Presurgical orthopedics in children with cleft palate:: Case Report
PDF (Spanish)
PDF

Keywords

newborn; cleft lip; cleft palate; orthopedics.

How to Cite

Presurgical orthopedics in children with cleft palate:: Case Report. (2019). Odontoestomatología, 17(25), 53-59. https://odon.edu.uy/ojs/index.php/ode/article/view/53

Abstract

Cleft lip and palate requires presurgical orthopedics to achieve the normal alignment of the cleft maxillary segments prior to Primary Cheiloplasty. Clinical case A male newborn treated at the Hospital Regional of Concepción diagnosed with complete bilateral cleft lip and palate treated with presurgical orthopedics. Evolution was observed after the first year, as well as the advantages of the Grayson technique and the interaction of the participating multidisciplinary team. Conclusion. Preoperative orthopedic treatment is effective in the rehabilitation of cleft children, as it is a contributing factor to breastfeeding and child feeding. It also makes it possible to move the affected bony and soft tissue elements to a position which is anatomically favorable at an early stage. This results in better surgical outcomes: both aesthetic and functional. Primary cheiloplasty is thus facilitated by a reduction in the tension of soft tissues and of the width of the alveolar cleft palate.

PDF (Spanish)
PDF

References

1. Almeida E, Castillo G, Castillo P, Iturriaga P. Ortopedia prequirúrgica: aparato de Grayson para fisuras labiopalatinas. Int J Odontostomat. 2011; 5(1):87-110.

2. Carrasco L, Faraggi M, Merino A. Rinoseptoplastía en pacientes fisurados. Rev Otorrinolaringol Cir Cabeza Cuello. 2011; 71(2):171-178.

3. Cáceres A, Ford A, Tastets M. Tratamiento de la fisura labio palatina. Rev Med Clin Condes. 2010; 21(1):16-25.

4. España-López AJ, et al. Tratamiento ortopédico con moldeador nasoalveolar prequirúrgico en la fisura labiopalatina unilateral. Rev Esp Cir Oral Maxilofac. 2012. Disponible en: doi:10.1016/j.maxilo.2012.03.001

5. Cerón AM, Grajales CA, López AM, Suárez AF. Rehabilitación temprana de los maxilares en pacientes con labio y paladar hendido bilateral utilizando un dispositivo ortopédico dinámico intraoral, cinta adhesiva labial y gingivoperiosteoplastia: Estudio piloto experimental. Rev Fac Odontol Univ Antioq. 2009; 20(2):138- 148.

6. Fundación Gantz. Hospital del Niño con Fisura: Plan de Tratamiento. Disponible en: http://gantz.cl/fisura-del-paladar/ [Consultado Junio 2014] Grayson BH, Shetye PR. Presurgical nasoalveolar moulding treatment in cleft lip and palate patients. Indian J Plast Surg. 2009 Oct; 42:56-61

8. Rivera R. Moldeo nasal postqueiloplastia primaria. Presentación de un caso. Acta Médica del Centro. 2012; 6(2).

9. Ministerio de Salud. Guía Clínica Fisura Labio Palatina. Anexo 8: ortopedia prequirúrgica. Santiago: Minsal: 2009.

10. Chavarria C, Gateno J, Spengler A, Teichgraeber J, Xia J. Presurgical nasoalveolar molding therapy for the treatment of bilateral cleft lip and palate: A preliminary study. Cleft Palate Craniofac J. 2006 May; 43(3):321-8.

11. Rossell P. Tratamiento de la Fisura Labio Palatina: VI Manejo prequirúrgico. Junio de 2010. Disponible en: http://www.cmp.org.pe/documentos/librosLibres/tflp/VI_Manejo_prequirurgico.pdf [Consultado Junio 2014]

12. Alfaro C, Gutiérrez C, Giugliano C, Morales H, Muñoz A. Ortopedia pre quirúrgica de Latham en el tratamiento quirúrgico de lactantes con fisuras labio alveolo palatinas. Rev Dental de Chile. 2001; 92(3):23-27.

13. Gedrange T, Gesch D, Heinrich A, Kirbschus A. Presurgical nasoalveolar molding in patients with unilateral clefts of lip, alveolus and palate. Case study and review of the literature. J Craniomaxillofac Surg. 2006; 34(2):45-48.

14. Delgado-Muñoz M, Herrero E, Romance-García A, Romero-Maroto M. Tratamiento ortopédico prequirúrgico de la fisura palatina con la filosofía de Latham. RCOE. 2005; 10(2):199-204.

15. Broder H, Chan J, Sischo L, Smith C, Stein M, Van Aalst J. Nasoalveolar Molding: Prevalence of Cleft Centers Offering NAM and Who Seeks It. Cleft Palate Craniofac J. 2012 May;49(3):270-275.

16. Cimadevilla M, González B, Mejía M, Salamanca J. Tratamiento temprano de la fisura Labiopalatina unilateral con ortopedia dentofacial prequirurgica. Rev Esp Ortod. 2008; 38: (1)67-72.

17. Grabowski R, Gundlach K, Kopp H, Stahl F. Presurgical orthopaedic treatment of newborns with clefts – functional treatment with long-term effects. J Craniomaxillofac Surg. 2006; 34(2):34-44.

18. Delgado M, Lagarón E, Marti E, Romance A, Romero M et al. Uso de la ortopedia prequirúrgica en pacientes con fisura palatina: nuestra experiencia. Cir Pediatr. 2004; 17: (1)17-20.

19. Cutting C, Grayson B. Presurgical Nasoalveolar Orthopedic Molding in Primary Correction of the Nose, Lip, and Alveolus of Infants Born With Unilateral and Bilateral Clefts. Cleft Palate Craniofacial J. 2001 May; 38(3):193-8.

20. Adali N, Mars M, Noar J, Petrie A, Sommerlad B. Presurgical Orthopedics Has No Effect on Archform in Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2012 Jan; 49(1):5-13.

21. Ford A. Tratamiento actual de las fisuras labio palatinas. Rev Med Clin Condes. 2004 Enero; 15(1): 3-11.