An in-vitro study was performed analysing the forces and moments produced by the transpalatal arches of the Goshgarian type (0.036" x 0.032" stainless steel and and of the "Precision Lingual Arch System" advocated by Burstone (0.032" x 0.032" stainless steel and 0.032" x 0.032" TMA) using an electronic force-moment gauge recently developed by Planert. The palatal bars were adapted passively, and in addition, molar expansion, symmetrical molar rotation, and buccal root torque were applied. It was found that under clinical conditions it was impossible to fabricate an absolutely passive arch wire with any of the arch types under investigation. The highest precision in applying forces and moments together with the least side-effects was possible using the low stiffness TMA version of the Burstone system.
In this report a description of the different features of hemifacial microsomia is given and a new way of early treatment of concomitant respiratory problems is presented. An extraoral appliance was developed for the treatment of an infant affected with this syndrome. The purpose was to temporarily minimize the child's repeated respiratory disturbances, which were probably caused by glossoptosis, until an autologous costochondral graft in the mandibular ramus could be performed. An improvement of respiration, of facial asymmetry and even a stimulation of mandibular growth was observed. It is claimed that the use of this appliance can help to avoid tracheotomy in many severe cases of uni- or bilateral facial microsomia with glossoptosis and apnea. This treatment should be considered as temporary until the general condition of the patient has improved and grafting is possible.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.