Two-stage closure of cleft palate

Perko, M

doi:10.1016/s0301-0503(79)80015-6

Cited by 85 publications

(20 citation statements)

References 5 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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“…Specific speech symptoms men tioned are loss of intraoral air pressure [Morley, 1966;Perko, 1979;Shelton and Blank, 1984] and audible nasal escape [Morley, 1966;Jackson, 1972;Jackson et al, 1976;Leonard, 1979;Pigott, 1984], Reid [1962] and Ross and Johnston [1972] considered not only nasal escape but also hypcrnasality to be symptoms of an oronasal fistula. Rintala [1980] and Pigott [1984] proposed these two speech deviations as indications for re pair of a palatal fistula.…”

mentioning

confidence: 99%

Influence of Palatal Fistulae on Speech and Resonance

Henningsson

Isberg

1987

Folia Phoniatr Logop

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“…not leaving any palatal bone uncovered by periosteum after surgery [51 ]. not leaving any palatal bone uncovered by periosteum after surgery [51 ].…”

Section: Kiefer-und Gesichtswachstum Bei Speziellen Chirurgischen Vermentioning

confidence: 99%

Aktuelle Behandlungsprinzipien bei Lippen-, Kiefer-und Gaumenspalten aus Sicht des Kieferorthop�den

Friede

Katsaros

1998

J Orofac Orthop/Fortschr Kieferorthop

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The aim of this review was to put new clinical research findings into proper perspectives relative to previously accepted knowledge on treatment of patients with cleft lip and palate. The first part of the paper deals with various aspects of infant orthopedic treatment, such as its influence on primary surgery, maxillary arch form and dimensions, feeding, psychological situation of the parents and speech development. Following parts analyze general maxillofacial growth outcome after surgery and also maxillofacial growth in relation to particular surgical procedures (palatal repair, periosteoplasty/gingivoplasty, bone grafting). The last part of the review discuss the effects of certain orthodontic/orthopedic treatment approaches as well as the role of dental implants in treatment of cleft lip and palate patients.

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Two-stage closure of cleft palate

Cited by 85 publications

References 5 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

Influence of Palatal Fistulae on Speech and Resonance

Aktuelle Behandlungsprinzipien bei Lippen-, Kiefer-und Gaumenspalten aus Sicht des Kieferorthop�den

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