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Cleft lip and palate, orthognathic surgery

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https://www.readbyqxmd.com/read/29084117/a-review-of-randomized-controlled-trials-in-cleft-and-craniofacial-surgery
#1
Jonathan M Bekisz, Elise Fryml, Roberto L Flores
This study presents a systematic review of randomized controlled trials (RCTs) in cleft and craniofacial surgery. All studies reporting on RCTs in cleft and craniofacial surgery were identified on PubMed using the search terms "cleft," "velopharyngeal insufficiency," "velopharyngeal dysfunction," "nasoalveolar molding," "gingivoperiosteoplasty," "Pierre Robin sequence," "craniofacial," "craniosynostosis," "craniofacial microsomia," "hemifacial microsomia," "hypertelorism," "Le Fort," "monobloc," "distraction osteogenesis," "Treacher Collins," and "Goldenhar...
October 27, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28962933/a-high-proportion-of-children-with-unilateral-cleft-lip-and-palate-needed-complex-orthodontic-treatment-or-orthognathic-surgery
#2
Romina Brignardello-Petersen
No abstract text is available yet for this article.
September 23, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28947808/airway-changes-after-cleft-orthognathic-surgery-evaluated-by-three-dimensional-computed-tomography-and-overnight-polysomnographic-study
#3
Chun-Shin Chang, Christopher Glenn Wallace, Yen-Chang Hsiao, Yuh-Jia Hsieh, Yi-Chin Wang, Ning-Hung Chen, Yu-Fang Liao, Eric Jen-Wein Liou, Philip Kuo-Ting Chen, Jyh-Ping Chen, Yu-Ray Chen
Cleft lip and palate is the most common congenital craniofacial anomaly. Up to 60% of these patients will benefit from cleft orthognathic surgery, which consists primarily of maxillary advancement and mandibular setback to address midface retrusion and relative mandibular protrusion, respectively. It is believed that maxillary advancement can enlarge the airway whilst mandibular setback can reduce the airway, but this has not previously been quantified for cleft patients undergoing orthognathic surgery. This unique longitudinal prospective study of 18 patients was conducted between April 2013 and July 2016...
September 25, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28879320/pharyngeal-flap-damage-caused-by-nasotracheal-intubation-in-a-patient-who-underwent-palatoplasty-and-pharyngoplasty
#4
Jong-Shik Oh, Hong-Seok Choi, Eun-Jung Kim, Cheul-Hong Kim, Ji-Uk Yoon, Ji-Young Yoon
Patients with cleft lip and palate (CLP) must undergo corrective surgeries during infancy and early childhood. Many patients with CLP undergo orthognathic surgery during their childhood for correction of skeletal asymmetries or pharyngoplasty with a pharyngeal flap to improve the quality of speech and velopharyngeal function. During orthognathic surgeries, nasotracheal intubation is performed under general anesthesia. In our case report, the patient had undergone palatoplasty and pharygoplasty previously. During the orthognathic surgery, a flexible fiberoptic bronchoscope-guided nasotracheal tube was inserted through the pharyngeal flap ostium; however, active bleeding occurred in the nasopharynx...
December 2016: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28863918/three-dimensional-evaluation-of-the-airway-spaces-in-patients-with-and-without-cleft-lip-and-palate-a-digital-volume-tomographic-study
#5
Himija Karia, Sunita Shrivastav, Ashok Kumar Karia
INTRODUCTION: Patients with cleft lip and palate (CLP) suffer from several esthetic and functional challenges. Comprehensive treatment of these patients involves orthognathic surgery that may lead to velopharyngeal insufficiency or reduction in lower airway. Several cases of airway insufficiency, velopharyngeal incompetence, snoring, hypopnea, and obstructive sleep apnea have been reported in subjects with CLP. The aim of this study was to compare the anteroposterior dimensions of the oropharyngeal airway at 5 levels, the height of the oropharyngeal column, and the volume of the oropharyngeal airway in subjects with and without CLP...
September 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28855714/the-pterygomaxillary-junction-an-imaging-study-for-surgical-information-of-lefort-i-osteotomy
#6
Yen-Po Chin, Maria Belen Leno, Sarayuth Dumrongwongsiri, Kyung Hoon Chung, Hsiu-Hsia Lin, Lun-Jou Lo
Maxillary osteotomy is a common surgical procedure and often involves separation of the pterygomaxillary junction (PMJ), which is a "blinded" procedure with inherent risks. Knowledge of the PMJ structure is essential. It remains unclear whether patients with different facial types have different PMJ structures, or different surgical outcome. This study evaluated the computed tomographic images of 283 consecutive patients who received orthognathic surgery. Patients were classified into Angle class I, II, III and cleft lip/palate groups...
August 30, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28791817/binder-syndrome-clinical-findings-and-surgical-treatment-of-18-patients-at-the-department-of-plastic-surgery-in-polanica-zdr%C3%A3-j
#7
Piotr H Drozdowski, Ireneusz Łątkowski, Mateusz G Zachara, Piotr Wójcicki
BACKGROUND: Binder syndrome (BS) is an uncommon congenital underdevelopment of the maxilla and nasal skeleton. Other clinical features include a hypoplastic or absent anterior nasal spine; a short, flat nose with short columella; an acute nasolabial angle; a convex upper lip and class III malocclusion. OBJECTIVES: The aim of the study was to outline the major characteristics of BS and to present a variety of surgical treatment methods. MATERIAL AND METHODS: The study included 18 patients treated in the authors' department from 1989 to 2013...
May 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28403134/early-computer-aided-design-computer-aided-modeling-planned-le-fort-i-advancement-with-internal-distractors-to-treat-severe-maxillary-hypoplasia-in-cleft-lip-and-palate
#8
Catherine S Chang, Jordan Swanson, Jason Yu, Jesse A Taylor
Traditionally, maxillary hypoplasia in the setting of cleft lip and palate is treated via orthognathic surgery at skeletal maturity, which condemns these patients to abnormal facial proportions during adolescence. The authors sought to determine the safety profile of computer-aided design/computer-aided modeling (CAD/CAM) planned, Le Fort I distraction osteogenesis with internal distractors in select patients presenting at a young age with severe maxillary retrusion. The authors retrospectively reviewed our "early" Le Fort I distraction osteogenesis experience-patients performed for severe maxillary retrusion (≥12 mm underjet), after canine eruption but prior to skeletal maturity-at a single institution...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28403023/incidence-of-le-fort-surgery-in-a-mature-cohort-of-patients-with-cleft-lip-and-palate
#9
Cecilia Dalle Ore, Anna Schoenbrunner, Michael Brandel, Nicola Kronstadt, Joyce McIntyre, Marilyn Jones, Amanda Gosman
Primary repair of cleft lip and palate occurs early in life, but ideal timing of these interventions remains controversial. Prior research has indicated that a later palate repair may improve patients' midfacial growth long term, whereas optimal timing of lip repair to maximize midfacial growth has not been identified.The purpose of this study is to analyze a large, diverse cohort of patients with cleft lip and palate to determine whether timing of primary palate repair and primary lip repair contributed significantly to subsequent orthognathic surgery...
April 11, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28399025/incidence-of-le-fort-surgery-in-a-mature-cohort-of-patients-with-cleft-lip-and-palate
#10
Cecilia Dalle Ore, Anna Schoenbrunner, Michael Brandel, Nicola Kronstadt, Joyce McIntyre, Marilyn Jones, Amanda Gosman
Primary repair of cleft lip and palate occurs early in life, but ideal timing of these interventions remains controversial. Prior research has indicated that a later palate repair may improve patients' midfacial growth long term, whereas optimal timing of lip repair to maximize midfacial growth has not been identified.The purpose of this study is to analyze a large, diverse cohort of patients with cleft lip and palate to determine whether timing of primary palate repair and primary lip repair contributed significantly to subsequent orthognathic surgery...
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28207462/what-are-the-contributing-factors-for-postsurgical-relapse-after-two-jaw-surgery-in-patients-with-cleft-lip-and-palate
#11
Yoon-Hee Park, Ji-Hee Seo, Il-Hyung Yang, Jin-Young Choi, Jong-Ho Lee, Myung-Jin Kim, Seung-Hak Baek
The purpose of this study was to investigate the amount and pattern of postsurgical relapse after 2-jaw surgery in cleft lip and palate patients in terms of the sagittal and vertical aspects. The samples consisted of 21 adult patients who had the similar initial skeletodental pattern before surgery and underwent 2-jaw surgery. They were divided into high relapse (n = 11) and low relapse groups (n = 10) (criteria, 30% forward relapse of the B point). After the cephalometric variables of cephalograms taken at 1 month before surgery (T0), immediately after surgery (T1), and at least 1 year after surgery (T2) were measured, the Wilcoxon test, Mann-Whitney U test, and Pearson correlation test were performed for statistical analysis...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28141644/midfacial-changes-through-anterior-maxillary-distraction-osteogenesis-in-patients-with-cleft-lip-and-palate
#12
Hiroyuki Kanzaki, Yoshimichi Imai, Tetsu Nakajo, Takayoshi Daimaruya, Akimitsu Sato, Masahiro Tachi, Youhei Nunomura, Yusuke Itagaki, Kazuaki Nishimura, Shoko Kochi, Kaoru Igarashi
Maxillary hypoplasia is a major issue in cleft lip and palate patients, and predictable surgical maxillary advancement is required. In the present study, the changes and stability of the maxilla and soft tissue profile achieved after the application of anterior maxillary distraction osteogenesis (AMDO) using intraoral expander in unilateral cleft lip and palate and isolated cleft palate patients were investigated by comparing to the Le Fort I osteotomy (LFI) and maxillary distraction osteogenesis (DO) with rigid external distraction (RED) system...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28094563/dental-arch-relationships-and-reverse-headgear-effects-in-southern-chinese-patients-with-unilateral-cleft-lip-and-palate-a-retrospective-study
#13
Yang Rafidah Hassan, Kwan Lok Tse, Balvinder Singh Khambay, Wing Kit Wong, Min Gu, Yanqi Yang
OBJECTIVE:   To evaluate the severity of the dental arch relationships and the treatment outcomes of reverse headgear (RHG) in southern Chinese patients with unilateral cleft lip and palate (UCLP). DESIGN:   A retrospective study. SETTING:   Faculty of Dentistry, The University of Hong Kong. PATIENTS:   Thirty-eight UCLP patients with complete records. Among them, 14 were later treated with RHG (RHG group) and 24 were under review (non-RHG group) before definitive orthodontic or in conjunction with orthognathic surgery...
January 17, 2017: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27750176/computer-assisted-preoperative-simulation-for-positioning-and-fixation-of-plate-in-2-stage-procedure-combining-maxillary-advancement-by-distraction-technique-and-mandibular-setback-surgery
#14
Hideyuki Suenaga, Asako Taniguchi, Kazumichi Yonenaga, Kazuto Hoshi, Tsuyoshi Takato
INTRODUCTION: Computer-assisted preoperative simulation surgery is employed to plan and interact with the 3D images during the orthognathic procedure. It is useful for positioning and fixation of maxilla by a plate. We report a case of maxillary retrusion by a bilateral cleft lip and palate, in which a 2-stage orthognathic procedure (maxillary advancement by distraction technique and mandibular setback surgery) was performed following a computer-assisted preoperative simulation planning to achieve the positioning and fixation of the plate...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27689965/maxillary-distraction-osteogenesis-versus-orthognathic-surgery-for-cleft-lip-and-palate-patients
#15
Dimitrios Kloukos, Piotr Fudalej, Patrick Sequeira-Byron, Christos Katsaros
BACKGROUND: Cleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of orofacial clefts is prolonged; it typically commences after birth and lasts until the child reaches adulthood or even into adulthood. Residual deformities, functional disturbances, or both, are frequently seen in adults with a repaired cleft. Conventional orthognathic surgery, such as Le Fort I osteotomy, is often performed for the correction of maxillary hypoplasia...
September 30, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27609391/-analysis-of-three-dimensional-stability-of-the-hypoplastic-maxilla-after-orthognathic-surgery-in-cleft-lip-and-palate-patients
#16
Jun-Zi Yingwang, Shun-Yao Shen, Biao Li, Hao Sun, Xu-Dong Wang
PURPOSE: To establish a three dimensional spacial measurement method to analyze the short-term stability of maxilla after orthognathic surgery in cleft lip and palate patients. METHODS: Twenty-five patients with maxillary hypoplasia secondary to cleft lip and palate seeking for orthognathic surgery were included in this study between January 2008 and September 2012. The spiral CT scan for the skull were taken 6 weeks preoperatively (T0), 4 days postoperatively (T1),3 months postoperatively (T2), and 6 months postoperatively (T3) and collected...
June 2016: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/27602343/treatment-approach-for-maxillary-hypoplasia-in-cleft-patients-class-iii-elastics-with-skeletal-anchorage-report-of-two-cases
#17
Arezoo Jahanbin, Mozhgan Kazemian, Iman Saeedi-Pouya, Neda Eslami, Hooman Shafaee
INTRODUCTION: Treatment of cleft lip and palate patients requires a multidisciplinary plan. These patients usually have a hypoplastic maxilla due to the prior surgical scars. Orthognathic surgery to advance the maxilla in these patients is not very efficient; therefore, orthopedic interventions during an appropriate age seems to be essential. CASE REPORT: In this article, two cleft lip and palate patients have been treated with Class III elastics anchored to the maxillary posterior and mandibular anterior miniplates in order to induce maxillary advancement...
July 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27365815/a-clinical-evaluation-of-midface-advancement-using-intraoral-distractors-in-management-of-bone-stock-deficiencies
#18
Ramen Sinha, P Suresh Menon, M G Venugopal
BACKGROUND: Cleft lip and palate patients present large osseous defects of the alveolus and midface hypoplasia. Traditional orthognathic surgery has limitations of relapse and limited age group. Distraction osteogenesis (DO) as a modality for midface advancement is relatively new. Modular internal distractor (MID) offers the advantage of patient compliance and minimal discomfort. The purpose of this study was to evaluate the versatility of intraoral distractors in midface advancement...
July 2011: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27226965/long-term-follow-up-of-early-cleft-maxillary-distraction
#19
Young-Wook Park, Kwang-Jun Kwon, Min-Keun Kim
BACKGROUND: Most of cleft lip and palate patients have the esthetic and functional problems of midfacial deficiencies due to innate developmental tendency and scar tissues from repeated operations. In these cases, maxillary protraction is required for the harmonious facial esthetics and functional occlusion. CASE PRESENTATION: A 7-year old boy had been diagnosed as severe maxillary constriction due to unilateral complete cleft lip and palate. The author tried to correct the secondary deformity by early distraction osteogenesis with the aim of avoiding marked psychological impact from peers of elementary school...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27200238/orthognathic-consequences-of-sphincter-pharyngoplasty-in-cleft-patients-a-2-institutional-study
#20
Frances Yoshikane, Li Han Lai, Brian K Hui, Deborah B Martins, Gina Farias-Eisner, Rachel S Mandelbaum, Han Hoang, James P Bradley, Libby Wilson, Justine C Lee
BACKGROUND: Understanding long-term sequelae of cleft treatment is paramount in the refinement of treatment algorithms to accomplish optimized immediate and long-term outcomes. In this study, we reviewed sphincter pharyngoplasties as a method of velopharyngeal insufficiency (VPI) treatment in relationship to orthognathic surgery. METHODS: Cleft lip/palate and cleft palate patients, 15 years of age and older, were reviewed for demographics, VPI surgery, revisions, and subsequent orthognathic surgery at 2 institutions...
April 2016: Plastic and Reconstructive Surgery. Global Open
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