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Direct gingivoperiosteoplasty with palatoplasty.
Facial Plast Surg 2007; 23(2):140-5FP

Abstract

Gingivoperiosteoplasty creates a mucoperiosteal bridge across the alveolar cleft associated with cleft lip and palate. The subperiosteal tunnel allows for bone generation in the absence of bone grafting in young patients. The original procedure required wide maxillary subperiosteal dissection and flap rotation but has since evolved along with techniques to narrow the alveolar cleft toward limited dissection and direct closure. Multiple studies reveal superior facial growth parameters, particularly vertical maxillary growth, when compared with primary bone grafting typically performed within the first year of life and a reduced need for later secondary bone grafting. Most centers that perform gingivoperiosteoplasty do so in conjunction with primary lip closure after initial narrowing of the cleft with presurgical orthopedics. We present our method of direct gingivoperiosteoplasty performed simultaneously with palatoplasty after alveolar cleft narrowing without presurgical orthopedics via a two-stage lip repair. Preliminary data suggest bone growth capable of supporting tooth eruption without significant growth disturbances in a majority of patients treated with this protocol.

Authors+Show Affiliations

Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17516341

Citation

Losquadro, William D., and Sherard A. Tatum. "Direct Gingivoperiosteoplasty With Palatoplasty." Facial Plastic Surgery : FPS, vol. 23, no. 2, 2007, pp. 140-5.
Losquadro WD, Tatum SA. Direct gingivoperiosteoplasty with palatoplasty. Facial Plast Surg. 2007;23(2):140-5.
Losquadro, W. D., & Tatum, S. A. (2007). Direct gingivoperiosteoplasty with palatoplasty. Facial Plastic Surgery : FPS, 23(2), pp. 140-5.
Losquadro WD, Tatum SA. Direct Gingivoperiosteoplasty With Palatoplasty. Facial Plast Surg. 2007;23(2):140-5. PubMed PMID: 17516341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Direct gingivoperiosteoplasty with palatoplasty. AU - Losquadro,William D, AU - Tatum,Sherard A, PY - 2007/5/23/pubmed PY - 2007/6/26/medline PY - 2007/5/23/entrez SP - 140 EP - 5 JF - Facial plastic surgery : FPS JO - Facial Plast Surg VL - 23 IS - 2 N2 - Gingivoperiosteoplasty creates a mucoperiosteal bridge across the alveolar cleft associated with cleft lip and palate. The subperiosteal tunnel allows for bone generation in the absence of bone grafting in young patients. The original procedure required wide maxillary subperiosteal dissection and flap rotation but has since evolved along with techniques to narrow the alveolar cleft toward limited dissection and direct closure. Multiple studies reveal superior facial growth parameters, particularly vertical maxillary growth, when compared with primary bone grafting typically performed within the first year of life and a reduced need for later secondary bone grafting. Most centers that perform gingivoperiosteoplasty do so in conjunction with primary lip closure after initial narrowing of the cleft with presurgical orthopedics. We present our method of direct gingivoperiosteoplasty performed simultaneously with palatoplasty after alveolar cleft narrowing without presurgical orthopedics via a two-stage lip repair. Preliminary data suggest bone growth capable of supporting tooth eruption without significant growth disturbances in a majority of patients treated with this protocol. SN - 0736-6825 UR - https://www.unboundmedicine.com/medline/citation/17516341/Direct_gingivoperiosteoplasty_with_palatoplasty_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-979283 DB - PRIME DP - Unbound Medicine ER -