A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients

Thierens, Laurent A. M.; Lewyllie, Arianne; Temmerman, Liesbeth; Roo, Noëmi Mc De; Verdonck, Anna; Perula, Maria Cadenas de Llano; Willems, Guy; Pauw, G. A. De

doi:10.1007/s00784-018-2601-0

Cited by 2 publications

(2 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Виконання реконструктивних втручань на коміркових відростках верхніх щелеп на стороні незрощення є необхідним етапом комплексної реабілітації пацієнта, яке позитивно впливає на симетрію середньої третини обличчя, стабілізує та нормалізує положення крила носа, відновлює ізоляцію носової та ротової порожнин, забезпечує оптимальні умови для проведення ортодонтичного лікування та зубного протезування (за потреби). На сьогодні фіксація процесу реабілітації пацієнта з уродженими вадами за допомогою фотографії є важливим компонентом оцінки результатів лікування, тому аналіз результатів клінічних фото є способом математичного моделювання, яке спрощує сприйняття клінічної ситуації [11][12][13][14][15].…”

Section: антропометричні особливості обличчя у дітей з уродженими деф...unclassified

Anthropometric Characteristics of the Face in Patients with Congenital Defects of Alveolar Process on Maxilla before Surgical Intervention

Kulynych¹,

Мочалов²

2023

Ukr. ž. med. bìol. sportu

View full text Add to dashboard Cite

The purpose of the study was to investigate the anthropometric parameters of the nasolabial complex in patients with different sizes of the congenital defect of the alveolar process before surgical intervention. Materials and methods. To achieve the goal, a clinical assessment of the nasolabial complex was carried out in 54 children with clefts of upper lip and palate (aged 10 to 19 years). The next indicators were included: the length of the nasal wing, the width of the bottom in the nostril, the vertical displacement of the nasal wing and their ratios. The children were divided into three subgroups, depending on the size of the bone defect, which involved the planning of a different type of surgical intervention: 1 (n=13) – recovery of the defect without osteoplasty, 2 (n=11) – osteoplasty using the mandibular symphysis tissue, 3 (n=30) – osteoplasty using an autograft from tibia. Results and discussion. Clefts of upper lip and palate are accompanied by numerous anatomical and functional disorders in the maxillofacial system. Reconstruction of the maxilla alveolar processes on the cleft side is a necessary stage of the complex rehabilitation of the patient. The degree of severity of functional disorders in cases of clefts of upper lip and palate depends on many factors and conditions – the form and size of the cleft, the patient's age, concomitant local and general somatic pathology, as well as the success of the performed complex treatment. Fixation of the patient's rehabilitation process by photography and analysis of clinical photos are important components of evaluation of treatment results. The volume of the congenital (residual) defect of the alveolar process on maxilla directly affects the level of facial asymmetry which is reflected in changes in the ratios on the affected and healthy side – the length of the nasal wing, the width of the nostril, the angles of the base of the nasal wing. Such anthropometric data may be crucial points in the selection of surgical intervention methods and the use of different autologous transplants. The obtained results are consistent with similar studies by Ajami S., 2020, which established pronounced differences in the structure of the nasolabial complex even under the conditions of full and timely rehabilitation of children with congenital cleft of the upper lip and palate, compared to the ethnic anthropometric norm of healthy patients. And the sooner the integrity of the upper lip is restored, the better the symmetry of the nasolabial complex is achieved. Alveolar process plasty significantly equalizes the symmetry of the nose and upper lip in patients with congenital cleft of the upper lip and palate, which was shown by three-dimensional anthropometric studies in a number of clinics around the world. Conclusion. Anthropometry (photogrammometry) of the nasolabial complex on the face is an additional method in diagnostic that is necessary to make the correct clinical decisions during the planning of reconstructive interventions on the maxilla in case of clefts of lip and palate

show abstract

Section: антропометричні особливості обличчя у дітей з уродженими деф...unclassified

Anthropometric Characteristics of the Face in Patients with Congenital Defects of Alveolar Process on Maxilla before Surgical Intervention

Kulynych¹,

Мочалов²

2023

Ukr. ž. med. bìol. sportu

View full text Add to dashboard Cite

show abstract

“…Several studies have been conducted on the primary surgical outcomes of CLP surgical protocols and the effect on maxillofacial growth. [22][23][24] The dental arch relationship provides a good prediction of the surgical outcomes after CLP repair, 25 and may therefore be used to evaluate maxillofacial growth after a surgical technique. Several indices have been developed to measure the outcome of these surgical techniques used in the treatment of CLP, including the GOSLON (Great Ormond Street, London and Oslo) yardstick, 26 the 5-year-old index, 27 the EUROCRAN index, and the modified Huddart and Bodenham (mHB) scoring system.…”

Section: Introductionmentioning

confidence: 99%

Occlusal Evaluation Using Modified Huddart and Bodenham Scoring System Following 2-Stage Palatoplasty With Hotz Plate: A Comparison Among 3 Different Surgical Protocols

Salazar

Kodama

Yuki

et al. 2022

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective This study aimed to determine if the change in technique of soft palate closure or timing of hard palatal repair induced occlusal changes in patients with complete unilateral cleft lip and palate (CUCLP). Design Retrospective study. Settings A medical and dental hospital in Japan. Subjects A total of 96 patients with CUCLP treated with 2-stage palatoplasty were included in the study and categorized into 3 groups (G1, G2, and G3) according to the protocol used. Interventions G1 underwent soft palate repair using Perko method at 1.5 years of age and hard palate repair using vomer flap procedure at 5.5 years of age. Furlow method was used for soft palate repair in G2 at 1.5 years of age and hard palate repair using vomer flap procedure at 5.5 years of age. The Furlow method was used to repair the soft palate in G3 at 1.5 years of age and vomer flap procedure was used to repair the hard palate at 4 years of age. Main Outcome Measures Two evaluators assessed the dental arch relationship using the modified Huddart/Bodenham (mHB) index on 2 separate occasions. Results Intra- (intraclass correlation coefficient [ICC]: 0.962) and inter-examiner (ICC: 0.950) reliability showed very good agreement. The frequency of crossbite present in the major and minor segments gradually decreased with each change in protocol. Mean segmental scores showed no significant difference between 3 protocols ( P > .05). Good inter-arch alignment occurred with all 3 surgical protocols (G1:82.6%, G2:89.8%, and G3:91.7%). Conclusions There was no significant difference in the dental arch relationship outcomes between the 3 surgical protocols. The dentition status was comparable with all surgical protocols, even after the changes.

show abstract

A retrospective intercenter comparison of two surgical protocols through the dental arch relationship of 5- to 6-year-old unilateral cleft patients

Abstract: A well-implemented treatment protocol for cleft patients is of the utmost importance, but case load and skill of the surgeon are also important factors for the quality of the results.

Cited by 2 publications

References 48 publications

Anthropometric Characteristics of the Face in Patients with Congenital Defects of Alveolar Process on Maxilla before Surgical Intervention

Anthropometric Characteristics of the Face in Patients with Congenital Defects of Alveolar Process on Maxilla before Surgical Intervention

Occlusal Evaluation Using Modified Huddart and Bodenham Scoring System Following 2-Stage Palatoplasty With Hotz Plate: A Comparison Among 3 Different Surgical Protocols

Contact Info

Product

Resources

About