Palatal configuration in complete bilateral cleft lip and palate infants before and after cheiloplasty

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
K MishimaM Sakuda

Abstract

The purpose of this study was to analyze the three-dimensional configuration of the premaxilla, vomer, and lateral segments in bilateral cleft lip and palate (BCLP) infants and to investigate the early changes in the configuration following one- and two-stage cheiloplasty. This study consisted of 10 complete BCLP infants. One-stage operations were performed in five patients according to Manchester's method at 4 months of age. Two-stage operations were done for the remaining five patients using a triangular flap according to Tennison's method, at 4 and 8 months of age. Serial plaster models before and after the cheiloplasty were measured with a computer-controlled, highly accurate, contact-type measuring apparatus. Temporal changes in the configuration and form of the premaxilla were observed using an automatic superimposition method. The inclination and deviation of the vomer were evaluated using an approximation technique to a straight line with least squares. The distance between the lateral segments and a three-dimensional coordinate of the incisal point were also measured. The following differences in palatal configuration between the one- and two-stage cheiloplasties were observed: 1) In the two-stage group, the premaxilla...Continue Reading

References

Nov 1, 1976·American Journal of Orthodontics·M Hotz, W Gnoinski
Jan 1, 1990·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·W Hochban, K H Austermann
May 1, 1986·Plastic and Reconstructive Surgery·H McComb
Dec 1, 1972·Plastic and Reconstructive Surgery·R L Harding, M Mazaheri
Nov 1, 1965·The British Journal of Surgery·W M Manchester
Jan 1, 1996·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·K MishimaM Sakuda
Feb 1, 1952·Plastic and Reconstructive Surgery·C W TENNISON

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Citations

May 4, 2005·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Barbara C M OosterkampLambert G M de Bont

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