Effects of early and late cheiloplasty on anterior part of maxillary dental arch development in infants with unilateral complete cleft lip and palate

PeerJ

article

Silvia Valentová-Strenáčiková¹  Radovan Malina² 

[1] Clinic of Plastic, Reconstructive and Aesthetic Surgery, F. D. Roosevelt Hospital;Department of Biology and Ecology, Matej Bel University

关键词: Complete unilateral cleft lip and palate;    Early and late lip reconstruction;    Dentoalveolar arch development;    Cheiloplasty;   

DOI  :  10.7717/peerj.1620

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Objectives. The objective of this study is to compare the impact of early and late reconstruction of complete unilateral cleft lip and palate on the growth and development of the front of the dentoalveolar arch. Methods. This study was carried out in the years 2012–2015 at the Clinic of Plastic, Reconstructive and Aesthetic Surgery in Banska Bystrica. Infants with unilateral complete cleft lip and palate were divided into 2 groups according to the timing of lip reconstruction. Group A consisted of infants with early lip reconstruction–realised in the first 14 days of life. Group B consisted of infants with later lip reconstruction–realised in the third month of age. Maxillary dental casts were obtained for each child in four periods–in the first 14 days of life, in the third month, in the sixth month and in the age of one year. These were followed by the identification, measurement and evaluation of anthropometric parameters. Results. Significant differences were occurred after the reconstruction of the lips in linear and angle measurements between infants in the A and B groups. Conclusion. The early surgical reconstruction of the lips in the first 14 days of life has a positive effect on the growth and development of the anterior segment of the dentoalveolar arch. Early lip reconstruction forms a continuous pressure on the frontal segment, resulting in the earlier remedy of anatomical properties and creates appropriate conditions for the best development of this area.

【 授权许可】

CC BY