Early Bone Grafting in Complete Cleft Lip and Palate Cases Following Maxillofacial Orthopedics: I.The Method and the Skeletal Development from Seven to Thirteen Years of Age

Abstract

The methods of preoperative orthopedics: a "T-traction" procedure for unilateral clefts and a combined premaxillary pressure and expansion procedure for bilateral clefts and of early alveolar bone grafting: the Nordin's "four-flap" technique, are described in detail. The subsequent effects of treatment according to those methods were studied with roentgencephalometric analysis in cleft patients from 7 to 13 years of age. They were divided into two unilateral and one bilateral complete cleft group, all having been early bone grafted. The unilateral groups were composed of one group of 39 children operated on during the period 1960-65 without preoperative "T-traction", and another group, of 46 children, operated on in 1965-72 after preoperative "T-traction". The bilateral group included 19 children operated on 1960-72 after preoperative orthopedics. The same degree of inhibited development of the facial skeleton as found in another Swedish early bone grafted cleft group was not present in our patients. The development of the skeletal profile in our bone grafted cases, especially those in the "T-traction" group, was well within the limits of non-grafted U.S. cases, but differed from non-clefts.

Nasolabial appearance in unilateral cleft lip, alveolus and palate: A comparison with Eurocleft

“…However, so far nasoalveolar molding has not been studied in a randomized clinical trial design, so evidence-based conclusions on its effect cannot be made at present. Ironically, Centre F in the Eurocleft study did employ nasal septum moulding before surgery (''T-traction'', Nordin et al, 1983), but in the long term had the lowest ranking for nasolabial appearance (Brattström et al, 2005).…”

Epidemiology of Oral Clefts 2012: An International Perspective

“…data, 2011]. The prevalence of a Simonart's band in patients with CLP ranges from 21.9 to 31.2% [54][55][56][57][58]. In the last of these studies the prevalence was higher BCLP than in UCLP and higher for the left side in UCLP and for the right side in UCL.…”

Effectiveness of pre‐surgical infant orthopedic treatment for cleft lip and palate patients: a systematic review and meta‐analysis

“…In contrast, several authors consider that there is no evidence of esthetic improvement or reduction in the extent of surgical ⁄ orthodontic treatment required, and consequently do not agree with these advantages (2,(22)(23)(24)(25). Eventually, the fact that PSIO treatment facilitates surgery seems to be the only area of agreement (2,3,8,9,12,13,23,(26)(27)(28).…”