Craniofacial growth in bilateral cleft lip and palate patients following secondary premaxillary setback

Marinho, Rodrigo Otávio Moreira; Schock, Astrid M. R.; Langdon, John H.; Wreakes, Glyn

doi:10.1016/s0901-5027(05)80466-7

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…Our second objective was to assess growth restriction in SRP as it is a still debated risk in available mid- or long-term studies (Vargervik, 1983; Friede and Pruzansky, 1985; Marinho et al, 1995; Padwa et al, 1999). Growth was assessed through occlusal features, skeletal growth parameter and Delaire analysis drawings.…”

Section: Discussionmentioning

confidence: 99%

“…Benefits of the surgery have to be balanced with the risk of complication such as premaxilla necrosis and pseudoarthrosis. Secondary growth impairment has also been reported in longterm follow-up studies but it is a still debated risk (Vargervik, 1983;Friede and Pruzansky, 1985;Marinho et al, 1995;Padwa et al, 1999). Vargervik (1983) compared 12 early setbacks to patients carrying BCLP without setback.…”

Section: Introductionmentioning

confidence: 99%

“…During late childhood (after 8 y.o. ), the goals are the same but the surgery is postponed in order to minimize the maxillary growth impact (Hayward, 1983; Marinho et al, 1995) and favor alveolar bone grafting ([Carlini et al, 2009; Bittermann et al, 2021]. In adults, the objective is to achieve both functional and aesthetic results.…”

Section: Introductionmentioning

confidence: 99%

“…On the opposite, after comparing maxillary features in an early, late and control groups, Padwa et al (1999) concluded that SRP could be done before growth completion “without compromise”. Marinho et al (1995) reported a setback group of 10 patients with BCLP patients operated in late childhood [mean 10,2 y.o] and followed up until late adolescence [mean 16,6 y.o. ], the patients were compared to data from the Oslo Cleft Lip and Palate Archive.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Repositioning of the Premaxilla: Incidence, Indications and Growth Study About a 189 Bilateral Cleft Lip ± Palate Population

Drilleaud

Corre

Perrin

et al. 2022

The Cleft Palate Craniofacial Journal

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Objective We aimed to evaluate the rate of patient requiring Surgical Repositioning of the Premaxilla in a population carrying BCL ± P, retrieve age and operative indication. Our secondary objective was to present further facial growth characteristics. Settings This was a retrospective, single-center cohort study conducted in Nantes University Hospital, Oral and Maxillofacial Surgery department, tertiary cleft center. Patients Patients with BCL ± P born between 1980 and 2019 treated at Nantes University Hospital were included. Main outcome measure Our primary outcome measure was the rate of patient requiring SRP. Results Over the whole period, 189 patients with BCL ± P were identified. Three patients (1,58%) underwent SRP. Patients who underwent SRP all had BCLP. SRP was performed during their primary dentition period. The indication for surgical repositioning was always premaxilla vertical overgrowth with an overbite over 10 mm. Facial growth features in the three patients were mostly comparable with a population carrying BCLP who had no premaxillary surgery. Conclusion Our results showed a low incidence of SRP. No SRP was necessary during early infancy (ie, before lip repair) or during adulthood. Surgical repositioning of the premaxilla is beneficial for patient with orthodontically uncorrectable vertical premaxillary excess, even more since facial development compared with other patients with BCLP appears comparable.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Repositioning of the Premaxilla: Incidence, Indications and Growth Study About a 189 Bilateral Cleft Lip ± Palate Population

Drilleaud

Corre

Perrin

et al. 2022

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…The long term results in our BCLP group were satisfactory (Chapter 6). In a recent study of Marinho et al (1995) on 10 BCLP patients who underwent secondary premaxillary setback, good results were equally observed in comparison with the BCLP group of Oslo. Nevertheless, in contrast to our study, their patients showed even more concave profiles than those belonging to the Oslo group.…”

Section: Surgical Repositioning Of the Premaxillamentioning

confidence: 92%