PMID: 9555983Apr 29, 1998Paper

Dynamic cleft maxillary orthopedics and periosteoplasty: benefit or detriment?

Annals of Plastic Surgery
F N LukashF Tuminelli

Abstract

In 1990, Drs Millard and Latham published their initial experience with dynamic maxillary appliances (DMAs) and periosteoplasty for children with cleft lip and palate. The technique provided for alveolar alignment and consolidation, with elimination of oronasal fistulas. Opponents to this approach speculated about impairments to facial growth. To date no longitudinal studies have been published. Over the last 10 years, 35 unilateral and 10 bilateral complete clefts have been treated with this technique. All patients have been followed and documented clinically, orthodontically, and radiographically. Cephalometric analyses were performed on children after the age of 6 years. The children have excellent facial aesthetics with well-balanced lips and noses. Radiographs demonstrate bone within the repaired alveolar clefts. Articulated impressions show anterior and lateral crossbites in the unilateral patients that improve over time and appear to be correctable orthodontically. The bilateral patients have satisfactory occlusions and arch forms. Cephalometric analyses confirmed no evidence of skeletal crossbites or midfacial growth retardation. This is a work in progress that will continue as the children grow. Although definite and f...Continue Reading

Citations

Nov 16, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Eiji FukuyamaKatsuyuki Torikai
Jan 5, 2002·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Tracy M PfeiferCourt B Cutting
Aug 29, 2003·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kathleen T ChanLeslie A Will
Apr 7, 2010·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Krisztián Nagy, Maurice Y Mommaerts
Jan 1, 2012·Case Reports in Nephrology·Oscar Xavier Hernández-RodríguezNorma Ofelia Uribe-Uribe
May 19, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Anna Wojtaszek-SlominskaWojciech Slominski
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Bonnie L Padwa, John B Mulliken
Jul 25, 2017·Annals of Plastic Surgery·Frederick N LukashFrank Tuminelli
Apr 6, 2005·Plastic and Reconstructive Surgery·Ningbei YinZhenkang Zhang
Jun 4, 2008·The Journal of Craniofacial Surgery·Nobuyuki Ishii, Tomoki Oyama
Nov 1, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Diana S JodehS Alex Rottgers
Jan 1, 2007·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Kailash NarasimhanRajah Rabah

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