Long Term Treatment of Cleft Lip and Palate Patient with Excessive Mandibular Growth

2018 ◽  
Vol 21 (1) ◽  
pp. 29-34
Author(s):  
Young-Kwang Jang ◽  
◽  
Dong-Hwa Chung ◽  
2011 ◽  
Vol 22 (1) ◽  
pp. 333-336 ◽  
Author(s):  
Stacey L. Clark ◽  
John F. Teichgraeber ◽  
Ruth G. Fleshman ◽  
Joi D. Shaw ◽  
Carmen Chavarria ◽  
...  

1982 ◽  
Vol 70 (2) ◽  
pp. 266
Author(s):  
Beat Kehrer ◽  
R. C. A. Weatherley-White

2021 ◽  
Vol 14 (12) ◽  
pp. e246582
Author(s):  
Peter Fowler ◽  
Kenny Ardouin ◽  
Jennifer Haworth ◽  
Leslie Snape

The management of patients with orofacial cleft (OFC) often extends from diagnosis or birth well into adulthood and requires many different specialists within multidisciplinary teams (MDT). The aims of treatment are to restore form and function relating to hearing, speech, occlusion and facial aesthetics. People with OFCs that include the lip, alveolus and palate (cleft lip and palate (CLP)) require several different staged and coordinated surgical and non-surgical interventions, and the treatment pathway is associated with a heavy burden of care. Due to the extensive nature of the interaction with these patients, MDT members have opportunities to provide enhanced patient-centred care and support. This case report provides an overview of the current knowledge of the aetiology of OFC and the management of these patients. It provides a unique perspective from one of the coauthors who has a unilateral CLP (UCLP) and reports on his treatment experiences and long-term treatment outcomes. By having a better understanding of the impact of UCLP and treatment provided, MDT members can not only provide improved clinical treatment but also offer improved patient experiences for those with craniofacial anomalies, in particular, an increased awareness of the psychosocial challenges, they endure throughout their treatment pathway and beyond.


1999 ◽  
Vol 36 (5) ◽  
pp. 457-461 ◽  
Author(s):  
Thomas Hierl ◽  
Alexander Hemprich

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.


2010 ◽  
Vol 35 (2) ◽  
pp. 225-231 ◽  
Author(s):  
Kiyoshi Tai ◽  
Jae Hyun Park ◽  
Masahiro Tanino ◽  
Yasumori Sato

Treatment of patients with a cleft lip and palate can be challenging. A boy, 15 years 11 months old, with a bilateral cleft lip and palate and a convex profile, transposed teeth and congenitally missing teeth was treated by orthodontic treatment. 3 year posttreatment records showed excellent results with good occlusion,facial balance and harmony, and long-term stability.


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