Management of Prominent Premaxilla in Bilateral Cleft Lip and Alveolus

Our aim was to describe the early management protocol of the prominent premaxilla in bilateral cleft lip and alveolus and its rationale, as used in the Cleft Centre at the 1st Department of Pediatrics and at the Department of Pedodontics and Orthodontics at the Semmelweis University Budapest. The non-surgical and surgical procedures included lip taping, nasoalveolar molding, lip adhesion and definitive one-stage lip closure. With this treatment sequence, arch management was satisfactory and at the time of the definitive lip closure the position of the premaxilla did not interfere with adequate surgical repair.

[1]  A. Figueroa,et al.  Nasal Changes after Presurgical Nasoalveolar Molding (PNAM) in the Unilateral Cleft Lip Nose , 2012, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[2]  J. V. van Aalst,et al.  Nasoalveolar Molding: Prevalence of Cleft Centers Offering NAM and who Seeks It , 2012, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[3]  C. Cutting,et al.  A 12-Year Anthropometric Evaluation of the Nose in Bilateral Cleft Lip–Cleft Palate Patients following Nasoalveolar Molding and Cutting Bilateral Cleft Lip and Nose Reconstruction , 2011, Plastic and reconstructive surgery.

[4]  J. Xia,et al.  Long-Term Treatment Outcome of Presurgical Nasoalveolar Molding in Patients With Unilateral Cleft Lip and Palate , 2011, The Journal of craniofacial surgery.

[5]  M. Kuijpers,et al.  Maxillary arch width in unoperated adult bilateral cleft lip and alveolus and complete bilateral cleft lip and palate. , 2010, Orthodontics & craniofacial research.

[6]  M. Mommaerts,et al.  Lip adhesion revisited: A technical note with review of literature , 2009, Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India.

[7]  C. Cutting,et al.  Nasoalveolar Molding Improves Appearance of Children with Bilateral Cleft Lip–Cleft Palate , 2008, Plastic and reconstructive surgery.

[8]  P. Chen,et al.  Progressive Changes of Columella Length and Nasal Growth after Nasoalveolar Molding in Bilateral Cleft Patients: A 3-Year Follow-Up Study , 2007, Plastic and reconstructive surgery.

[9]  K. Soma,et al.  Excessive Rapid Palatal Expansion with Latham Appliance for Distal Repositioning of Protruded Premaxilla in Bilateral Cleft Lip and Alveolus , 2006, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[10]  B. Cho.  Unilateral Complete Cleft Lip and Palate Repair Using Lip Adhesion Combined with a Passive Intraoral Alveolar Molding Appliance: Surgical Results and the Effect on the Maxillary Alveolar Arch , 2006, Plastic and reconstructive surgery.

[11]  Iino Mitsuyoshi,et al.  Simple modified preoperative nasoalveolar moulding in infants with unilateral cleft lip and palate. , 2004, The British journal of oral & maxillofacial surgery.

[12]  S. Baek,et al.  Cleft type and Angle's classification of malocclusion in Korean cleft patients. , 2002, European journal of orthodontics.

[13]  K. Bitter.  Repair of bilateral clefts of lip, alveolus and palate Part 1: A refined method for the lip-adhesion in bilateral cleft lip and palate patients. , 2001, Journal of maxillofacial surgery.

[14]  M. Vannier,et al.  Quantitative 3D Maxillary Arch Evaluation of Two Different Infant Managements for Unilateral Cleft Lip and Palate , 2000 .

[15]  A. Kuijpers-Jagtman,et al.  [Team management of orofacial clefts]. , 2000, Nederlands tijdschrift voor tandheelkunde.

[16]  C. Cutting,et al.  Presurgical Nasoalveolar Molding in Infants with Cleft Lip and Palate , 1999 .

[17]  J. Mulliken,et al.  Effect of Lip Adhesion on Labial Height in Two‐Stage Repair of Unilateral Complete Cleft Lip , 1997, Plastic and reconstructive surgery.

[18]  J. B. Mulliken.  Bilateral Complete Cleft Lip and Nasal Deformity: An Anthropometric Analysis of Staged to Synchronous Repair , 1995, Plastic and reconstructive surgery.

[19]  R. Pool,et al.  Preoperative Lip Taping in the Cleft Lip , 1994, Annals of plastic surgery.

[20]  C. Cutting,et al.  Preoperative columella lengthening in bilateral cleft lip and palate. , 1993, Plastic and reconstructive surgery.

[21]  R. Seibert.  Lip adhesion. , 1993, Facial plastic surgery : FPS.

[22]  D. Millard,et al.  Improved primary surgical and dental treatment of clefts. , 1990, Plastic and reconstructive surgery.

[23]  L. Franck,et al.  Evaluation of a pectin-based barrier under tape to protect neonatal skin. , 1986, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[24]  Noordhoff Ms.  Reconstruction of vermilion in unilateral and bilateral cleft lips. , 1984 .

[25]  W. Gnoinski,et al.  Comprehensive care of cleft lip and palate children at Zürich university: a preliminary report. , 1976, American journal of orthodontics.

[26]  R. Meijer,et al.  Physiologic Considerations in Cleft Lip Closure: The C‐W Technique , 1966, Plastic and reconstructive surgery.