ANALYSIS OF PRIMARY GINGIVOPERIOSTEOPLASTY IN ALVEOLAR CLEFT REPAIR .1. FACIAL GROWTH

Citation
Ko. Henkel et Kkh. Gundlach, ANALYSIS OF PRIMARY GINGIVOPERIOSTEOPLASTY IN ALVEOLAR CLEFT REPAIR .1. FACIAL GROWTH, Journal of cranio-maxillo-facial surgery, 25(5), 1997, pp. 266-269
Citations number
14
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Dentistry,Oral Surgery & Medicine",Surgery
ISSN journal
1010-5182
Volume
25
Issue
5
Year of publication
1997
Pages
266 - 269
Database
ISI
SICI code
1010-5182(1997)25:5<266:AOPGIA>2.0.ZU;2-E
Abstract
The primary gingivoperiosteoplasty by Millard consists of presurgical active orthognathic treatment ('Latham device') of the alveolar margin s at the age of 3 months and of surgical closure of the alveolar cleft with local gingivoperiosteal flaps at the age of 5 months. The aim of this investigation was to analyse the facial growth following this tr eatment. The following material was studied: lateral head X-rays and p laster casts from 146 patients with unilateral (UCLP) and bilateral (B CLP) clefts of lip and palate from birth to 16 years of age. Ninety-on e of these patients formed the control group, who received neither gin givoperiosteoplasty nor pre-surgical active orthognathic treatment, Th e same surgeon and orthodontist treated all 146 patients, A three-dime nsional growth disturbance after gingivoperiosteoplasty was observed: 42% patients with UCLP and 40% patients with BCLP had an 'open bite' f ollowing closure of the alveolar cleft (control group 5%/10%). The len gth of the upper jaw in patients who underwent gingivoperiosteoplasty was shorter than in the control group, The frequency of posterior cros s bite was also higher in the gingivoperiosteoplasty group. These resu lts demonstrate that treatment with a 'Latham device' disturbs facial growth. Therefore, this treatment should be abandoned.