A longitudinal study of delayed periosteoplasty to the cleft alveolus.

The effects of delayed periosteoplasty were studied longitudinally from 5 to 17 years of age in 35 consecutive cases (24 boys and 11 girls) with clefts involving the maxillary alveolar process. The mean age at operation was 6.4 years. In patients younger than 7 years of age at the time of delayed periosteoplasty, good bone formation developed in 80%, compared with 47% after infant periosteoplasty. After delayed periosteoplasty the formation of new bone continued an average of 5 years postoperatively. The frequency of anterior crossbite was lower than that reported for other Scandinavian cleft lip and palate materials of the same age and type of cleft. Cephalometric analysis indicated that growth of the facial skeleton of the patients in the present material was well within the limits reported for the above-mentioned Scandinavian materials subjected neither to periosteoplasty nor to bone-grafting. The results indicate that delayed periosteoplasty might be a superior method in the reconstruction of the alveolar cleft in young individuals.

[1]  B. Thilander,et al.  Roentgencephalometric standards for the facial skeleton and soft tissue profile of Swedish children and young adults. II. Comparisons with earlier Scandinavian normative data. , 1982, Swedish dental journal. Supplement.

[2]  R. Hellquist.  Experiences with infant and delayed periosteoplasty. , 1982, Swedish dental journal. Supplement.

[3]  S. Linder-Aronson,et al.  Dental abnormalities in patients with alveolar clefts, operated upon with or without primary periosteoplasty. , 1979, European journal of orthodontics.

[4]  R. Hellquist,et al.  The influence of infant periosteoplasty on facial growth and dental occlusion from five to eight years of age in cases of complete unilateral cleft lip and palate. , 1979, Scandinavian journal of plastic and reconstructive surgery.

[5]  H. Friede.  The vomero-premaxillary suture--a neglected growth site in mid-facial development of unilateral cleft lip and palate patients. , 1978, The Cleft palate journal.

[6]  H. Friede,et al.  A FOLLOW-UP STUDY OF CLEFT CHILDREN TREATED WITH VOMER FLAP AS PART OF A THREE-STAGE SOFT TISSUE SURGICAL PROCEDURE , 1977 .

[7]  T. Skoog,et al.  The influence of primary periosteoplasty on maxillary growth and deciduous occlusion in cases of complete unilateral cleft lip and palate. A longitudinal study from infancy to the age of 5. , 1976, Scandinavian journal of plastic and reconstructive surgery.

[8]  B. Cannon.  Plastic Surgery: New Methods and Refinements , 1975 .

[9]  O. Bergland,et al.  Occlusal changes from the deciduous to the early mixed dentition in unilateral complete clefts. , 1974, The Cleft palate journal.

[10]  R. Hellquist.  Team work and clinical research in the treatment of cleft lip and palate. , 1973, Svensk tandlakare tidskrift. Swedish dental journal.

[11]  O. Bergland,et al.  Cranio-facial pattern in boys with unilateral complete clefts at 10-12 years of age. , 1972, Transactions. European Orthodontic Society.

[12]  R. S. Bodenham,et al.  The evaluation of arch form and occlusion in unilateral cleft palate subjects. , 1972, The Cleft palate journal.

[13]  T. Skoog.  Repair of unilateral cleft lip deformity: maxilla, nose and lip , 1971 .

[14]  Poul Fough-Andersen.  Craniofacial morphology in congenital clefts of the lip and palate , 1971 .

[15]  T. Skoog.  Repair of unilateral cleft lip deformity: maxilla, nose and lip. , 1969, Scandinavian journal of plastic and reconstructive surgery.

[16]  K. Pickrell,et al.  PRIMARY BONE GRAFTING OF THE MAXILLA IN CLEFTS OF THE LIP AND PALATE. A Four Year Study , 1968, Plastic and reconstructive surgery.

[17]  S. Pruzansky,et al.  ARCH FORM AND THE DECIDUOUS OCCLUSION IN COMPLETE UNILATERAL CLEFTS. , 1964, The Cleft palate journal.