Sage Journals: Discover world-class research

Abstract

Sixty-eight children born with complete unilateral cleft lip and palate were studied using dental casts taken at ages 0-0,1; 0,2-0,4; and 0,5-0,6 years of age. They were all treated with preoperative maxillofacial orthopedics using an external device (T-traction). The treatment was started after the first model was taken. Dental casts were analyzed regarding the morphology of the cleft region and the maxillary segments before and after treatment. The measurements were compared with measurements on dental casts of nontreated cleft children of similar age. The results suggest that a more normal anatomy of the cleft region occurs during the first 6 months of life whether preoperative maxillofacial orthopedics (T-traction) is used or not. However, this normalized growth seems to occur faster with the T-traction.

Keywords

cleft lip and palate preoperative maxillofacial orthopedics preoperative orthodontics

Get full access to this article

View all access options for this article.

References

Burston

W.R.

. The early orthodontic treatment of alveolar clefts. Proc R Soc Med 1965; 58: 767–771.

Hellquist

, Skoog

. The influence of primary periosteoplasty on maxillary growth and decidiuos occlusion in cases of complete unilateral cleft lip and palate. Scand J Plast Reconstr Surg 1976; 10: 197–208.

Hotz

. Multidisziplinäre Betreuung von Patienten mit Lippen-Kiefer-Gaumen-Spalten in Zürich. Stomatol DDR 1979; 29: 944–954.

Hotz

, Gnoinski

. Comprehensive care of cleft lip and palate children at Zürich University. A preliminary report. Am J Orthod 1976; 70: 481–504.

Huddart

A.G.

. The effect of form and dimension on the management of the maxillary arch in unilateral cleft lip and palate conditions. Scand J Plast Reconstr Surg 1987; 21: 53–56.

Huddart

A.G.

. Presurgical changes in unilateral cleft palate subjects. Cleft Palate J 1979; 16: 147–157.

Huddart

A.G.

, Crabb

J.J.

. The effect of presurgical treatment on palatal tissue area in unilateral cleft lip and palate subjects. Br J Orthod 1977; 4(4): 181–185.

Komposch

. Die prächirurgische kieferorthopädische Behandlung von Säuglingen mit Lippen-Kiefer-Gaumen-Spalte. Fortschr Kieferorthop 1986; 47: 362–369.

Larson

, Nilsson

. Early bone grafting in complete cleft lip and palate cases following maxillofacial orthopedics. VI. Assessments from photographs and anthropometric measurements. Scand J Plast Reconstr Surg 1983; 17: 209–223.

10.

Maisels

D.O.

. The influence of presurgical orthodontic treatment upon the surgery of the cleft lip and palate. Br J Orthod 1974; 1: 15–20.

11.

McNeil

C.K.

. Orthodontic procedures in the treatment of congenital cleft palate. Dent Rec 1950; 79: 126–132.

12.

Nordin

K-E

, Larson

, Nylén

, Eklund

. Early bone grafting in complete cleft lip and palate cases following maxillofacial orthopedics. I. The method and the skeletal development from seven to thirteen years of age. Scand J Plast Reconstr Surg 1983; 17: 33–50.

13.

O'Donnell

J.P.

, Krischer

J.P.

, Shiere

F.R.

. An analysis of presurgical orthopedics in the treatment of unilateral cleft lip and palate. Cleft Palate J 1974; 11: 374–393.

14.

Perko

. Die Zusammenarbeit des Kieferorthopäden und Kieferchirurgen bei der Frühbehandlung von Spaltpatienten. Zahnarztl Prax 1977; 28: 71–72.

15.

Prahl-Andersen

, Meijer

. Präoperative kieferorthopädische Behandlung von Kindern mit totalen Spaltbildungen, ja oder nein? Stomatol DDR 1979; 29: 911–919.

16.

Pruzansky

. Presurgical orthopedics and bone grafting for infants with cleft lip and palate: a dissent, Cleft Palate J 1964; 1: 164–187.

17.

Rintala

, Ranta

. Spontaneous narrowing of the palatal cleft during the first year of life: a quantitative study. Scand J Plast Reconstr Surg 1987; 21: 35–38.

18.

Robertson

N.R.E.

. Facial form of patients with cleft lip and palate. Br Dent J 1983; 155: 59–61.

19.

Sarnäs

K-V

, Rune

, Selvik

, Jacobsson

. Maxillary development in six unilateral cleft lip and palate children treated with passive orthopaedic plates. Eur J Orthod 1988; 10: 128–136.

20.

Shaw

W.C.

. Early orthopaedic treatment of unilateral cleft lip and palate. Br J Orthod 1978; 5: 119–132.

21.

Tränkmann

. Postnatale prä- und postoperative kieferorthopädische Behandlung bei Lippen-Kiefer Gaumen-Spalten. Die Quintessenz 1986; 1: 69–78.

Morphologic Effect of Preoperative Maxillofacial Orthopedics (T-Traction) on the Maxilla in Unilateral Cleft Lip and Palate Patients

Abstract

Keywords

Get full access to this article

References