Arch Plast Surg 2017 May 22;44(3):188-193. Epub 2017 May 22.
Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
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J Craniofac Surg 2003 Nov;14(6):840-6
Division of Plastic Surgery, Loma Linda University, California 92350, USA.
The management of alveolar clefts has changed through the years as medical knowledge has improved. An alveolar cleft is the result of abnormal primary palate formation during weeks 4 to 12 of gestation. The rationale for its closure includes 1) stabilizing the maxillary arch, 2) permitting support for tooth eruption, 3) eliminating oronasal fistulae, and 4) providing improved esthetic results. Read More
Ann Maxillofac Surg 2013 Jan;3(1):46-50
Department of Plastic and Maxillofacial Surgery, Oral and Maxillofacial Surgery Unit, University Hospital Clínic i Provincial, Barcelona University. Barcelona, Spain ; Department of Pediatric Surgery, Oral and Maxillofacial Surgery Unit, University Hospital Sant Joan de Déu. Barcelona University. Barcelona, Spain.
Introduction: The alveolar cleft is a bony defect that is present in 75% of the patients with cleft lip and palate. Although secondary alveolar cleft repair is commonly accepted for these patients, nowadays, controversy still remains regarding the surgical technique, the timing of the surgery, the donor site, and whether the use of allogenic materials improve the outcomes. The purpose of the present review was to evaluate the protocol, the surgical technique and the outcomes in a large population of patients with alveolar clefts that underwent secondary alveolar cleft repair. Read More
Saudi Dent J 2016 Jan 25;28(1):3-11. Epub 2015 Jun 25.
Maxillofacial Department, College of Dentistry, King Saud University, Saudi Arabia.
Cleft lip and palate (CL/P) is a frequent congenital malformation that manifests in several varieties including unilateral or bilateral and complete or incomplete. Alveolar cleft reconstruction remains controversial with regard to timing, graft materials, surgical techniques, and methods of evaluation. Many studies have been conducted addressing these points to develop an acceptable universal protocol for managing CL/P. Read More
J Craniomaxillofac Surg 2015 Jul 9;43(6):950-5. Epub 2015 Apr 9.
APHP, Hôpital Necker-Enfants Malades, Service de chirurgie maxillo-faciale, F-75015, Paris, France; Centre de référence des malformations de la face et de la cavité buccale, F-75015, Paris, France; Université Paris VI, Faculté de Médecine Pierre et Marie Curie, F-75005, Paris, France; Laboratoire de Physiopathologie orale et Moléculaire, INSERM, UMRS 872, Equipe 5, Centre de recherche des Cordeliers, 75006, Paris, France.
Primary alveolar cleft repair has two main purposes: to restore normal morphology and normal function. Gingivoperiosteoplasty with bone grafting in mixed dentition has been a well-established procedure. We hypothesized that 1) performance of this surgery in deciduous dentition would provide favorable bone graft osseointegration, and 2) would improve the support of incisor teeth eruption, thereby avoiding maxillary growth disturbances. Read More