A novel technique for prevention of anterior fistula and facilitation of alveolar cleft repair: Gingivoperiosteoplasty with palatoplasty

Ahmed, Owais; Yasmeen, Sobia; Khan, Muhammad Imran; Beg, Mirza Shehab Afzal

doi:10.12669/pjms.38.7.5422

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Different anthropometric measures including angle of columellae, nasal width, and lateral lip height are important and can be employed assessing longitudinal treatment of the unilateral cleft lip nasal deformity and must be included as objective measures. So, the cleft lip and palate surgery is performed not only to restore normal functions like eating, respiration and speech 30 but it also plays an important role in restoring the aesthetics for which proper facial measurements are considered significant.…”

Section: Association Between Facial Measurements and Gendermentioning

confidence: 99%

Facial morphology analysis of children with non-syndromic cleft lip and palate in a local population

Anjum,

Mahmood,

Nagi

et al. 2024

Pak J Med Sci

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Objectives: To study the facial morphology in children with non-syndromic cleft lip and palate by applying numerical facial analysis on photographs for planning and evaluating treatment outcomes. Methods: This descriptive study was conducted from March 2020 to July 2020 in the Department of Oral Pathology, University of Health Sciences and Cleft Lip and Palate Hospital, Lahore Pakistan. A total of 104 patients of both genders with an age range from three months to thirteen years were included. Photographs of the participants were taken to measure facial anthropometrical landmarks including facial height, nose width, mouth width and inter canthal distance. The association between facial measurements with gender and phenotype and across age groups were computed keeping the confidence level at 95%. Results: Mean age of the children was 72.43±44.2 months with slight male predominance. Thirty-one percent presented with bilateral cleft lip and palate followed by unilateral cleft lip and plate. Total mean facial height, nose width and mouth width were found to be 143.46±21.52mm, 32.24±5.03mm and 33.71±4.38mm respectively. Intercanthal distance was measured to be 31.04±5.99mm. Statistically significant association was observed between gender and facial height, nose width, mouth width and Intercanthal distance. Conclusion: Facial anthropometric measures done on frontal photographs can be used to identify the facial landmarks in children with non-syndromic cleft lip and palate in low resource stings that may help surgeons in getting better aesthetic outcomes. These landmarks vary between ethnic groups therefore these should be specific to a particular race and ethnicity so as to ensure proper aesthetics and improved quality of life for the children of all nations. doi: https://doi.org/10.12669/pjms.40.5.8485 How to cite this: Anjum R, Mahmood S, Nagi AH, Chaudhry S. Facial morphology analysis of children with non-syndromic cleft lip and palate in a local population. Pak J Med Sci. 2024;40(5):---------. doi: https://doi.org/10.12669/pjms.40.5.8485 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Association Between Facial Measurements and Gendermentioning

confidence: 99%

Facial morphology analysis of children with non-syndromic cleft lip and palate in a local population

Anjum,

Mahmood,

Nagi

et al. 2024

Pak J Med Sci

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Gingivoperiosteoplasty in Children with Cleft Lip and Palate: The Need for Alveolar Bone Grafting

Balumuka,

Daly,

Krakauer

et al. 2024

The Cleft Palate Craniofacial Journal

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Objective This study aimed to determine the efficacy of gingivoperiosteoplasty (GPP) in preventing alveolar bone grafting (ABG) among children with cleft lip and palate (CLP). Design/Setting Retrospective university hospital single center study. Patients Children with CLP treated with GPP from 2000-2015 were included. Those under eight years of age, without definitive conclusions regarding need for ABG or with incomplete data were excluded. Interventions Included patients were analyzed for demographics, cleft type, age at GPP, associated cleft surgery, use of nasoalveolar molding (NAM), indication for ABG, operating surgeon and presence of residual alveolar fistula. T-tests and Fisher's exact tests were utilized for statistical analysis. Main Outcome Measure The need for ABG. Results Of the 1682 children identified with CLP, 64 underwent GPP and met inclusion criteria. 78% of patients with CLP who underwent GPP were recommended for ABG. Those who received GPP at a younger age ( P = .004) and at the time of initial cleft lip repair ( P = .022) were less likely to be recommended for ABG. Patients with complete CLP were more likely to be recommended for ABG than patients with cleft lip and alveolus only ( P = .015). The operating surgeon impacted the likelihood of ABG ( P = .004). Patient gender, race, ethnicity, laterality, and NAM were not significantly associated with recommendation for ABG. Conclusion GPP does not preclude the need for ABG. Therefore, the success of ABG after GPP and maxillary growth restriction should be analyzed further to determine if GPP is a worthwhile adjunct to ABG in cleft care.

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A novel technique myomucosal rotational upper lip flap for anterior palatal fistula closure

Solano,

Carcelén,

Oropeza

et al. 2024

Journal of Cleft Lip Palate and Craniofacial Anomalies

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Palatal fistulas are a pathological condition where there is a connection between the nasal area and the oral cavity, being one of the most frequent complications in cleft palate surgery. Palatal fistulas can cause esthetic defects and functional alterations in both feeding and speech of patients. Anterior palatal fistulas are the least common but represent a great surgical challenge for the surgeon because of their location and poor amount of tissue for closure. The purpose of this article is to present a novel technique of performing an upper lip myomucosal rotation flap for the closure of an anterior fistula, taking advantage of the labial tissue for a tension-free suture in the area of the fistula. Our technique allowed an adequate management of the fistula with low morbidity and without flap necrosis, proposing it as a useful technique for the closure of anterior fistulas.

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A novel technique for prevention of anterior fistula and facilitation of alveolar cleft repair: Gingivoperiosteoplasty with palatoplasty

Cited by 3 publications

References 19 publications

Facial morphology analysis of children with non-syndromic cleft lip and palate in a local population

Facial morphology analysis of children with non-syndromic cleft lip and palate in a local population

Gingivoperiosteoplasty in Children with Cleft Lip and Palate: The Need for Alveolar Bone Grafting

A novel technique myomucosal rotational upper lip flap for anterior palatal fistula closure

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