Document Detail


Dynamic cleft maxillary orthopedics and periosteoplasty: benefit or detriment?
MedLine Citation:
PMID:  9555983     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 1990, Drs Millard and Latham published their initial experience with dynamic maxillary appliances (DMAs) and periosteoplasty for children with cleft lip and palate. The technique provided for alveolar alignment and consolidation, with elimination of oronasal fistulas. Opponents to this approach speculated about impairments to facial growth. To date no longitudinal studies have been published. Over the last 10 years, 35 unilateral and 10 bilateral complete clefts have been treated with this technique. All patients have been followed and documented clinically, orthodontically, and radiographically. Cephalometric analyses were performed on children after the age of 6 years. The children have excellent facial aesthetics with well-balanced lips and noses. Radiographs demonstrate bone within the repaired alveolar clefts. Articulated impressions show anterior and lateral crossbites in the unilateral patients that improve over time and appear to be correctable orthodontically. The bilateral patients have satisfactory occlusions and arch forms. Cephalometric analyses confirmed no evidence of skeletal crossbites or midfacial growth retardation. This is a work in progress that will continue as the children grow. Although definite and final conclusions would be premature, it can be stated that to date all patients are following consistent and favorable growth patterns. Our team is confident in proceeding with this technique.
Authors:
F N Lukash; M Schwartz; S Grauer; F Tuminelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  40     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-11     Completed Date:  1998-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  321-6; discussion 326-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Schneider Children's Hospital--Long Island Jewish Medical Center, New Hyde Park, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Alveoloplasty
Cephalometry
Child
Cleft Lip / surgery*
Cleft Palate / surgery*
Follow-Up Studies
Gingivoplasty
Humans
Infant
Maxillofacial Development*
Maxillofacial Prosthesis*
Palatal Obturators
Periosteum / surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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