Year: 2016 | Month: March | Volume 3 | Issue 1

Nasoalveolar Morphology Following Presurgical Orthopedic Treatment in Unilateral Cleft Lip Alveolus and Palate Infants

Praveen Awasthi Amit Thahriani Amritaksha Bhattacharya
DOI:10.5958/2394-4196.2016.00003.0

Abstract:

Aim: The importance of presurgical orthopedic treatment is widely recognized. The objectives are to monitoring function (feeding, tongue posture), aiding speech development. It helps the surgeon to close the floor of the nose, stimulate palatal bone growth, reduce middle infection, and prevent the collapse of the palatal segment. The purpose of this study was to examine characteristics of the nasoalveolar and palatal configurations in the complete unilateral cleft lip and palate (UCLP) patients and to determine the effect of early orthopedic treatment in complete UCLP patients. Materials and Methods:   A  total of 20 infants were included in the study divided into two groups. Group A consisted of 10 infants with non-syndromic cleft lip alveolus and palate and was treated with presurgical orthopedic treatment Hotz appliance for 3 months. Group B comprises 10 infants of 5 months without cleft lip and palate deformity included in the study as the control group. Results: The test showed a statistical difference regarding the decrease in cleft alveolus width, the decline in the width of the nostril on the cleft side. The intercanthal distance increased at the end of 3 months following the use of Hotz plate (P = 0.001) statistically significant. The alar width decreased at the end of the 3 moths which is statistically significant (P = 0.001). Conclusion: The alveolar dimensions in children with UCLP can approach the dimensions of non-cleft contemporaries in spite of surgical interventions, but the dimensions are, as a rule, under the mean values of normal. Each alveolar segment grew along the guidance of Hotz’s plate, and the growth was found mainly at the edge of the alveolus. The anterior nasal spine and nasal septum did not seem to influence by passive appliances such as Hotz’s plate.



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Keywords

Complete unilateral cleft lip and palate
Hotz’s plate
presurgical orthopaedic treatment




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