Journal ArticleDOI
Repair of unilateral cleft lip deformity: maxilla, nose and lip.
TLDR
Procedures extensively based on new principles for the surgical management of these malformations are described and shown in detail, allowing consideration of the entire reconstructive task in the primary operation.Abstract:
The congenital cleft lip deformity is defined as a tripartite reconstructive problem: restoration of the cleft maxilla, correction of the nasal deformity, and repair of the lip. Procedures extensively based on new principles for the surgical management of these malformations are described and shown in detail. They allow consideration of the entire reconstructive task in the primary operation.For maxillary reconstruction the osteogenic capacity of tissues bordering the cleft is utilized. The operation involves subperiosteal exposure of the bone and the establishment of periosteal continuity between the maxillary segments, using local flaps of the periosteal membranes. Surgicel® is used as a scaffolding between the periosteal surfaces to bring about deposition of a mass of bone. In complete clefts a two-stage procedure is recommended for periosteal repair and for the implantation of Surgicel. Observations on the effect of periosteo-plasty confirmed previous reports: the procedure will lead to the formation ...read more
Citations
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Journal ArticleDOI
Anthropometric and anthroposcopic findings of the nasal and facial region in cleft patients before and after primary lip and palate repair.
TL;DR: Quantitative determination of these nasal stigmata in cleft lip and palate patients who have undergone primary lip repair provides valuable information for surgical correction of the cleft soft-tissue deformities.
Journal ArticleDOI
Perichondrial Potential for Cartilagenous Regeneration
TL;DR: The chondrogenic activity of the perichondrium of the aural cartilage is demonstrated and will be further verified in succeeding experiments.
Journal ArticleDOI
Methods of assessment of cleft-related facial deformity: a review.
TL;DR: Wide variation exists in the study design related to assessment of cleft-related deformity, and an internationally agreed objective method of assessment for this facial deformity is required.
Journal ArticleDOI
Theoretical principles and technique of functional closure of the lip and nasal aperture.
TL;DR: Since many approaches to the closure of the cleft lip have not satisfied the hopes placed into them, the author has gone back to the principles stated by Veau (1938), and his anatomical findings are presented.
Journal ArticleDOI
Three-dimensional computed tomographic analysis of the primary nasal deformity in 3-month-old infants with complete unilateral cleft lip and palate.
TL;DR: The nasal deformity in unilateral cleft lip and palate that has not been operated on is characterized by these four features and increased S-N-ANS angle with increased alveolar cleft width.
References
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Journal ArticleDOI
The Use of Periosteum and Surgicel® For Bone Restoration in Congenital Clefts of the Maxilla: A Clinical Report and Experimental Investigation
TL;DR: New principles are introduced for the primary repair of the maxilla in congenital cleft deformities, founded on the assumption that periosteum and bone bordering the cleft possesses normal growth potential.