A comparison of treatment results in complete bilateral cleft lip and palate using a conservative approach versus millard-latham PSOT procedure

Berkowitz, Samuel

doi:10.1016/s1073-8746(96)80012-0

Cited by 79 publications

(42 citation statements)

References 21 publications

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“…DISCUSSION Traditional treatment of wide unilateral and bilateral clefts consists of lip closure under tension, or a lip adhesion procedure followed by definitive lip repair as a secondary procedure, with bone grafting at a later date. In comparison with traditional techniques, the use of maxillary orthopedics undoubtedly brings the lip segments and maxillary arches to anatomical alignment and greatly facilitates the lip repair and periosteoplasty without the need for closure under tension or lip adhesion (5). The authors of this study and any others who have used this technique have seen this clearly.…”

Section: Nasal Alar Base Elevationmentioning

confidence: 75%

Long term effects of the Latham presurgical maxillary orthopedic appliance, including effects on tooth growth

et al. 2000

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Section: Nasal Alar Base Elevationmentioning

confidence: 75%

Long term effects of the Latham presurgical maxillary orthopedic appliance, including effects on tooth growth

et al. 2000

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“…The points of controversy have been varied, related to not only the effectiveness of this treatment but also the timing of treatment and the type of force used [3].…”

Section: Discussionmentioning

confidence: 99%

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

Punga¹,

Sharma

2012

J. Maxillofac. Oral Surg.

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Addressing the craniofacial anomaly of cleft lip and palate presurgically has been done since more than 50 years now, with a constant improvisation of the treatment protocols from time to time. The present study deals with a modification of the technique devised 16 years ago. The effect of nasal stents attached to a pre-surgical naso-alveolar molding (PNAM) appliance on the nasal morphology achieved prior to primary surgical correction of the cleft lip was to be evaluated. Twenty subjects, infants with cleft lip and palate, less than 2 months of age were selected for presurgical nasoalveolar molding treatment. Impressions were recorded, casts made and PNAM appliance fabricated. Ten infants were given the appliance without nasal stents and to the other ten appliances nasal stents were added. The patients were recalled every 2-3 weeks and a series of 9 measurements were recorded every visit along with adjustments made to the appliance for desirable effects on the lip, alveolus and nose. This was carried out till the patient was taken up for lip repair. The final measurements obtained at the end of the presurgical treatment were recorded. Mann-Whitney test, between study and control group showed that the increase in the columella length was statistically significant (p = 0.0001 and p = 0.033) in the study group as compared to the control group. Also the increase of the nasal tip projection (mean = 1.30 mm) in the study group was found to be statistically significant (p = 0.006) as compared to the control group. We concluded that nasal stents attached to the alveolar molding appliance, yield significant improvement of the nasal morphology and better nasal aesthetics presurgically.

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“…Complete Bilateral Cleft Lip and Palate (BCLP) is a major clinical challenge which is met by a multitude of treatment concepts 1 differing greatly in the management of the initially protrusive position of the premaxilla. Of course, the overall goal is to restore oral functions in infancy and to obtain good esthetic and functional results at the adult stage.…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

Gnoinski¹,

Rutz²

2009

Journal of Craniofacial Surgery

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Development of the facial profile between age 5 and the end of pubertal growth in patients with complete bilateral cleft lip and palate was studied by means of cephalometric x-rays taken at the age of 5, 10 and 15 years as well as at the end of the growth period. All 29 patients had been treated according to the same plan and operated upon by the same surgeon. Values for the ANB angle are typically very high in 5 year old children, and then decrease to values corresponding to those of the general population by the end of the pubertal growth period. Vertical development maintains the initial pattern; no compensatory vertical excess was observed. Due to the wide range in all measurements, the value of age-related mean values in a patient sample is of little consequence for individuals but can point out tendencies. The multidisciplinary concept of maintaining the initially protrusive position of the premaxilla by means of a passive plate at the newborn and infant stage, as well as using surgical procedures with limited retrusive effect proved to be correct in the long run: At the young adult stage the angle ANB remained positive for almost all patients except for those with multiple tooth agenesis in the upper arch. A potential benefit of two-stage palate repair is seen in the neutral vertical development of the patients examined. This hypothesis is supported by comparison with other studies from the literature.

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A comparison of treatment results in complete bilateral cleft lip and palate using a conservative approach versus millard-latham PSOT procedure

Cited by 79 publications

References 21 publications

Long term effects of the Latham presurgical maxillary orthopedic appliance, including effects on tooth growth

Long term effects of the Latham presurgical maxillary orthopedic appliance, including effects on tooth growth

Presurgical Orthopaedic Nasoalveolar Molding in Cleft Lip and Palate Infants: A Comparative Evaluation of Cases Done With and Without Nasal Stents

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

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