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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2012, Number 2

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Cir Plast 2012; 22 (2)

Permanent orthopedic appliance for treatment of maxillary collapse secondary to palate surgery in one to two year-old patients with cleft lip

Ayuso AAL, Torres CMA, Andrade DL, Pérez GA, Vallarta RA

Language: Spanish
References: 33
Page: 50-56
PDF size: 251.39 Kb.


ABSTRACT

This paper reports the ten years, follow up, of 30 patients with cleft lip and palate, in whom a fixed orthopedic appliance was inserted to treat maxillary collapse secondary to cheiloplasty and palatoplasty. The button form appliance was fixed to the palate by means of trans-mucosal staple formed nails. Patients were between one and two years when the plate was inserted; the average time it remained in their mouths was seven years five months. Before the appliance was inserted patients with fibrosis of lip and nose were treated with acrylic removable devices. Three cases in which the fixed device was unintentionally removed were discarded and 27 patients completed the treatment protocol. Results obtained in facial growth with reported treatment was adequate in 7 with osseous class I, favorable in 16 with osseous class II, and maxillary collapse persisted in four cases. Another finding in this group was the tridimensional remodeling of the alveolar border which favors alveolar grafting and periostioplasty. In conclusion, the button formed plate used in these patients is a successful, low cost treatment option, which does not require frequent clinical visits. There were no complications associated with the device.


REFERENCES

  1. Wong FK, Hagg U. An update on the aethilogy of orofacial clefts. Review article. Hong Kong Med J 2004; 10(5): 331-336.

  2. Ayuso A, Vallarta A. Labio y paladar hendidos: una propuesta para el cambio. Odontología Actual 2007; 5(47):6-12.

  3. Monasterio L y cols. Tratamiento interdisciplinario de las fisuras labiopalatinas ISBN 956-319-272-8 Inscripción No. 171.037 Luis Monasterio Aljaro El Lazo 8545 Pudahuel, Santiago de Chile Primera Edición 2008.

  4. Ysunza A, Pamplona M. Diagnóstico y tratamiento de los trastornos de articulación en niño con paladar hendido. Editorial Porrúa, México, 2002.

  5. Figueroa AA, Polley JW. Management of severe cleft maxillary deficiency with distraction osteogenesis: procedure and results. Am J Orthod Dentofacial Orthop 1999; 115: 1-12.

  6. Henry Petit. The adaptable Heavy-force face mask preorthodontic. Treatment of skeletal class III problems; Tonowanda, New York; 1986, pp. 141-150.

  7. Molina F, Ortiz MF et al. Maxillary distraction: aesthetic and functional benefits in cleft lip-palate and prognathic patients during mixed dentition. Plast Reconstr Surg 1998; 101: 951-963.

  8. Rygh P, Tindlund R. Orthopedic expansion and protraction of the maxilla en cleft palate patients. A new treatment rationale. Cleft Palate J 1982; 19(2): 104-112.

  9. Buschang PH, Porter C, Genecov E, Genecov D, Sayler KE. Face mask therapy of preadolescents with unilateral cleft lip and palate. Angle Orthod 1994; 64: 145-150.

  10. Hotz MM et al. Early maxillary orthopedics in CLP cases: guide line of surgery. Cleft Palate J 1978; 14: 405.

  11. Richman L. Observable stigmata and perceived maternal behavior. Cleft Palate J 1978; 15(3): 215-219.

  12. Reisberg J. Dental and prosthodontic care for patients with cleft or craniofacial conditions. Cleft Palate Craniofac J 2000; 37(6): 534-537.

  13. Ortiz MF, Rebeil AS, Valderrama M, Cruz R. Cephalometric measurements on adult patients with non operated cleft palate. Plast Reconstr Surg Transplant Bull 1959; 24: 53-61.

  14. Bishara SE, Krause WH, Olin et al. Facial and dental relationship of individuals with unoperated cleft of the lip and/or palate. Cleft Palate J 1976; 13: 238-252.

  15. Proffit WR, Ackerman JL. Diagnóstico y plan de tratamiento. En: Graber TM, Swain BF. Ortodoncia, principios generales y técnicas. Tercera reimpresión 1991. Panamericana 1988.

  16. Graber TM, Neuman B. Ortopedia funcional de los maxilares: cambio de un concepto. Editorial Médica Panamericana S.A. 1982.

  17. Moss ML, Salentijn L. The primary role of functional matrices in facial growth. Am J Orthod 1969; 55: 566-577.

  18. Moss ML, Salentijn L. The capsular matrix. Am J Orthod 1969; 56: 474-490.

  19. Graber TM, Neumann B. Aparatología ortodóntica removible. Editorial Médica Panamericana S.A. Argentina, 1982.

  20. Frankel R. Técnica y manejo del regulador de función. Editorial Científico-Medica, 1975.

  21. McNamara J Jr. Neuromuscular and skeletal adaptations to altered orofacial function. Monograph No. 1. Craniofacial growth series, Center for Human Growth and development, University of Michigan. Ann Arbor 1972.

  22. Georgiade NG, Latham RA. Maxillary arch alignment in bilateral cleft lip and palate infant, using the pinned coaxial screw appliance. Plast Reconstr Surg 1975; 56: 52-60.

  23. Latham RA. Orthopedic advancement of the cleft maxillary segment: a preliminary report. Cleft Palate J 1980; 17: 227-233.

  24. Millard R. Presurgical maxillary orthopedics. Cleft Craft, The evolution of its Surgery. III Alveolar and palatal deformities. Little, Brown & Company. Boston; 1980; 16: 263-298 y 353-382.

  25. Millard DR, Latham R, Huifen X, Spiro S, Morovic C. Cleft lip and palate treated by presurgical orthopedics, gingivopesriostoplasty, and lip adhesion (POPLA) compared with previous lip adhesion method: a preliminary study of serial dental casts. Plast Reconstr Surg 1999; 103(6): 1630-1644.

  26. Berkowitz S, Mejia M, Bystrik A. A comparison of the effects of the Latham-Millard procedure with those of a comparative treatment approach for dental occlusion and facial aesthetics in unilateral and bilateral complete cleft lip and palate: part I. Dentalocclusion. Plast Reconstr Surg 2004; 113: 1-18.

  27. Vallarta A, Zazueta RM, Rossano J, Millard Jr. Ortopedia pre-quirúrgica y periostioplastia alveolar en la fisura labiopalatina unilateral. Cir Plast Iberolatinamer 1995; 4: 325-334.

  28. Vallarta A, Montoya C, Ayuso A, Millard DR. Alveolar osteogenesis after periostoplasty and early postsurgical orthodontics, in: abstracts 12th Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery, San Francisco, 1999; 146-147.

  29. Vallarta A, Montoya C, Ayuso A, Millard D. Alveolar osteogenesis after periostoplasty and early postsurgical orthodontics, plastic surgical Forum XXIII. 69th Scientific Meeting, American Society of Plastic Surgeons, the Plastic Surgery Educational Foundation, and the American Society of Maxillofacial Surgeons, Los Angeles, CA, 2000: 76-78.

  30. Vallarta A, Montoya C, Ayuso A, Millard DR. Osteogénesis alveolar posperiostioplastia y ortopedia. Cómo manipular tejido óseo neoformado. Cir Plast 2003; 13(1): 18-24.

  31. Ayuso A, Vallarta A. Ortopedia prequirúrgica y postquirúrgica en el niño con fisura labiopalatina. Odontología Actual 2006; 4(43): 36-46.

  32. Vallarta A, Ayuso A, Villaseñor R. Periostioplastia y osteogénesis alveolar. 10 Años de experiencia. Cir Plast 2006; 16(1): 28-33.

  33. Zamora C y cols. Atlas de cefalometría. Análisis clínico y práctico. México: AMOLCA 2003, 1ª Ed. Rickets pp. 119-147; Steiner pp. 117-188; MacNamara pp. 291-306.




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