial profiles were classified into esthetically unpleasant (grade 1 to 3), esthetically acceptable (grade 4 to 6), and esthetically pleasant (grade 7 to 9). Intraexaminer and interexaminer errors were evaluated using Spearman correlation coefficient and Kendall’s test, respectively. Inter-rater differences were analyzed using Friedman test and Student-Newman-Keuls test for multiple comparisons. Results: Orthodontists dealing with oral clefts rehabilitation considered the majority of the sample as esthetically pleasant. Plastic surgeons of the cleft team and laypersons classified most of the sample as esthetically acceptable. Most of the orthodontists and plastic surgeons not related to cleft care evaluated the facial profile as esthetically unpleasant. The structures associated to unpleasant profiles were the nose, the midface and the upper lip. Conclusions: The facial profile of children with BCLP was classified as esthetically acceptable by laypersons. Professionals related to cleft rehabilitation were more lenient and those not related to cleft care were stricter to facial esthetics than laypersons.

Effect of Presurgical Infant Orthopedics on Facial Esthetics in Complete Bilateral Cleft Lip and Palate

1994 ◽  
Vol 31 (1) ◽  
pp. 68-73 ◽  
Author(s):  
R. Bruce Ross ◽  
M.C. Macnamera
Keyword(s):  
Surgical Procedures ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sex Distribution ◽  
Facial Esthetics ◽  
Bilateral Cleft Lip ◽  
Full Face ◽  
Presurgical Orthopedics ◽  
Infant Orthopedics ◽  
Age And Sex

A sample of 40 teenage individuals with repalred complete bilateral cleft lip and palate, 20 of whom had received presurgical infant orthopedics, was obtained to test the effects of presurgical Infant orthopedics on facial esthetics. All subjects had surgery by the same surgeon. The age and sex distribution was approximately equal between the two groups. A panel of five judges evaluated the lip and nose esthetics from full face and profile slides and a mean panel score for each subject was derived for six individual features and three total scores. No difference in the esthetic scores between the two groups could be detected. No differences were found In the number of revisionary surgical procedures required to the lip or nose. The findings indicate that conservative presurgical orthopedics for infants with complete bilateral cleft lip and palate has no lasting effect on the esthetics of the lip and nose, and does not alter the need for subsequent revisionary surgery.

scholarly journals Bone-anchored maxillary protraction long-term outcomes in UCLP:

2020 ◽  
Vol 90 (5) ◽  
pp. 734-741
Author(s):  
Daniela Garib ◽  
Fernando Pugliese ◽  
Renata Mayumi Kato ◽  
Renato Faco ◽  
Marilia Yatabe ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Full Time ◽  
Class Iii ◽  
Maxillary Protraction ◽  
Maxillary Advancement ◽  
Facial Esthetics

ABSTRACT This case report presents a 12-year-old boy with unilateral complete cleft lip and palate and severe maxillary retrusion treated with bone-anchored maxillary protraction (BAMP) therapy followed by fixed appliances. The follow-up period extended until the end of growth. Initially, the patient demonstrated a Goslon 4 interarch relationship with an overjet of −3.5 mm and a Wits appraisal of −7.9 mm. Six months after the secondary alveolar bone graft, Bollard miniplates were fixed bilaterally at the infrazygomatic region in the maxilla and between the canines and lateral incisors in the mandible. Class III elastics were used bilaterally full time for 12 months. After treatment, the overjet increased 5.9 mm. Significant maxillary advancement (SNA +3.2°) and skeletal convexity improvement (NA-APo +12.4°) were observed. Retrusion of the anteroposterior position of the mandible was observed (SNB –2.1°). Comprehensive orthodontic treatment was performed after BAMP therapy with nighttime bone-anchored Class III elastics as active retention until the end of growth. Occlusion and facial esthetics were satisfactory at the end of orthodontic treatment and growth. Le Fort I surgery for maxillary advancement was not required. BAMP therapy demonstrated an adequate orthopedic outcome, preventing the need for orthognathic surgery in unilateral complete cleft lip and palate.

scholarly journals Evaluation of Facial Esthetics in Rehabilitated Adults with Complete Unilateral Cleft Lip and Palate: A Comparison between Professionals with and without Experience in Oral Cleft Rehabilitation

2013 ◽  
Vol 2013 ◽  
pp. 1-7
Author(s):  
Araci Malagodi Almeida ◽  
Leopoldino Capelozza Filho ◽  
Flavio Mauro Ferrari Junior ◽  
Rita de Cassia Moura Carvalho Lauris ◽  
Daniela Gamba Garib
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Single Center ◽  
Oral Clefts ◽  
Rehabilitation Process ◽  
Oral Cleft ◽  
Facial Esthetics

Objectives. The aim of this study was to evaluate the facial esthetics of White-Brazilian adults with complete unilateral cleft lip and palate (UCLP) rehabilitated at a single center. Design. 30 patients (13 females; 17 males; mean age of 24.0 years), rehabilitated at a single center, were photographed and evaluated by 25 examiners, 5 orthodontists, and 5 plastic surgeons dealing with oral clefts, 5 orthodontists and 5 plastic surgeons with no experience in the cleft treatment, and 5 laymen. Their facial profiles were classified into esthetically unpleasant, esthetically acceptable, and esthetically pleasant. Results. Orthodontists dealing with oral clefts classified the majority of the sample as esthetically pleasant. Plastic surgeons dealing with oral cleft, orthodontists, and plastic surgeons without experience with oral clefts classified most of the sample as esthetically acceptable. Laymen evaluation also considered the majority of the sample as esthetically acceptable. Conclusions. The facial profiles of rehabilitated adults with UCLP were classified mostly as esthetically acceptable, with variations among the categories of examiners. The examiners dealing with oral clefts gave higher scores to the facial esthetics when compared to professionals without experience in oral clefts and laypersons, probably due to their knowledge of the limitations involved in the rehabilitation process.

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