Cleft lip and palate treatment with delayed closure of the hard palate. A preliminary report.
A new routine for the surgical treatment of cleft lip and palate patients is presented. Beside the regular lip-nose surgery it includes delayed closure of the cleft in the hard palate and soft palate closure without push-back technique. The effect on early facial growth was evaluated by comparing eight of these patients, three years of age, with a matched group where the hard and soft palate was closed primarily by vomer flap and velar push-back. The new treatment method resulted in significantly less teeth in crossbite occlusion due to a wider maxillary dental arch. As yet no serious disadvantages have been recorded.
D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008310:Malocclusion / Q000209:etiology; D008445:Maxillofacial Development; D008722:Methods; D010159:Palate / Q000601:surgery; D011183:Postoperative Complications