Influence of lip closure on alveolar cleft width in patients with cleft lip and palate

Eichhorn, Wolfgang; Blessmann, Marco; Vorwig, Oliver; Gehrke, G.; Schmelzle, R.; Heiland, Max

doi:10.1186/1746-160x-7-3

Cited by 16 publications

(11 citation statements)

References 31 publications

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“…After the reconstruction of muscular system the orbicularis oris muscle operates the molding effect on noncleft segment and enhances the mutual position of the alveolar segments. The same effect was also recorded in Thierens et al (2017), Eichhorn et al (2011) and Christie et al (1991) studies (15,11,12).…”

Section: Discussionsupporting

confidence: 80%

Primary Repair of Cleft Lip and Nose in the Neonatal Period

Valentova¹,

Malina

2018

Acta Medica Martiniana

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Facial cleft malformations belong to the most common problems of the congenital facial anomalies. At the Clinic of Plastic, Aestetic and Reconstructive Surgery at the Faculty Hospital in Banská Bystrica we have been performing primary cleft lip repairs during the first week of life of a newborn since 1995. During this life period the fetal healing still persists. Modern anesthetic techniques have considerably reduced respiratory complications after the lip closure. The adequate postoperative sedation together with monitoring of the pacient remarkably reduces the occurrence of wound dehiscence. The advantages of the neonatal cleft lip repair are the scarless healing, no negative effect on the growth of the middle thirt of the face, as well as the pschychosocial effect on the family and the fact that the ortodontic aparat has not been needed.

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Section: Discussionsupporting

confidence: 80%

Primary Repair of Cleft Lip and Nose in the Neonatal Period

Valentova¹,

Malina

2018

Acta Medica Martiniana

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“…The same effect was recorded by Huang et al (2002) and Christie et al (1991). Also Eichhorn et al (2011) stated the decreasing of alveolar cleft width shortly after lip closure in 44 clefts.…”

Section: Discussionsupporting

confidence: 75%

“…A similar phenomenon was observed by Huang et al (2002), who stated that the angular measurements (GC-CC′, GIC) indicated palatal displacement of the frontal part of the nonclefted segment and the continuous reduction of both angles. The reduction of angles is caused by the molding effect of the lip reconstruction which contributes to the formation and symmetry of the dentoalveolar arch (Eichhorn et al, 2011; Adali et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Valentová-Strenáčiková¹,

Malina

2016

PeerJ

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Objectives. The objective of this study is to compare the impact of early and late reconstruction of complete unilateral cleft lip and palate on the growth and development of the front of the dentoalveolar arch. Methods. This study was carried out in the years 2012–2015 at the Clinic of Plastic, Reconstructive and Aesthetic Surgery in Banska Bystrica. Infants with unilateral complete cleft lip and palate were divided into 2 groups according to the timing of lip reconstruction. Group A consisted of infants with early lip reconstruction–realised in the first 14 days of life. Group B consisted of infants with later lip reconstruction–realised in the third month of age. Maxillary dental casts were obtained for each child in four periods–in the first 14 days of life, in the third month, in the sixth month and in the age of one year. These were followed by the identification, measurement and evaluation of anthropometric parameters. Results. Significant differences were occurred after the reconstruction of the lips in linear and angle measurements between infants in the A and B groups. Conclusion. The early surgical reconstruction of the lips in the first 14 days of life has a positive effect on the growth and development of the anterior segment of the dentoalveolar arch. Early lip reconstruction forms a continuous pressure on the frontal segment, resulting in the earlier remedy of anatomical properties and creates appropriate conditions for the best development of this area.

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“…The timing of the operation differs according to protocols used in the individual cleft center. According to the literature, the closure of the lip can be performed neonatally [2,3], at three months of age [4] or even later [5]. The guidelines of the American Cleft Palate Craniofacial Association suggest that the operation of the lip should be performed as early as the surgical repair is considered safe for the infant, however, precise guidelines for the timing of the lip defect operation do not yet exist.…”

Section: Introductionmentioning

confidence: 99%

Assessment of dental arch relationships in 5-year-old children with unilateral cleft lip and palate after neonatal cleft lip repair

Rousi

Brysova

Vokurková

et al. 2020

Preprint

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Background Non-syndromic cleft lip and palate (CLP) is one of the most common craniofacial malformations. The purpose of this study was to assess the dental arch relationships in 5-year-old children with non-syndromic unilateral cleft lip and palate (UCLP) and to compare the results with the data published by other cleft centers. Methods The models of forty-six patients with unilateral cleft lip and palate taken at the age of five were scored. Neonatal cleft lip repair and one-stage palatal closure at the age from 6 to 13 months were performed in all patients by the same surgeon according to the same protocol. The outcomes of the dental arch relationships were assessed and categorized by three orthodontists experienced in cleft care; for scoring the 5 Year Olds´ index was used. Results The mean score of the 5 Year Olds´ index was 2.42. Of all the patients, 57% belonged to groups 1 and 2 (good result), 24% to group 3 (fair result), and 19% to groups 4 and 5 (poor result). These results were compared with the data published by other cleft centers. The outcomes of our method were comparable to the results achieved by other cleft centers which followed different surgical protocols. Conclusions The results of our study showed that neonatal cleft lip repair and one-stage palatal closure lead to satisfactory maxillary growth and interdental relationships.

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Influence of lip closure on alveolar cleft width in patients with cleft lip and palate

Cited by 16 publications

References 31 publications

Primary Repair of Cleft Lip and Nose in the Neonatal Period

Primary Repair of Cleft Lip and Nose in the Neonatal Period

Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

Assessment of dental arch relationships in 5-year-old children with unilateral cleft lip and palate after neonatal cleft lip repair

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