The History of Treatment of Cleft Lip and Palate

Perko, M

doi:10.1007/978-3-642-70825-1_17

Cited by 23 publications

(16 citation statements)

References 15 publications

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“…A plate was worn postoperatively as well, up to a maximum of 18 months of age (on average 3 plates were used altogether). Around 18 months of age, soft palate repair was performed according to Perko's technique 26,27 , with special care being taken to free the velar muscles from their insertion on the hard palate and form a velar muscle sling in its correct position; no elevation of palatal mucoperiosteum at this stage.…”

Section: Treatment Protocolmentioning

confidence: 99%

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

Gnoinski¹,

Rutz²

2009

Journal of Craniofacial Surgery

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Development of the facial profile between age 5 and the end of pubertal growth in patients with complete bilateral cleft lip and palate was studied by means of cephalometric x-rays taken at the age of 5, 10 and 15 years as well as at the end of the growth period. All 29 patients had been treated according to the same plan and operated upon by the same surgeon. Values for the ANB angle are typically very high in 5 year old children, and then decrease to values corresponding to those of the general population by the end of the pubertal growth period. Vertical development maintains the initial pattern; no compensatory vertical excess was observed. Due to the wide range in all measurements, the value of age-related mean values in a patient sample is of little consequence for individuals but can point out tendencies. The multidisciplinary concept of maintaining the initially protrusive position of the premaxilla by means of a passive plate at the newborn and infant stage, as well as using surgical procedures with limited retrusive effect proved to be correct in the long run: At the young adult stage the angle ANB remained positive for almost all patients except for those with multiple tooth agenesis in the upper arch. A potential benefit of two-stage palate repair is seen in the neutral vertical development of the patients examined. This hypothesis is supported by comparison with other studies from the literature.

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Section: Treatment Protocolmentioning

confidence: 99%

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

Gnoinski¹,

Rutz²

2009

Journal of Craniofacial Surgery

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“…(3) But as we know, every coin has another side, the literature by the Egyptians, Mesopotamians, Indians, Greeks and Romans studies, based on archaeological evidence descriptions of cleft operations were not recorded in these civilizations. (4) For many decades, the particular aetiology of CLCP was not identified and diagnosed as tertiary syphilis.…”

Section: Historical Perspective From Ancient Times To the Renaissancementioning

confidence: 99%

A Review on Evolution and Controversies Regarding Surgical Methods and Timing of Palatoplasty in UCLP Cases

Tiwari¹,

Jadhav²,

Kamble³

et al. 2020

jemds

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BACKGROUND To establish speech, growth and development of maxillofacial region and hearing etc. towards normal is the aim of every professional working for cleft care. With a quest to attain and normalize the growth and development in CLP since ages, researchers and workers have invented and still inventing newer technique to treat them. The procedure of surgeries has evolved over a period of time. Controversies concerning speech and maxillofacial growth have challenged many surgeons who have come up with different views in surgical methods. Studies suggest that the palate repair is the main cause of the maxilla and growth disturbance that later is responsible for speech impairment due to fibrous tissue in anterior palate and constricted tissue in uvula due to repair. Many authors have noted that delayed hard palate repair has more positive effects on maxillary growth than that of early hard palate repair, but studies have also proved that late palate repair impair the speech with due respect. This unsolved controversy whether to opt for late/ early palatoplasty w.r.t to the improvement in speech is still unsolved controversy. The purpose of this article is to review the history of cleft palate surgery, its evolution, various surgical methods and optimal timing of cleft palate repair.

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“…Graefe, in 1816, and Roux, in 1819, published the first satisfactory results. [1] Repair of cleft lip with non-surgical correction of thenasal deformity in the early neonatal period. [2] The presurgical reduction in osseous and soft tissue cleft deformity considerably reduces the magnitude of the surgical challenge, resulting in improved surgical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Presurgical nasoalveolar molding by orthodontic and prosthodontic approach

Singh¹,

Sandhu²,

Ramlan³

2018

ijmdcr

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Reconstruction of nasoalveolar process in cleft lip and palate patient is challenging for surgeon. Many procedures to obtain esthetic results and decrease the cleft gap have been suggested. Before surgical repair, presurgical nasoalveolar molding (PNAM) is used to reduce the size of the defect. Team approach which includes a plastic surgeon, orthodontist, speech therapist, pediatrician, and a prosthodontist required for rehabilitation of cleft lip and palate patient. A 5-day-old female patient with a left-sided unilateral cleft lip and palate deviation of the nasal tip from the facial midline toward the right side and a deformed right nasal dome with significant flattening, the shortening of columella with deviation, and shortening of the philtrum. PNAM had been done which is an effective way of reducing the size of the hard and soft tissue defect before undergoing surgery using an expansion screw. Enhancement of surgical outcome, reduction of need for revision after surgery, as well as reduction of cost can be achieved PNAM before primary closure.

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The History of Treatment of Cleft Lip and Palate

Cited by 23 publications

References 15 publications

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

A Longitudinal Cephalometric Study From Age 5 to 18 Years on Individuals With Complete Bilateral Cleft Lip and Palate

A Review on Evolution and Controversies Regarding Surgical Methods and Timing of Palatoplasty in UCLP Cases

Presurgical nasoalveolar molding by orthodontic and prosthodontic approach

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