The Need for Orthognathic Surgery in Patients with Repaired Complete Unilateral and Complete Bilateral Cleft Lip and Palate

Abstract

These results suggest that a considerable percentage of patients with a history of complete cleft lip and palate at our institution require orthognathic surgery. Factors that need to be considered in the interpretation of these results include the quest for improvement in the profile aesthetics; the fact that the Canadian health care system covers the costs of surgery, making it more accessible to the patients; and the inclusion in the above figures of patients who had orthognathic surgery solely for reasons of closure of previously ungrafted alveolar clefts and associated fistulae.

Influence of pharyngeal flap surgery on maxillary outgrowth in cleft patients

“…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. This is remarkable, since 20-38% of cleft palate patients require this procedure.…”

A comparison of craniofacial cephalometric morphology and the later need for orthognathic surgery in 6-year-old cleft children

“…Ross (1987b) has stated that roughly a quarter of men with UCLP require orthognathic surgery to achieve a functional occlusion. The frequency of Le Fort I osteotomy in UCLP and bilateral cleft lip and palate (BCLP) patients has been reported to be 22e48.3% (Rosenstein et al, 1991;Cohen et al, 1995;DeLuke et al, 1997;Good et al, 2007;Daskalogiannakis and Mehta, 2009). In addition to the improved occlusion, the treatment objectives include improved dentofacial appearance, and self-perception.…”

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 .…”