Presurgical Orthopedics Appliance

2016 ◽  
Vol 28 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Carlos Cruz
Keyword(s):  
Presurgical Orthopedics

An Intercenter Comparison of Nasolabial Appearance Including a Center Using Nasoalveolar Molding

2018 ◽  
Vol 55 (5) ◽  
pp. 655-663 ◽  
Author(s):  
Supakit Peanchitlertkajorn ◽  
Ana Mercado ◽  
John Daskalogiannakis ◽  
Ronald Hathaway ◽  
Kathleen Russell ◽  
...  
Keyword(s):  
Interrater Reliability ◽  
Cleft Lip ◽  
Rating Scale ◽  
Cleft Lip And Palate ◽  
Nasal Reconstruction ◽  
Kappa Statistics ◽  
Symmetry Center ◽  
Specific Protocol ◽  
Nasoalveolar Molding ◽  
Presurgical Orthopedics

Objective: To compare nasolabial appearance outcomes of patients with complete unilateral cleft lip and palate (CUCLP) in preadolescence from 4 cleft centers including a center using nasoalveolar molding (NAM) and primary nasal reconstruction. Design: Retrospective cohort study. Setting: Four cleft centers in North America. Patients: 135 subjects with repaired CUCLP. Methods: Frontal and profile facial pictures were assessed using the Asher-McDade rating scale. Intra- and interrater reliability were tested using weighted Kappa statistics. Median scores by center were compared with Kruskal-Wallis statistics. Results: Intrarater reliability scores were moderate to good. Interrater reliability scores were moderate. Significant differences ( P < .05) among centers were found. For nasal form, center G (median = 2.83) had better scores than centers C and D (C median = 3.33, D median = 3.17). For nose symmetry, center G had better scores (median = 2.33) than all other centers (B median = 2.67, C median = 2.83, D median = 2.83). For vermillion border, center G had better scores (median = 2.58) than centers B and C (B median = 3.17, C median = 3.17). For nasolabial profile, center G (median score = 2.67) had better scores than center C (median = 3.00). For total nasolabial score, center G (median = 2.67) had better scores than all other centers (B median = 2.83, C median = 3, D median = 2.83). Conclusion: The protocol followed by center G, the only center that performed NAM and primary nasal reconstruction, produced better results in all categories when compared to center C, the only center that did not perform presurgical orthopedics or lip/nose revisions. When compared to centers that performed traditional presurgical orthopedics and surgical revisions (B and D), center G was not consistently better in all categories. As with other uncontrolled, retrospective intercenter studies, it is not possible to attribute the outcomes to a specific protocol component.

Impressions in Cleft Lip and Palate – A Novel Two Stage Technique

2008 ◽  
Vol 33 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Sharat Chandra Pani ◽  
Amitha Hegde
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Accurate Method ◽  
Two Stage ◽  
Impression Material ◽  
The Past ◽  
Presurgical Orthopedics

Though the field of presurgical orthopedics for the management of children with cleft Lip and Palate (CLAP)has made great advances over the past few decades, little is found in literature regarding the imressions required to fabricate these appliances. The purpose of this paper is to describe a novel two stage technique utilizing greenstick compound and addition silicone impression material to provide a safe, economical and accurate method for recording impressions in children with cleft lip and palate.

scholarly journals Presurgical orthopedics in patients with unilateral cleft lip and palate: clinical case reports

2017 ◽  
Vol 5 (2) ◽  
pp. e85-e94
Author(s):  
Dayana Durón Rivas ◽  
Aracely Granados Morales ◽  
Joaquín Canseco López ◽  
Vicente Cuairán Ruidíaz ◽  
Joaquín Federico Canseco Jiménez
Keyword(s):  
Cleft Lip ◽  
Clinical Case ◽  
Cleft Lip And Palate ◽  
Case Reports ◽  
Presurgical Orthopedics

A Multicenter Outcomes Assessment of Five-Year-Old Patients with Unilateral Cleft Lip and Palate

2006 ◽  
Vol 43 (3) ◽  
pp. 253-258 ◽  
Author(s):  
Wanda Flinn ◽  
Ross E. Long ◽  
Giovanna Garattini ◽  
Gunvor Semb
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Primary Repair ◽  
Dental Arch ◽  
University Hospitals ◽  
Free Standing ◽  
Chi Square ◽  
Old Patients ◽  
Palate Repair ◽  
Presurgical Orthopedics

Objective Compare 5-year-old dental arch relationships of patients from three centers with differing primary protocols. Design Retrospective study of treatment outcomes using blinded evaluation of dental study casts. Setting Three major cleft-craniofacial centers; one (center A) is a free-standing institution, and two (centers B and C) are university hospitals. Patients 118 (A = 41; B = 33; C = 44) consecutively treated 5-year-old patients with complete, nonsyndromic unilateral cleft lip and palate. Interventions Centers A and C completed primary repair without presurgical orthopedics by 18 months (center A in three surgeries and center C in two surgeries). Center B used passive presurgical orthopedics with lip/soft palate repair at 6 months and gingivo-alveoloplasty/hard palate repair at 18 to 36 months. Main Outcome Measure Averaged ratings of dental casts using the 5-year yardstick were computed for each patient. The Wilcoxon two-sample test was used to compare means; a chi-square test was used to compare distributions. Results Intra- and interexaminer reliability tests showed excellent reliability (>.90). Mean scores were not significantly different. Distribution of scores differed significantly. Center A had the highest percentage of good scores and the lowest percentage of poor scores (72% versus 6.5%), followed by center B (63% versus 6.6%) and center C (59% versus 16.3%). Conclusions Centers A and B had comparable scores and completely different protocols in surgical technique, timing, sequencing, and nonuse/use of appliances. Center C's results were slightly lower than those of 1 and 3, but the center had the protocol with the least burden of treatment (only two surgeries, without use of appliances).

Presurgical Orthopedics and Satisfaction in Motherhood: A Randomized Clinical Trial (dutchcleft)

2008 ◽  
Vol 45 (3) ◽  
pp. 284-288 ◽  
Author(s):  
Charlotte Prahl ◽  
Birte Prahl-Andersen ◽  
Martin A. Van't Hof ◽  
Anne M. Kuijpers-Jagtman
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Controlled Trial ◽  
First Year ◽  
Balanced Allocation ◽  
The Individual ◽  
First Year Of Life ◽  
Presurgical Orthopedics ◽  
Infant Orthopedics

Objective: To study the effect of infant orthopedics on satisfaction in motherhood. Design: Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Treatment allocation was concealed and was performed by means of a computerized balanced allocation method. Setting: Cleft palate centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands. Patients: Two groups of infants with complete unilateral cleft lip and palate and no other malformations. Interventions: Group IO+ (n  =  27) wore passive maxillary plates during the first year of life, group IO− (n  =  27) did not. Main Outcome Measure(s): Mean satisfaction scores were obtained from completed questionnaires at 6, 24, and 58 weeks of age. A 4-point scale was used (1  =  very satisfactory to 4  =  very unsatisfactory). Results: The range of the mean scores for the individual items on the questionnaires for both groups ranged between 1.1 and 2.4. No differences were found between groups. Mothers appear to be satisfied in motherhood, least satisfied with the available time for themselves, and very satisfied with hugging and walking their babies. No differences were found between groups. Conclusions: Results from the present study show that infant orthopedics, with a passive plate during the first year of life, in children with a unilateral cleft lip and palate has no influence on the mothers’ satisfaction in motherhood.

scholarly journals The Effect of DynaCleft® on Cleft Width in Unilateral Cleft Lip and Palate Patients

2017 ◽  
Vol 41 (6) ◽  
pp. 442-445 ◽  
Author(s):  
LaQuia Vinson
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
Clinic Visit ◽  
Design Data ◽  
Cross Sectional ◽  
Alveolar Cleft ◽  
Cleft Lip Repair ◽  
Presurgical Orthopedics ◽  
Digital Caliper

Objective: The specific aim of this retrospective cross-sectional study was to assess the efficacy of DynaCleft® as a method of presurgical orthopedics with infants with a unilateral cleft lip and cleft palate who used an oral obturator. Study design: Data was collected from 25 infants all of comparable age diagnosed with a unilateral complete cleft lip and palate. Eight patients used DynaCleft ® and an obturator (Group Alpha) and seventeen patients only had an obturator (Group Beta). Maxillary impression casts were obtained from each patient at the initial clinic visit and at the time of cleft lip repair. Differences in alveolar cleft width were compared between the two groups. Casts were measured twice by one observer using a digital caliper. Results: Group Alpha began treatment on an average age of 24.25 days and Group Beta an average of 15.35 days of age. The average cleft width of Group Alpha was 8.13 mm and after treatment it was 4.59 mm. The average cleft width of Group Beta was 8.09 mm and 6.92 mm after treatment. Results of paired t-tests and two-sample t-test showed that cleft width changes between the two groups were significant (P = .03). Conclusions: DynaCleft ® significantly decreased the size of the alveolar cleft width compared to infants who did not use it. Providers should consider using DynaCleft® for patients who may not have access to infant maxillary orthopedics.

Fifteen-Year Follow-Up Results of Presurgical Orthopedics Followed by Primary Correction for Unilateral Cleft Lip Nose in Program SEHATI in Indonesia

2013 ◽  
Vol 50 (2) ◽  
pp. 129-137 ◽  
Author(s):  
Farida Kamil Sulaiman ◽  
Inge Gustiningsih Haryanto ◽  
Syafrudin Hak ◽  
Norifumi Nakamura ◽  
Masaaki Sasaguri ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Presurgical Orthopedics ◽  
Cleft Lip Nose

Treatment of an Infant with a Rare Cleft Resolved with Use of an Orthopedic Appliance

2003 ◽  
Vol 40 (6) ◽  
pp. 642-644 ◽  
Author(s):  
Martín Romero ◽  
Ralph Latham ◽  
Ana Romance ◽  
Rafael Salvan
Keyword(s):  
New Method ◽  
Secondary Palate ◽  
Primary Palate ◽  
Presurgical Orthopedics

Objective Cases of bilateral complete clefts of the primary palate and unaffected secondary palate are very rare. One of these cases as well as a new method of presurgical orthopedics to solve the protruding premaxilla protrusion is presented.

Sign in / Sign up

Export Citation Format

Share Document