A Long-Term Clinical and Cephalometric Study of Cleft Lip and Palate Patients following Intraoral Maxillary Quadrangular Le Fort I Osteotomy

Karabekmez, Furkan Erol; Keller, Eugene E.; Stork, James T.; Regennitter, Frederick J.; Bite, Uldis

doi:10.1597/13-095

Cited by 12 publications

(10 citation statements)

References 45 publications

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“…This study also administered the presurgery measures immediately before surgery which may have introduced a bias with patients amplifying distress or concern about appearance to justify undergoing surgery. Unfortunately, 7 studies did not report the time period when postsurgery outcomes were collected (Pitak-Arnnop et al, 2011;Scopelliti et al, 2013;Tiong et al, 2014;Karabekmez et al, 2015;Gassling et al, 2015;Simon et al, 2016;Jones et al, 2017).…”

Section: Timing Of Outcome Assessment and Duration Of Follow-upmentioning

confidence: 99%

The Psychosocial Patient-Reported Outcomes of End of Pathway Cleft Surgery: A Systematic Review

Acum

Mastroyannopoulou

O'Curry

et al. 2020

The Cleft Palate Craniofacial Journal

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Objective: To identify and review the literature on the psychosocial patient-reported outcomes (PROs) of surgery at the end of the cleft treatment pathway. Design: A systematic literature search was performed using electronic databases (Medline, PubMed, EMBASE, PsycInfo, Web of Science, and Science Direct) from database inception to September 2017, to identify studies measuring and reporting the psychosocial PROs of end of pathway cleft surgery. Results: Of 263 identified papers, 22 studies were eligible for inclusion. Apart from one randomized controlled study, studies were largely observational and adopted a cross-sectional or retrospective design. The majority (n = 16) were small-scale studies. The methodological quality was variable in terms of what, how, and when psychosocial outcomes were measured and reported. None of the studies utilized a psychosocial PRO measure validated in the cleft population, and few studies measured outcomes prospectively. A high proportion of studies utilized bespoke measures of patient satisfaction. Taken together, findings from the included studies are tentative but seem to suggest patients derive some benefit from undergoing end of pathway cleft surgery, in terms of increased satisfaction, quality of life, social interactions, and decreased appearance-related distress. Conclusions: Due to methodological challenges and the heterogeneity of what, how, and when outcomes are measured and currently reported, it is difficult to determine the psychosocial PROs of end of pathway cleft surgeries. Consequently, this review advocates the conduct of well-designed, longitudinal studies using cleft-sensitive tool/s to capture the psychosocial PROs of end of pathway cleft surgery at various time points.

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Section: Timing Of Outcome Assessment and Duration Of Follow-upmentioning

confidence: 99%

The Psychosocial Patient-Reported Outcomes of End of Pathway Cleft Surgery: A Systematic Review

Acum

Mastroyannopoulou

O'Curry

et al. 2020

The Cleft Palate Craniofacial Journal

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“…Reliable long-term results have been achieved, since the first description of the procedure by Wassmund in 1935 1 . Right-angled osteotomy lines have been proposed in order to overcome the disadvantages of linear osteotomy lines 2–6 . Maxillary step osteotomy technique, reported by Bennett and Wolford in 1985, is one of the modifications of the Le Fort I osteotomy 7 .…”

Section: Introductionmentioning

confidence: 99%

Skeletal stability after maxillary step osteotomy compared with original Le Fort I osteotomy during one-year of follow-up

Kurohara

Tomomatsu

Nakakuki

et al. 2019

Sci Rep

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The purpose of the current study was to compare the 1-year stability of skeletal after original Le Fort I osteotomy and maxillary step osteotomy. Fifty-two patients with prognathism underwent sagittal split ramus osteotomy with either original Le Fort I osteotomy or maxillary step osteotomy (26 patients each). Twelve cephalometric parameters were measured to evaluate postsurgical stability (lesser change was considered as enhanced stability) at 1 month (T1), 6 months (T2), and 1 year (T3) postoperatively. Only 3 parameters—vertical and horizontal distance of menton and vertical distance of point B—showed minimal but significant differences between the two groups. Lesser degrees of changes were observed after maxillary step osteotomy than after original Le Fort I osteotomy, and the differences were significant during the period between T1 and T2, but not from T1 to T3. Differences between the two groups were less in asymmetry cases required correction of the occlusal plane. In conclusion, differences between original Le Fort I osteotomy and maxillary step osteotomy were observed at the frontal points of the mandible; however, they were not clinically significant. It may be suggested that there is no significant difference in skeletal stability at 1 year after the two procedures.

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“…Considerando que esse procedimento, quando relacionado ao avanço de maxila, pode resultar em prejuízos para a fala (TRINDADE et al, 2003;PEREIRA;SELL;TOUMAINEN, 2013a;KUDO et al, 2014;SMEDBERG;NEOVIUS;LOHMANDER, 2014;KARABEKMEZ et al, 2015), compreende-se a necessidade de avaliação minuciosa quanto à ressonância de fala e quanto aos aspectos morfofuncionais da musculatura velofaríngea antes e após a cirurgia. r=0,190).…”

Section: Discussionunclassified

“…A cirurgia ortognática, seja ela realizada por meio de procedimento único ou de técnicas combinadas, ao restabelecer o equilíbrio maxilomandibular, além de melhorar a estética facial, traz grandes benefícios para a articulação dos sons da fala (HELIÖVAARA et al, 2002;JANULEWICZ et al, 2004;KUDO et al, 2014), para a mastigação (BERRETIN-FELIX; JORGE; GENARO, 2010) e para a respiração HELIÖVAARA et al, 2002;TRINDADE et al, 2003;JANULEWICZ et al, 2004;KUDO et al, 2014), uma vez que o avanço maxilar aumenta o espaço nasofaríngeo e favorece a ventilação nasal (KO et al, 1999;HELIÖVAARA et al, 2002;TRINDADE et al, 2003;WU et al, 2015). Contudo, apesar dos grandes benefícios proporcionados à estética e às funções estomatognáticas, em se tratando de indivíduos com fissura palatina, a manipulação das estruturas da região velofaríngea inerente à osteotomia de maxila do tipo Le Fort I pode levar ao prejuízo da ressonância da fala (TRINDADE et al, 2003;PEREIRA et al, 2008;PEREIRA;SELL;TOUMAINEN, 2013b;KUDO et al, 2014;SMEDBERG;NEOVIUS;LOHMANDER, 2014;KARABEKMEZ et al, 2015 (HELIÖVAARA et al, 2002;NIEMEYER et al, 2005;MCCOMB et al, 2011;OKUSHI et al, 2011;KUDO et al, 2014;WU et al, 2015).…”

Section: Revisão De Literaturaunclassified

“…O impacto da cirurgia ortognática com avanço de maxila sobre a fala e a função velofaríngea tem sido objeto de vários estudos ao longo dos anos (SCHENDEL et al, 1979;WITZEL;EGERSZEGI;POSNICK, PEREIRA;SELL;TOUMAINEN, 2013a;KUDO et al, 2014;SMEDBERG;NEOVIUS;LOHMANDER, 2014;KARABEKMEZ et al, 2015). Este fato tem motivado pesquisadores a investigarem, dentre outros aspectos, os possíveis fatores responsáveis pelo aparecimento ou o agravamento da hipernasalidade após o avanço cirúrgico da maxila.…”

Section: Introductionunclassified

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Fatores preditivos da disfunção velofaríngea em indivíduos com fissura palatina submetidos ao avanço cirúrgico da maxila: avaliação clínica e tomográfica

Santana¹,

Yamashita²

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Aos meus amados pais Maria Aparecida e Josimar e ao meu avô Paulo, por serem os meus maiores incentivadores e exemplos de humildade, coragem, força, fé, responsabilidade e dedicação. E que, com muito esforço, compreensão e, principalmente, amor infinito, têm me permitido realizar os meus grandes sonhos. À minha irmã, cuidadora, defensora e amiga, Nayara. Exemplo de amor aos estudos, à justiça, e ao trabalho. Ao meu querido esposo Diogo, grande mestre na arte de ensinar a ter foco, fé e paciência. Por seu amor transmitido de forma tão grandiosa mesmo nos gestos mais sutis, pelo companheirismo de todas as horas e por ser meu porto seguro em todo e qualquer momento. Às minhas tão adoradas avós Maria Cícera e Maria Alexandrina e ao avô Artur (in Memoriam), que, mesmo não estando mais neste plano, deixaram, com tamanha humildade, o exemplo da fé em Cristo, da persistência e força diante das grandes adversidades e daquilo que é essencial para viver feliz: a generosidade e o amor. Ao meu grande amigo e tio "Badé" (in Memoriam), pelo exemplo de ser humano, de luta e de persistência para alcançar os desejos mais profundos do coração, mas, principalmente, pelo poder dos seus ensinamentos a mim transmitidos, os quais sempre me incentivaram a manter a crença em mim e nos meus sonhos. Sem cada um de vocês, nada faria sentido e eu nada seria. AGRADECIMENTO ESPECIAL À minha querida orientadora, Dra. Renata Paciello Yamashita, Por ter segurado a minha mão do primeiro dia em que estive no Laboratório de Fisiologia do HRAC-USP até hoje. A segurança a mim passada durante as supervisões, orientações, os constantes incentivos para seguir em frente com os meus objetivos, a confiança em mim depositada ao aceitar cada desafio de coração aberto e a sua tamanha capacidade de compreensão me fizeram crescer enquanto pessoa e profissional e, principalmente, me fizeram aprender a ser confiante. Minha eterna gratidão por todos esses anos de acolhimento com tanto carinho e dedicação.

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A Long-Term Clinical and Cephalometric Study of Cleft Lip and Palate Patients following Intraoral Maxillary Quadrangular Le Fort I Osteotomy

Cited by 12 publications

References 45 publications

The Psychosocial Patient-Reported Outcomes of End of Pathway Cleft Surgery: A Systematic Review

The Psychosocial Patient-Reported Outcomes of End of Pathway Cleft Surgery: A Systematic Review

Skeletal stability after maxillary step osteotomy compared with original Le Fort I osteotomy during one-year of follow-up

Fatores preditivos da disfunção velofaríngea em indivíduos com fissura palatina submetidos ao avanço cirúrgico da maxila: avaliação clínica e tomográfica

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