scholarly journals Pre-surgical Alveolar Molding: An Adjunct to Surgical Repair in Cleft Lip and Palate Rehabilitation

2021 ◽  
Vol 2 (1) ◽  
pp. 32-35
Author(s):  
Rikta Pande ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Kabiraj Poudel

Bilateral cleft lip and palate (CLP) with a severely protruded premaxillary segment can present as a challenge during surgical lip repairing. Pre-surgical alveolar molding, as described in this case report, is one such technique which aids in the approximation of the cleft segments thereby improving the esthetic result of the surgical repair. The present case highlights the importance of a simple molding appliance in re-positioning the protruded premaxillary segments of a neonate with bilateral CLP thereby serving as an adjunct to the surgical repair.

2014 ◽  
Vol 51 (6) ◽  
pp. 711-721 ◽  
Author(s):  
Tomohiro Fukunaga ◽  
Tadashi Honjo ◽  
Yuichi Sakai ◽  
Kiyo Sasaki ◽  
Teruko Takano-Yamamoto ◽  
...  

This is a case report about the successful orthodontic treatment of a bilateral cleft lip and palate patient by using a combination of bone grafting and subsequent prosthodontic rehabilitation. An adult patient with a bilateral cleft lip and palate presented with a concave profile, anterior and lateral crossbite, a markedly deep overbite, and residual bilateral alveolar clefts. His jaw movement patterns were unstable and irregular due to his collapsed bite. Orthodontic treatment with bilateral bone grafting improved his concave profile by downward and backward rotation of the mandible within the freeway space, and optimum occlusion and functionally stable and smooth jaw movements were obtained. After a 6-year retention period, no skeletal relapse could be detected, and his occlusal stability was satisfactory.


2006 ◽  
Vol 43 (2) ◽  
pp. 237-243 ◽  
Author(s):  
Akihiko Iida ◽  
Shota Narai ◽  
Ritsuo Takagi ◽  
Kazuhiro Ono ◽  
Nobuyuki Ikeda

Objective To report a case of blepharo-cheilo-dontic (BCD) syndrome, to compare with the previous cases, and to discuss the possible treatment. Patient The patient was a 14-day-old boy born uneventfully on August 7, 2002. His scalp hair was sparse and curly. A tumor on the top of his head, which was thought to be a dermoid cyst, and a nevus on the back of his left hand were observed. All typical symptoms of blepharo-cheilo-dontic syndrome, such as euryblepharon with ectropion of the lower eyelids, distichiasis, bilateral cleft lip and palate, severe oligodontia, and conical teeth, were observed. Because there was no fatal complication, and growth and development were about normal, it was recommended that a long and active treatment plan be considered for this patient.


2014 ◽  
Vol 71 (7) ◽  
pp. 693-699 ◽  
Author(s):  
Julija Radojicic ◽  
Tatjana Tanic ◽  
Nebojsa Jovic ◽  
Tatjana Cutovic ◽  
Konstantinos Papadopoulos

Introduction. Cleft lips and palates are the most common congenital orofacial anomaly. This type of clefts is the most severe from the orthodontic-surgical therapy aspect. Case report. A female newborn with a complete cleft of the primary and the secondary palate was admitted to the clinic, where a multiple-role orthodontic device was specially designed and applied to primarily manage the closure of the existing cleft and help to improve the suckling ability of the baby. Besides the fact that it allows breastfeeding, it has a significant orthodontic effect, too. Conclusion. Specificity of this device is the lack of extraoral fixation. What can easily be observed is a progressive reduction of the cleft between the separated segments and the premaxilla retrusion. It, thus, allows the creation of much better conditions for further surgical management of the said defect.


2022 ◽  
Vol 4 (4) ◽  
pp. 154-157
Author(s):  
Priyanka Kosare ◽  
Pallavi Madanrao Bobade

Cleft palate (ICD 10-Q 35.9) with Protruding of premaxilla is common feature in patient with bilateral cleft lip and palate it is due to the under trained growth at anterior nasal septal and vomero-premaxillary suture without lateral continuities. Hippocrates (400BC) AND Galen(150AD) mansion cleft lip, but not cleft palate in their writing, Cleft palate –Fanco.(1556), Repair of cleft lip –as early as 255-206 BC in CHINA. The first successful closure of a soft palate defect was reported in 1764 by LEMONNIERa French dentist.


Author(s):  
David J. Zajac ◽  
Juliana Powell ◽  
Margaret McQuillan

Purpose This case report describes the development, characteristics, and resolution of anterior nasal fricatives (ANFs)—a learned maladaptive articulation error—in a young girl with repaired bilateral cleft lip and palate. Method The girl was observed every 2 months from 12 to 24 months of age with follow-ups at 36, 48, and 67 months of age. Results At 12 months of age, the girl nasalized /b/ inconsistently and had mild conductive hearing loss. At 18 months of age, she exhibited audible nasal air emission on some plosives and used ANFs to replace /s/ and /z/, often with a nasal grimace. At 24 months of age, the child continued to experience mild conductive hearing loss, obligatory nasal air emission, and ANFs for /s/ and /z/. At 36 months of age, pressure-flow testing documented significant velopharyngeal (VP) dysfunction. The girl then used ANFs for /f/ and /s/, phonetically marked by different oral stops. At 48 months of age, although VP impairment continued, speech therapy largely eliminated ANFs. By 67 months of age, VP closure was nearly normal. Conclusions Multiple factors including VP dysfunction, audible nasal air emission, and conductive hearing loss contributed to the development of ANFs. Clinical and etiological implications are discussed.


2016 ◽  
Vol 66 (5) ◽  
pp. 389-393
Author(s):  
Przemysław Szczyrek ◽  
Jerzy Gładkowski ◽  
Barbara Burzyńska

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