Two-stage closure of cleft palate

Perko, M

doi:10.1097/00006534-198004000-00088

Cited by 16 publications

(19 citation statements)

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“…One method is to use supraperiosteal instead of mucoperiosteal flaps to cover the cleft area; that is, the palatal bone left exposed after surgery is not stripped from its periosteum (54). Compared with scar tissue formation over denuded bone, scars after wounds where the deeper layer of the mucoperiosteum was left in situ were found to differ in structure, composition, and outline (55).…”

Section: Palatal Surgerymentioning

confidence: 99%

Growth sites and growth mechanisms at risk in cleft lip and palate

Friede

1998

Acta Odontologica Scandinavica

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A newborn with some kind of facial cleft displays certain characteristics of the nose, upper lip, and jaw caused by abnormal influence on specific growth sites and growth mechanisms. Treatment, particularly surgery, attempts to counteract this aberrant development, for both functional and aesthetic reasons. However, not infrequently, therapy impedes future midfacial growth to a greater or lesser degree. To better understand the varying growth influence, this article aims to review certain aspects of growth of the middle third of the face in both normal and cleft subjects. The normal elongation of the maxilla, to give space for the molars, is usually not affected by lip surgery but rather by scar tissue from palatal repair. The displacement of the upper jaw in relation to the vomer is recognized. Early surgery should therefore avoid affecting the growth of the vomero-(pre)maxillary suture if possible. Periosteal growth, necessary for the development of dentoalveolar structures, might be affected by scar tissue from palatal repair. Different ways to reduce the development of palatal scars and their negative effects on growth are discussed.

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Section: Palatal Surgerymentioning

confidence: 99%

Growth sites and growth mechanisms at risk in cleft lip and palate

Friede

1998

Acta Odontologica Scandinavica

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“…Of these, the hard palate was closed after the age of 4 years, so-called delayed hard palate closure, in 60% and before the age of 2 years in 33.3%, showing a statistically bimodal distribution. There is reason to believe that early-stage hard palate closure (at less than 2 years after birth) (Nishio et al, 2010) is becoming more widely performed in Japan in addition to the delayed hard palate closure method of Widmaier-Perko (Perko, 1979). Typically, only a small amount of variation is seen in the methods used for primary cleft lip or palate repair in Japan.…”

Section: Discussionmentioning

confidence: 99%

Primary Treatment for Cleft Lip and/or Cleft Palate in Children in Japan

Uchiyama

Yamashita

Susami

et al. 2012

The Cleft Palate Craniofacial Journal

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“…On the other hand, it is well known that pushback palatoplasty can often cause disturbances in maxillary growth as well as malposition of the teeth due to scar tissue formation at the denuded bone area (Ross and Johnston, 1972). Various types of palatoplasty have been designed to diminish the negative influence of surgery on the growth of the hard palate and the maxillary alveolar process (Perko, 1974(Perko, , 1979Kohama, 1991). Leenstra et al (1996) evaluated the peri-and postoperative course and the dento-alveolar development of the deciduous dentition in patients with unilateral clefts of the lip, alveolus and palate, and isolated cleft palate up to 5 years of age following two types of palatal surgery: the supraperiosteal flap technique (SP technique) described by Kohama (1991) without denudation of bone, and the classical pushback technique described by Wardill in 1937 resulting in denuded bone (MP technique).…”

Section: Introductionmentioning

confidence: 99%