Orthognathic Surgery in Cleft Lip and Palate Patients

Yılmaz, Hakan; Demirkaya, Arzu Arı

doi:10.5772/intechopen.89556

Cited by 7 publications

(9 citation statements)

References 80 publications

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“…The total airway amount in each cluster was long-drawn-out from prepubertal to post-pubertal intervals, but the cause for this concluding results withinside the branched association crooked into nowadays no elongated anteroposterior increase as withinside the case of the complete association, but in discrepancy, associated with perpendicular airway surge. Specifically in two-pronged cleft fatalities, significantly diminished guttural consonant airway echoing planetary in estimation to persons with out clefts twisted into as well showed in a CBCT learning [3].…”

Section: On Breathingmentioning

confidence: 80%

Orthognathic Surgery's Effects on Subjects with Cleft Lips' Speech and Breathing

Lohiya

Chimurkar

2021

JPRI

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Cleft lip frequently vitrine intense dent facial abnormalities that demand orthognathic surgical operation. Orthognathic surgical operation in those fatalities generally consists of now no longer closest maxillary Cleft development, however in addition sagittal, horizontal, and vertical motion of each jaws. Exact making strategies and implementation bids many complications, due to the occurrence of prodigious blemish tissues as of former operations, tissue deficits, the unruly of positioning a sections of jaw and tender muscles. Other challenging conditions in cleft victims are nuisances associated with post-surgical air route, dialog, velopharyngeal failure, nerve harm, and impurities. This appraisal is embattled on orthognathic surgical procedure in cleft lip patients, administration, practices, accomplishment, and pains. Cleft lip befalls when one or both median adenoidal progressions bomb to wrath through the agreeing maxillary progression. The strictness of lifting diverges as of an unimportant indentation in the higher lip to a dual cleft encompassing the anterior naris in collaboration The nasal septum diverges sideways from the non-cleft in an autonomous cleft lip. The muscles on the median cross of the cleft (transverse muscles of the nose and orbicularis oris) are not introduced into any of the muscles on the contralateral lateral or the skins from place to place the adenoidal septum because of this. Nasolabial (transverse nasalis, levatorlabiisuperioris, and levator labiisuperiorisalaequenasi), bila- bial (orbicularis oris), and labiomental (depressor angulioris) are the three functional groupings of superficial facial muscles that are all eliminated inferiorly. The underdevelopment of the incisor-bearing region of the maxilla is also significant. These abnormalities, by chance, inspire the mucocutaneous muscles, resulting in dislodgment of the anterior naris casing from the upper portion of the lip, disavowal of the labial skin, and anomalies of the easy skins on the opposite side of the mucocutaneous intersection.

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Section: On Breathingmentioning

confidence: 80%

Orthognathic Surgery's Effects on Subjects with Cleft Lips' Speech and Breathing

Lohiya

Chimurkar

2021

JPRI

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“…Although most studies focused on horizontal maxillary stability, Park et al [63] reported that postoperative mandibular relapse in cleft patients had a strong positive correlation with mandibular clockwise rotation and setback amounts. Wong et al [64] could not find a significant difference between the relapse rates of individuals who received two surgical operations and those who received maxillary advancement surgery only. Some researchers used bone grafts to increase horizontal or vertical stability [61,63,64].…”

Section: Success Of Orthognathic Surgerymentioning

confidence: 88%

“…Wong et al [64] could not find a significant difference between the relapse rates of individuals who received two surgical operations and those who received maxillary advancement surgery only. Some researchers used bone grafts to increase horizontal or vertical stability [61,63,64]. It was reported that usage of grafts has a preventive effect on horizontal maxillary stability with an average of 1.72 mm less relapse [61].…”

Section: Success Of Orthognathic Surgerymentioning

confidence: 88%

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Current Treatment of Cleft Lip and Palate

Gülşen¹

2020

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She has authored many national and international publications, scientific abstracts, presentations, and invitation speeches. Contents Preface XIII Section 1 Dental Development and Treatment in Clefts Chapter 1 Dental Development and Anomalies in Cleft Lip and Palate by Elaine Li Yen Tan and Mimi Yow Chapter 2 Orthodontic Management of Cleft Lip and Palate Patients by Geetanjali Sharma Section 2 Surgery in Clefts Chapter 3 Optimizing Outcomes in Cleft Surgery

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“…10 However, in this case, the initial surgery aimed to setback the mandible to treat the cl III skeletal malformation in a CLP patient, a procedure that usually bears various dentofacial esthetic and functional problems, and does not address the hypoplasia in the midface. 11 Moreover, the complication that followed added a considerable adverse impact on the patient's condition, which necessitated prompt management.…”

Section: Discussionmentioning

confidence: 99%

Partial Bone Necrosis Following Sagittal Split Ramus Osteotomy: Report of a Complicated Orthognathic Jaw Surgery

Alalawy

Kadhum

Abdulnabi

2022

Craniomaxillofacial Research & Innovation

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Study Design Case Report. Objective To present a case of a previous complicated mandibular orthognathic surgery that aimed to setback the mandible in a female cleft lip and palate (CLP) patient, which led to bone necrosis on one side with subsequent severe mandibular deviation and facial asymmetry. We additionally reviewed the previous reports of similar complications, the pathophysiology and the factors that could lead to this dreadful result. Method A 27-year-old female patient presented with a severe dentofacial deformity secondary to a complicated bilateral sagittal split ramus osteotomy performed five years earlier, which resulted in aseptic bone necrosis on the right side. The patient had marked mandibular deviation, chin and midface retrusion and a pronounced occlusal discrepancy. Imaging demonstrated a bony defect at the right mandibular angle with a superiorly displaced proximal segment. Deviation of the mandible was corrected first by performing vertical ramus subsigmoid osteotomy (RSO) on the left side. The right bone defect was then reconstructed with a reconstruction plate and bone grafting. Maxillary and chin advancement was performed at a second stage. Results On follow-up, the patient shows a significant improvement in facial esthetics and mandibular symmetry and is currently under orthodontic management to enhance the occlusal relationship. Conclusion Bone necrosis is a rare but dreaded problem in orthognathic surgery. Minimizing the musculo-periosteal dissection and competent execution of the bone osteotomy is substantially effective in reducing the risk of bone ischemia and necrosis.

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Orthognathic Surgery in Cleft Lip and Palate Patients

Cited by 7 publications

References 80 publications

Orthognathic Surgery's Effects on Subjects with Cleft Lips' Speech and Breathing

Orthognathic Surgery's Effects on Subjects with Cleft Lips' Speech and Breathing

Current Treatment of Cleft Lip and Palate

Partial Bone Necrosis Following Sagittal Split Ramus Osteotomy: Report of a Complicated Orthognathic Jaw Surgery

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