title: Primary alveolar bone grafting and gingivoperiosteoplasty or gingivomucoperiosteal flap at the time of 1-stage repair of unilateral cleft lip and palate.
abstract: It takes quite a long time to finish treating patients with cleft lip and palate. Usually, lip closure, palate repair, secondary alveolar bone grafting, and secondary repair of lip/nose have been given to patients at appropriate time according to their growth. However, these series of surgical interventions impose a considerable burden on the patients and their families. As for palate repair, it is considered that the earlier the better for the sake of speech, but it should be delayed to approximately 1(1/2) years of age for maxillary growth. However, we have developed a palate repair technique that will hardly result in marked maxillary growth impairment by modifying the Furlow method, so we have become able to perform palate repair between 3 and 10 months after birth. Accordingly, we can perform lip and palate repair simultaneously, which have been performed separately. As we have developed a 1-stage repair of cleft lip and palate including primary alveolar bone grafting from nasal concha and/or hard plate and gingivoperiosteoplasty or gingivomucoperiosteal flap, we report on our technique and treatment outcome.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Japan. torikai@urahp.yokohama-cu.ac.jp
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Torikai
authors.forename: Takashi
authors.initials: T
authors.lastname: Hirakawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kijima
authors.forename: Susumu
authors.initials: S
authors.lastname: Oomura
authors.forename: Mayumi
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Naganishi
mesh_terms: D000539:Alveolar Process / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D009061:Mouth Mucosa / Q000601:surgery; D009295:Nasal Bone / Q000637:transplantation; D010158:Palatal Obturators; D021362:Palate, Hard / Q000637:transplantation; D010521:Periosteum / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome