Importance of Soft Tissue for Skeletal Stability in Maxillary Advancement in Patients With Cleft Lip and Palate

Baumann, Arnulf; Sinko, Klaus

doi:10.1597/1545-1569(2003)040<0065:iostfs>2.0.co;2

Cited by 13 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are minimal data regarding the long-term stability of conventional maxillary advancement procedures for the cleft patients in the literature with more than a 5-year follow-up (Thongdee and Samman, 2005; Chua et al, 2010). There are, however, studies measuring short-term stability with maxillary advancement in cleft patients (Houston et al, 1989; Ewing and Ross, 1993; Hochban et al, 1993; Cheung et al, 1994; Posnick and Dagys, 1994; Posnick and Taylor, 1994; Ayliffe et al, 1995; Erbe et al, 1996; Saelen et al, 1998; Bertolini et al, 2000; Heliövaara et al, 2001; Hirano and Suzuki, 2001; Baumann and Sinko, 2003; Landes and Ballon, 2006). None of these studies have a longer follow-up period than this study and none evaluated patients relative to age.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the authors in the literature did not evaluate patients relative to their age at the time of the Le Fort I advancement. (Baumann and Sinko, 2003; Landes and Ballon, 2006; Chua et al, 2010) (Table 7). Our study found that patients older than 18 years had no significant relapse, and patients younger than 18 years had a significant relapse according to horizontal movements of the A, PNS, and CI points (Table 3).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Karabekmez

Keller

Stork

et al. 2015

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

The quadrangular Le Fort I is a functionally stable and a surgically predictable procedure for cleft lip and palate patients who present with midface deficiency. Patients under the age of 18 at the time of the osteotomy had a higher relapse rate than patients over 18 years of age. Younger patients who need surgery should be advised regarding the increased risk of skeletal relapse. Patients' satisfaction was high in all aesthetic- and function-related items on the questionnaire.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Karabekmez

Keller

Stork

et al. 2015

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Furthermore, Cheung et al (1994) reported a 27% relapse rate at 28 months after 3.3-mm maxillary/dental movement, and Hochban et al (1993) reported a 23.1% relapse rate at 1 year after a 7.8-mm mean advancement. In case of isolated Le Fort I advancement in patients with cleft lip and/or palate, Baumann and Sinko (2003) reported a relapse rate of 25% after a 3.9-mm mean advancement, and Hirano and Suzuki (2001) reported a 21.9% relapse rate after a 6.9-mm mean advancement.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Maxillomandibular Changes after Maxillary Distraction Osteogenesis in Growing Children with Cleft Lip with or without Palate

Honda

Baba

Ogawa

et al. 2013

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective : To evaluate the long-term maxillomandibular changes after maxillary distraction osteogenesis in growing children having cleft lip with or without cleft palate. Patients : Eight Japanese patients with cleft lip with or without cleft palate aged 9.3 to 13.1 years. Measures : The maxillary and mandibular positions before (T0), immediately after (T1), and 1, 3, and 5 years after distraction osteogenesis (T2, T3, and T4, respectively) measured on cephalograms superimposed at the sella turcica with the Frankfort horizontal plane as the horizontal reference. The anterior nasal spine (x, y), pogonion (x), and menton (y) were used for linear measurements, and sella turcica-nasion-point A, sella turcica-nasion-point B, and point A-nasion-point B angles were used for angular measurements. Results : The mean horizontal maxillary advancement (anterior nasal spine [x]) was 12.3 mm during T0 to T1, but -2.7, -1.1, and -0.1 mm of the posttreatment changes were observed during T1 to T2, T2 to T3, and T3 to T4, respectively. Anterior nasal spine (y) shifted 2.3 mm downward during T0 to T1, and further downward changes were observed during T1 to T2 and T2 to T3 (P < .05). Pogonion (x) did not show distinct changes due to individual variance, but menton (y) shifted downward from T1 to T4. Sella turcica-nasion-point A significantly decreased during T1 to T2 and T2 to T3 but not during T3-T4. Point A-nasion-point B significantly decreased only during T2 to T3, and sella turcica-nasion-point B did not show any distinct change. Conclusions : There was no further maxillary advancement after distraction osteogenesis in the growing children with cleft lip with or without cleft palate. Therefore, long-term observation and management of occlusion in case of the mandibular growth pattern are important.

show abstract

“…However, OGS is usually more challenging in CLP patients than in non-CLP patients because of the remarkable postsurgical relapse [ 3 , 4 ]. Although two-jaw surgery can provide functional harmony with correction of the maxillomandibular complex (MMC) [ 5 ], soft tissue tension and bony segment instability inherently influence the postsurgical stability of CLP patients [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Outcome Assessments of Surgical Correction in Cleft and Noncleft Patients with Class III Skeletal Relation: A Case-Control Study

Tsai

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Background. The orthognathic strategies to treat patients with a concave profile but different tissue conditions remain controversial. The aim of this case-control study was to investigate the outcome predictability of orthognathic surgery in cleft lip and palate (CLP) patients and matched controls. Methods. Fifty consecutive CLP and 45 matched non-CLP patients who received whole-piece Le Fort I and bilateral sagittal split osteotomy to correct class III skeletal relations were enrolled. The outcome discrepancies (ODs) from simulations among all groups were evaluated with consideration of the possible influences from planned surgical movements (PSM). Receiver operating characteristic curves were used to determine threshold values of PSMs that yielded clinically relevant OD. Results. Unilateral CLP (UCLP) patients had comparable postsurgical OD to non-CLP patients in both jaws, whereas bilateral CLP (BCLP) patients had greater deviations from predicted results. Vertical movement of the A − point > 1.33 mm and yaw correction > 1.65 ° in the BCLP patients was associated with clinically relevant maxillary OD. Conclusions. The OGS outcomes of BCLP patients were less predictable than those of the UCLP and noncleft patients. Vertical movements of the A − point > 1.33 mm and yaw correction > 1.65 ° in BCLP patients increased OD to a clinically relevant extent.

show abstract

Importance of Soft Tissue for Skeletal Stability in Maxillary Advancement in Patients With Cleft Lip and Palate

Cited by 13 publications

References 28 publications

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

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

Long-Term Maxillomandibular Changes after Maxillary Distraction Osteogenesis in Growing Children with Cleft Lip with or without Palate

Three-Dimensional Outcome Assessments of Surgical Correction in Cleft and Noncleft Patients with Class III Skeletal Relation: A Case-Control Study

Contact Info

Product

Resources

About