Document Detail

Long-term evaluation of bilateral cleft lip and palate patients after early secondary closure and premaxilla repositioning.
MedLine Citation:
PMID:  17618084     Owner:  NLM     Status:  MEDLINE    
The aim of this retrospective, mixed longitudinal study was to assess the long-term outcome of early secondary closure and premaxilla osteotomy in 40 bilateral cleft lip and palate patients who underwent early secondary osteotomy of the premaxilla and bone grafting at the age of 8-12 years. Clinical and cephalometric evaluations of profile, lip relation, nasolabial angle and position of the maxilla preoperatively, postoperatively and at adolescence were compared to normal values of non-cleft individuals and the reported data of 90 bilateral cleft lip and palate patients treated in Oslo. In 68% of patients the profile was considered acceptable, but in 26 maxillary growth appeared to be impaired by cephalometric standards. In four patients a Le Fort I osteotomy was carried out and nine patients would have benefited from such a procedure. This study reveals a trend towards maxillary growth retardation partially compensated by orthodontic and dental treatment. Since the results are comparable to those reported for the Oslo group with regard to maxillary growth, the surgical protocol followed does not require revision. Considering the benefits, i.e. closure of alveolo-palatal cleft, continuity of dental arch, eruption of canine in the graft and closure of oro-nasal communications, this mode of treatment should be continued.
C T M Geraedts; W A Borstlap; J M M Groenewoud; V M F Borstlap-Engels; P J W Stoelinga
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-07-06
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  36     ISSN:  0901-5027     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-17     Completed Date:  2007-12-13     Revised Date:  2008-04-16    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  788-96     Citation Subset:  D; IM    
Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
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MeSH Terms
Age Factors
Bone Transplantation
Case-Control Studies
Child, Preschool
Cleft Lip / rehabilitation,  surgery*
Cleft Palate / rehabilitation,  surgery*
Follow-Up Studies
Maxilla / abnormalities,  growth & development,  surgery*
Orthodontics, Corrective / methods
Osteotomy / methods
Reference Values
Retrospective Studies
Treatment Outcome
Erratum In:
Int J Oral Maxillofac Surg. 2008 Feb;37(2):202
Note: Borstlap-Engels, V M F [added]

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

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