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Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch.
Plast Reconstr Surg. 2006 Apr 15; 117(5):1510-29.PR

Abstract

BACKGROUND

A number of combined maxillary orthopedic and surgical treatment protocols have been proposed for the initial phase of therapy for infants with a complete cleft lip and palate.

METHODS

Lip adhesion was used in combination with a passive intraoral molding appliance to treat a unilateral complete cleft lip and palate. The proposed protocols are lip adhesion, along with positioning of a passive alveolar molding appliance, at 4 to 6 weeks of age, then definitive cheiloplasty at 4 to 5 months of age, and palatoplasty at 12 months of age. Twenty-five patients with a complete cleft lip and palate were treated using this protocol between 1994 and 2003. The follow-up period was between 6 months and 10 years.

RESULTS

The alveolar gap, the length of the maxillary alveolar cleft, and the palatal gap were 10.1 +/- 4.2 mm, 6.1 +/- 0.9 mm, and 13.4 +/- 2.9 mm for lip adhesion, 3.1 +/- 1.4 mm, 2.6 +/- 0.8 mm, and 9.6 +/- 1.5 mm for definitive cheiloplasty, and 0.2 +/- 0.1 mm, 1.5 +/- 0.7 mm, and 8.3 +/- 1.1 mm for palatoplasty. For the following maxillary dental casts for 3 to 10 year olds, the intercanine width and canine arch lengths were within the normal value. The intermolar width and the molar arch length, however, decreased slightly compared with the control normal values.

CONCLUSIONS

Lip adhesion and a passive alveolar molding appliance achieved a normal position and stabilized the arch in a symmetrical platform.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Daegu, Korea. bccho@knu.ac.kr

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16641720

Citation

Cho, Byung Chae. "Unilateral Complete Cleft Lip and Palate Repair Using Lip Adhesion Combined With a Passive Intraoral Alveolar Molding Appliance: Surgical Results and the Effect On the Maxillary Alveolar Arch." Plastic and Reconstructive Surgery, vol. 117, no. 5, 2006, pp. 1510-29.
Cho BC. Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch. Plast Reconstr Surg. 2006;117(5):1510-29.
Cho, B. C. (2006). Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch. Plastic and Reconstructive Surgery, 117(5), 1510-29.
Cho BC. Unilateral Complete Cleft Lip and Palate Repair Using Lip Adhesion Combined With a Passive Intraoral Alveolar Molding Appliance: Surgical Results and the Effect On the Maxillary Alveolar Arch. Plast Reconstr Surg. 2006 Apr 15;117(5):1510-29. PubMed PMID: 16641720.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch. A1 - Cho,Byung Chae, PY - 2006/4/28/pubmed PY - 2006/5/24/medline PY - 2006/4/28/entrez SP - 1510 EP - 29 JF - Plastic and reconstructive surgery JO - Plast Reconstr Surg VL - 117 IS - 5 N2 - BACKGROUND: A number of combined maxillary orthopedic and surgical treatment protocols have been proposed for the initial phase of therapy for infants with a complete cleft lip and palate. METHODS: Lip adhesion was used in combination with a passive intraoral molding appliance to treat a unilateral complete cleft lip and palate. The proposed protocols are lip adhesion, along with positioning of a passive alveolar molding appliance, at 4 to 6 weeks of age, then definitive cheiloplasty at 4 to 5 months of age, and palatoplasty at 12 months of age. Twenty-five patients with a complete cleft lip and palate were treated using this protocol between 1994 and 2003. The follow-up period was between 6 months and 10 years. RESULTS: The alveolar gap, the length of the maxillary alveolar cleft, and the palatal gap were 10.1 +/- 4.2 mm, 6.1 +/- 0.9 mm, and 13.4 +/- 2.9 mm for lip adhesion, 3.1 +/- 1.4 mm, 2.6 +/- 0.8 mm, and 9.6 +/- 1.5 mm for definitive cheiloplasty, and 0.2 +/- 0.1 mm, 1.5 +/- 0.7 mm, and 8.3 +/- 1.1 mm for palatoplasty. For the following maxillary dental casts for 3 to 10 year olds, the intercanine width and canine arch lengths were within the normal value. The intermolar width and the molar arch length, however, decreased slightly compared with the control normal values. CONCLUSIONS: Lip adhesion and a passive alveolar molding appliance achieved a normal position and stabilized the arch in a symmetrical platform. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/16641720/Unilateral_complete_cleft_lip_and_palate_repair_using_lip_adhesion_combined_with_a_passive_intraoral_alveolar_molding_appliance:_surgical_results_and_the_effect_on_the_maxillary_alveolar_arch_ L2 - https://Insights.ovid.com/pubmed?pmid=16641720 DB - PRIME DP - Unbound Medicine ER -