Influence of Different Palatoplasties on the Facial Morphology of Early Mix Dentition Stage Children with Unilateral Cleft Lip and Palate

Tome, Wakako; Yashiro, Kohtaro; Otsuki, Koichi; Kogo, Mikihiko; Yamashiro, Takashi

doi:10.1597/14-191

Cited by 19 publications

(13 citation statements)

References 25 publications

(26 reference statements)

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“…[27] Notwithstanding, the literature lacks consensus on the type of primary plastic surgery, suitable technique, and surgical time that would cause the most restrictive effects in these individuals. [69]…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Carrara

Ambrosio

Mello

et al. 2016

Ann Maxillofac Surg

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Background:Individuals with cleft lip and palate have many anatomic and functional alterations compromising esthetics, hearing, speech, occlusion, and development/craniofacial growth. The rehabilitative treatment of these patients is very challenging and starts at birth aiming at the best treatment for all functional demands. This study aimed to evaluate the dimensional alterations of the dental arches of neonates with cleft lip and palate after two different primary surgical techniques.Materials and Methods:The sample comprised 114 digital models of children aged from 3 to 36 months, with unilateral complete cleft lip and palate divided into two groups. Two different phases were evaluated: precheiloplasty and 1 year after palatoplasty. The evaluation was performed through the digital models of each child obtained by scanning digitalization (3D Scanner). Dental arches measurements were accomplished through Appliance Designer software. The following measurements were assessed: dental arch area, anterior amplitude of the cleft, total length of dental arch, intercanine distance, and intertuberosity distance. t-test was applied to compare differences between groups.Results:No statistically significant differences were observed between groups at precheiloplasty phase. At 1 year after palatoplasty, the groups differed in the total length of dental arch (P = 0.002), with greater values for Group I.Conclusion:This study suggests that the results of the different surgical techniques may alter the growth and development of the dental arches of neonates with cleft lip and palate.

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Section: Introductionmentioning

confidence: 99%

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Carrara

Ambrosio

Mello

et al. 2016

Ann Maxillofac Surg

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“…This protocol comprises soft palate plasty at 1 year of age using a modification of the double-opposing Z-plasty (Furlow, 1986), followed by hard palate closure at 1.5 years of age. Although the interval between soft palate plasty and hard palate closure is short, a number of clinical studies—including research by our department—have reported more favorable palatal growth with this protocol (Kitagawa et al, 2004; Yamanishi et al, 2009; Nishio et al, 2010) than with conventional 1-stage pushback palatoplasty (Wardill, 1937), although several researchers reported conflicting results (Tome et al, 2016). Positive palatal development following this protocol is due to several factors, including an innate decrease in cleft width of the hard palate after soft palate plasty (Nishio et al, 2001), which reduces surgical interference at hard palate closure, resulting in an improved palatal development (Kitagawa et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Occlusion at 5 Years of Age Following Hard Palate Closure With Vestibular Flap

Otsuki

Yamanishi

Tome

et al. 2019

The Cleft Palate Craniofacial Journal

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Objective: This study aims to assess occlusal relationships and frequency of oronasal fistula at 5 years of age following 2 hard palate closure techniques and to compare results. Design: Retrospective longitudinal study. Setting: Institutional study. Patients: Study patients included 57 patients with nonsyndromic complete unilateral cleft lip and palate who were consecutively treated. All patients underwent our early 2-stage protocol for palatoplasty, which consisted of soft palate plasty at 1 year of age and hard palate closure at 1.5 years of age. Twenty-nine patients underwent hard palate closure using vestibular flap (VF group) technique (2009-2011) and 28 patients underwent conventional hard palate closure with local palatal flap (LPF group) technique (2006-2008). Main Outcome Measures: Occlusal relationships were assessed with 5-year-olds’ index, and frequency of oronasal fistula was investigated. Results: Average 5-year-olds’ index scores for VF and LPF groups were 3.11 and 3.57, respectively ( P < .001). Oronasal fistula occurred in approximately 7% of patients in the VF group and in 18% of patients in the LPF group. Conclusion: Hard palate closure with VF technique may provide better occlusal relationships at 5 years of age than does conventional local closure with the LPF.

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“…A distância intertuberosidades (TT') não apresentou modificações significativas durante o período estudado, o comprimento total do arco dentário (I-TT') não apresentou modificações significantes entre T1 e T2, mas apresentou crescimento entre T1 e T3. Outros estudos corroboram os resultados encontrados neste estudo, validando a suposição de que a queiloplastia não interfere no crescimento intertuberosidades (MAZAHERI, HARDING, NANDA, 2012;BRAUMANN et al, 2002;HUANG et al, 2002;REISER, SKOOG, ANDLIN-SOBOCKI, 2013;JORGE et al, 2016 (ROSS, 1987;HUANG et al, 2002), girando os segmentos em direção à linha média e diminuindo a amplitude da fissura (WADA et al, 1984) (CARRARA et al, 2016;TOME et al, 2016).…”

Section: Variáveisunclassified

“…Estes procedimentos representam uma abordagem importante do protocolo reabilitador (SHI e LOSEE, 2015), pois procuram reconstituir o defeito anatômico resultando em reparo funcional e estético, além de possibilitar condições favoráveis para uma qualidade de vida satisfatória (FREITAS et al, 2012;JONES et al, 2016), com o mínimo de perturbação no potencial de crescimento dos arcos dentários (MORIOKA et al, 2018 (MIKOYA et al, 2015;TOME et al, 2016, REDDY et al, 2017.…”

Section: Introdução E Síntese Bibliográfica Introdução E Síntese Biblunclassified

Avaliação morfométrica 3D dos arcos dentários de crianças com fissura labiopalatina operados por diferentes técnicas cirúrgicas

Falzoni¹

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3D morphometric evaluation of the dental arches of children with cleft lip and palate submitted to different surgical techniques This study aimed to compare the dimensional alterations of the dental arches of children with unilateral complete cleft lip and palate before and after different techniques of primary plastic surgeries. The sample comprised 168 dental casts of children, divided into two groups, according to the performed surgical protocol: Group1 (G1)-children submitted to Millard' technique for lip closure at 3 months of age and Von Langenback's technique for palate closure at 12 months of age; Group 2 (G2)-children submitted to Millard' technique for lip closure and Hans Pichler's technique for anterior palate closure at 3 months of age; and Sommerlad's technique for posterior palate closure at 12 months of age. The dental arches were evaluated before the primary surgeries (T1), after the first phase of primary surgeries (T2), and one year after the second phase of primary surgeries (T3). The dental casts were digitized and measured by using the stereophotogrammetry software. The following distances of the dental arches were measured: intercanine (CC'), inter-tuberosity (TT'), anterior arch length (I-CC'), total arch length (I-TT'), anterior cleft width (PP'), posterior cleft width (UU'), area of greater palatal segments (PSgreater), area of smaller palatal segments (PSsmaller), cleft area (CA), and total area (TA). To analyze the intra-and interexaminer reproducibility, Interclass Correlation Coefficient (ICC) was used. Repeated measures ANOVA (followed by Tukey test or dependent t test) analyzed the intragroup comparison. Independent t test was used to verify the intergroup differences at the evaluated phases (p<0.05). Group 1 exhibited statistically significant differences for the following measurements: CC

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Influence of Different Palatoplasties on the Facial Morphology of Early Mix Dentition Stage Children with Unilateral Cleft Lip and Palate

Abstract: Early two-stage Furlow palatoplasty leads to more protruded upper lip, providing more anteriorly positioned upper incisors compared with PB, at least at the early mixed dentition stage.

Cited by 19 publications

References 25 publications

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Three-dimensional evaluation of surgical techniques in neonates with orofacial cleft

Occlusion at 5 Years of Age Following Hard Palate Closure With Vestibular Flap

Avaliação morfométrica 3D dos arcos dentários de crianças com fissura labiopalatina operados por diferentes técnicas cirúrgicas

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