Frequency of Le Fort I Osteotomy after Repaired Cleft Lip and Palate or Cleft Palate

Abstract

Overall frequency of Le Fort I was 20.9% in patients with cleft lip and palate and cleft palate. Of those with cleft lip and palate, 47.7% required maxillary advancement, but none with isolated cleft lip or cleft palate required correction. Frequency of Le Fort I osteotomy correlated with the spectrum of severity of labiopalatal clefting.

Influence of pharyngeal flap surgery on maxillary outgrowth in cleft patients

“…[5][6][7] The incidence of maxillary hypoplasia is often translated into the number of LFI osteotomies performed. 8,9 The frequency of LFI varies from 0.0 to 69.6%. 4,[8][9][10][11][12][13][14][15][16][17][18] The influence of primary lip or palate repair on maxillary growth has been the subject of many reports, but the influence of pharyngeal flap surgery (PFS) is seldom discussed and the results are contradictory.…”

“…Additional risk factors for PFS and LFI, including cleft subtype, gender and number of previous surgical procedures, will be evaluated. 4,8,9 Materials and methods 508 consecutive cleft patients born between 1 January 1983 and 31 December 1990 (male) and 31 December 1992 (female) and treated at the authors' institution were evaluated retrospectively. The indication for a LFI was assessed when facial skeletal growth had been completed.…”

“…The need for a LFI osteotomy was recorded by the number of LFI performed or if there had been an indication for LFI osteotomy when fully grown as stated by the multidisciplinary treatment team, even though the surgery had not yet been performed. The frequency of LFI in patients with a pharyngeal flap (PFS+) and without a Submucous cleft a Classification of cleft type in incomplete (I), asymmetrical (A) or complete (C) and unilateral (U) or bilateral (B) only specifies the extent of the cleft lip and not the extent of the cleft alveolus or palate (Good et al [8]). pharyngeal flap (PFSÀ) was compared.…”

Craniofacial and dental dysmorphology in patients with median facial dysplasia: long-term follow-up

“…As median facial dysplasia patients mature, their midface growth slows and the profile becomes more concave. This growth pattern predicts a possible need for orthognathic surgery in 95%, which is significantly higher than the 14-60% rate reported for nonsyndromic patients with repaired clefts of the lip and palate 2,4,7,12,13 .…”

Tratamiento odontológico multidisciplinario de un paciente complejo con fisura labiopalatina bilateral

“…En un estudio llevado a cabo por Good y cols. 12 reportaron la incidencia de la hipoplasia maxilar en un 21% de los pacientes con fisura labiopalatina. Aquellos con fisura labiopalatina no sindrómica, la incidencia de trastornos del crecimiento mandibular se presenta similar a la de la población normal 13 .…”