Unilateral complete cleft lip and palate repair using lip adhesion and passive alveolar molding appliance

The Journal of Craniofacial Surgery
B C Cho

Abstract

To manage a unilateral complete cleft lip and palate, lip adhesion along with the positioning of a passive alveolar molding appliance was performed in infants at 3 to 6 weeks of age. The lip adhesion creates a force acting on the cleft alveolus. There-after, the greater segment of the alveolus is guided by the appliance, while the lesser segment of the alveolus is prevented from collapsing. Definite cheiloplasty was then performed at 5 to 6 months of age and palatoplasty at 12 to 14 months of age. Fifteen patients with a unilateral complete cleft lip and palate were treated using this protocol from April 1995 to October 1998. Nine were female and six were male. The mean follow-up period was 13 months. The lip adhesion failed in one patient and was performed again 1 month later. Thirteen patients developed good or fair symmetrically aligned alveolar segments plus a symmetric platform for the nose. However, two patients developed poor maxillary orthopedics because of the displacement of the appliance by the patient. The resulting lip scar was aesthetically acceptable in most patients.

References

Jun 1, 1969·American Journal of Orthodontics·S W Rosenstein
Jun 1, 1966·Plastic and Reconstructive Surgery·J C WalkerR Meijer
Nov 26, 1999·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·B H GraysonC B Cutting
Apr 1, 1965·Plastic and Reconstructive Surgery·P RANDALL

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Citations

Sep 1, 1995·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·B B Horswell, O A Pospisil
Jan 1, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Joanna Janiszewska-OlszowskaGrażyna Wilk
Jan 12, 2007·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Christopher F EzzatJames J Xia
Nov 26, 2009·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Daniel Levy-BercowskiPedro E Santiago
Apr 7, 2010·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Krisztián Nagy, Maurice Y Mommaerts
Mar 10, 2007·Otolaryngologic Clinics of North America·Oneida A Arosarena
May 10, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Adam L SpenglerJames J Xia
Dec 25, 2009·The Journal of Craniofacial Surgery·Kenneth E SalyerEdward R Genecov
Aug 15, 2018·Maxillofacial Plastic and Reconstructive Surgery·Philipp KauffmannKarl-Günther Wiese

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