Presurgical Orthopedics Has No Effect on Archform in Unilateral Cleft Lip and Palate

Adali, Nazan; Mars, Michael; Petrie, Aviva; Noar, Joseph; Sommerlad, Brian C.

doi:10.1597/11-030

Cited by 37 publications

(36 citation statements)

References 46 publications

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“…A similar phenomenon was observed by Huang et al (2002), who stated that the angular measurements (GC-CC′, GIC) indicated palatal displacement of the frontal part of the nonclefted segment and the continuous reduction of both angles. The reduction of angles is caused by the molding effect of the lip reconstruction which contributes to the formation and symmetry of the dentoalveolar arch (Eichhorn et al, 2011; Adali et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Valentová-Strenáčiková¹,

Malina

2016

PeerJ

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Objectives. The objective of this study is to compare the impact of early and late reconstruction of complete unilateral cleft lip and palate on the growth and development of the front of the dentoalveolar arch. Methods. This study was carried out in the years 2012–2015 at the Clinic of Plastic, Reconstructive and Aesthetic Surgery in Banska Bystrica. Infants with unilateral complete cleft lip and palate were divided into 2 groups according to the timing of lip reconstruction. Group A consisted of infants with early lip reconstruction–realised in the first 14 days of life. Group B consisted of infants with later lip reconstruction–realised in the third month of age. Maxillary dental casts were obtained for each child in four periods–in the first 14 days of life, in the third month, in the sixth month and in the age of one year. These were followed by the identification, measurement and evaluation of anthropometric parameters. Results. Significant differences were occurred after the reconstruction of the lips in linear and angle measurements between infants in the A and B groups. Conclusion. The early surgical reconstruction of the lips in the first 14 days of life has a positive effect on the growth and development of the anterior segment of the dentoalveolar arch. Early lip reconstruction forms a continuous pressure on the frontal segment, resulting in the earlier remedy of anatomical properties and creates appropriate conditions for the best development of this area.

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Section: Discussionmentioning

confidence: 99%

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Valentová-Strenáčiková¹,

Malina

2016

PeerJ

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“…[93,95] Similarly, Adali et al, 2012 reported that PSO had no significant effect on arch dimensions. [96] Uzel and Alparslan, 2011 reported long-term effects of PSIO appliances with respect to treatment outcomes from a systematic review to assess the scientific evidence for the same in patients with cleft lip and palate. In their study, it was found that seven randomized controlled trials (Dutchcleft) assessed different treatment outcomes at different ages for a maximum follow-up of 6 years, where they observed no positive effects on feeding, speech, arch dimensions, facial growth, occlusion and nasolabial appearance using passive plates.…”

Section: Discussionmentioning

confidence: 99%

Diversities in presurgical orthopedics: A review

Rani¹,

Rajendra²,

Manjula³

et al. 2015

JCRI

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In children with cleft lip and palate, it is essential to maintain harmony among several aspects of treatment such as growth, esthetics, function and psychosocial development since birth. Treatment of infants with cleft lip and palate has been associated with many marked advances in recent years. To obtain the best possible results, these can and should be incorporated into the cleft team treatment protocols. Deformities in cleft lip and palate exhibit diversities in severity and form, as the wider and complete clefts show significant nasolabial deformity. This article reviews the literature on background of early maxillary orthopedics, various appliances, which have been proposed to reduce the initial alveolar cleft defect and molding of the deformed nasal cartilages, benefits, longterm effects of the same.

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“…12 Based on findings by retrospective studies, some authors see advantages of PSO therapy in terms of narrowing the cleft width, thereby facilitating subsequent surgery. 8 In contrast, other authors found no alteration of maxillary alveolar ridge shape in CLP subjects treated with PSO compared with a nontreated control group, while surgical correction of cleft lips seemed to have a greater impact on arch dimensions than did PSO.…”

Section: Potential Benefits Of Psomentioning

confidence: 99%

“…8 In contrast, other authors found no alteration of maxillary alveolar ridge shape in CLP subjects treated with PSO compared with a nontreated control group, while surgical correction of cleft lips seemed to have a greater impact on arch dimensions than did PSO. 12 PSO is often reasoned by the postulate that the tongue of CLP newborns needs to be trained to maintain a posture considered to be physiological in order to support normal language development: Based on sonography analyses of tongue movements and postoperative articulatory function in CLP children aged about 5 years, Suzuki et al concluded that those subjects could not create negative pressure in the oral cavity, regardless of previous presence or absence of an orthopedic plate. 25 This finding is confirmed by the results of our study (Table 3).…”

Section: Potential Benefits Of Psomentioning

confidence: 99%

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Presurgical orthopedics by drink plates does not significantly normalize deglutition in infants with cleft lip and palate

Knösel

Fendel

Jung

et al. 2015

The Angle Orthodontist

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Objective: To test the null hypothesis of no significant difference between intraoral pressure characteristics in infants with cleft lip and palate (CLP) with or without presurgical orthopedic (PSO) plates (groups CLP and CLP-PSO), compared with noncleft infants. Materials and Methods: Intraoral atmospheric pressure assessments were performed on 17 subjects with preoperative CLP (m/f, 11/6; mean/SD, 4.76/0.92 months) and a matched control group (n 5 24; m/f, 15/9; mean/SD, 4.88/0.9 months), for 200 seconds, simultaneously at the vestibulum (vestibular space [VS]) and at the palate (subpalatal space [SPS]), using a prepared pacifier connected to a digital manometer. Areas under the pressure curves (AUC), frequencies, durations, and magnitudes of swallowing peaks and pressure resting plateaus were compared between trial groups and locations (VS, SPS) using a two-factor analysis of variance for repeated measures, Kruskal-Wallis test, and Mann-Whitney U-test (a 5 .05). Results: The null hypothesis was rejected: Globally, there were statistically significant differences in intraoral pressure characteristics between groups CLP, CLP-PSO, and control (all P , .01), with significantly higher negative pressures (AUC) in the control subjects compared with those of CLP or CLP-PSO. There were significant effects by the location of pressure recordings (VS, SPS) and their interaction with all treatment groups. Differences between noncleft and CLP subjects were more pronounced in the VS than in the SPS. There was no significant effect by PSO. Conclusion: PSO does not improve deviated swallowing characteristics during suction in CLP infants. (Angle Orthod. 2016;86:315-323.)

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Presurgical Orthopedics Has No Effect on Archform in Unilateral Cleft Lip and Palate

Abstract: There was no evidence that presurgical orthopedics produced any significant effect on archform, raising questions for its continued use in this context. Lip repair had a greater impact on arch dimensions than did presurgical orthopedics.

Cited by 37 publications

References 46 publications

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Diversities in presurgical orthopedics: A review

Presurgical orthopedics by drink plates does not significantly normalize deglutition in infants with cleft lip and palate

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