Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 3 , Pages 185-191 , April 2010

Early Secondary Gingivo-Alveolo-Plasty in the treatment of unilateral cleft lip and palate patients: 20 years experience

  • Maria Costanza Meazzini, DMD, MMSc

      Affiliations

    • University of Milan, Regional Centre for CLP, Department of Maxillo-Facial Surgery, San Paolo Hospital, Milan, Italy
    • Corresponding Author InformationDr. Maria Costanza MEAZZINI, DMD, MMSc, Via Appiani 7, Milano 20121, Italy. Tel./Fax: +39 02 29010303.
    • ,
  • Giulia Rossetti, MD

      Affiliations

    • University of Milan, Regional Centre for CLP, Department of Maxillo-Facial Surgery, San Paolo Hospital, Milan, Italy
    • ,
  • Giovanna Garattini, MD

      Affiliations

    • Department of Orthodontics, San Paolo Hospital, Milan, Italy
    • ,
  • Gunvor Semb, MD

      Affiliations

    • University of Oslo, The Oslo Cleft Team, Department of Plastic Surgery, Oslo, Norway
    • ,
  • Roberto Brusati, MD

      Affiliations

    • University of Milan, Regional Centre for CLP, Department of Maxillo-Facial Surgery, San Paolo Hospital, Milan, Italy

Received 14 December 2008 ,Accepted 3 June 2009.

References 

  1. Abhyholm FE, Bergland O, Semb G. Secondary bone grafting of alveolar clefts. A surgical/orthodontic treatment enabling a non-prosthodontic rehabilitation in cleft lip and palate patients. Scand J Plast Reconstr Surg. 1981;15:127–140
  2. Bayerlein T, Proff P, Heinrich A, Kaduk W, Hosten N, Gedrange T. Evaluation of bone availability in the cleft area following secondary osteoplasty. J Craniomaxillofac Surg. 2006 Sep;34(Suppl. 2):57–61
  3. Baccetti T, Franchi L, McNamara JA. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod. 2002;72:316–323
  4. Bergland O, Semb E, Abyholm F, Borchgrevink H, Eskeland G. Secondary bone grafting and orthodontic treatment in patients with bilateral complete clefts of the lip and palate. Ann Plast Surg. 1986;17:460–474
  5. Berkowitz S, Mejia M, Bystrik A. A comparison of the effects of the Latham–Millard procedure with those of a conservative treatment approach for dental occlusion and facial aesthetics in unilateral and bilateral complete cleft lip and palate: part I. Dental occlusion. Plast Reconstr Surg. 2004;113:1–18
  6. Brusati R, Garattini G. The early secondary gingivoperiosteoplasty. Oral Maxillofac Surg Clin North Am. 2000;12:443–453
  7. Brusati R, Mannucci N. The early gingivoperiosteoplasty. Scand J Plast Reconstr Surg Hand Surg. 1992;26:65–70
  8. Cutting C, Grayson B. Invited discussion: early cleft lip repair in children with unilateral complete cleft lip and palate: a case against primary alveolar repair. Ann Plast Surg. 2005;54:598–599
  9. Dahlberg G. Statistical methods for medical and biological students. London: Georg Allen & Unwin Ltd; 1940;122–132
  10. Delaire J. Premiers résultats de la gingivo-périostoplastie primaire (avec ou sans osteo-plastie). In:  Brunati S editors. Il trattamento chirurgico e ortodontico della labio-palatoschisi: La ricostruzione dell'equilibrio funzionale. Lipomo, Como, Italy: Cesare Nani; 1989;p. 121–131
  11. Flinn W, Long RE, Garattini G, Semb G. A multicenter outcomes assessment of five-year-old patients with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2006;43:253–258
  12. Gesch D, Kirbschus A, Mack F, Gedrange T. Comparison of craniofacial morphology in patients with unilateral cleft lip, alveolus and palate with and without secondary osteoplasty. J Craniomaxillofac Surg. 2006 Sep;34(Suppl. 2):62–66
  13. Grayson BH, Garfinkle JS: Maxillary growth following gingivoperiosteoplasty in unilateral cleft lip and palate: 18 years follow up. In: Presented at the 63rd annual meeting of the American Cleft Palate-Craniofacial Association, Vancouver, British Columbia, Canada, April 3–6, 2006
  14. Henkel KO, Gundlach KKH. Analysis of primary gingivo-periosteoplasty in alveolar cleft repair. Part I: facial growth. J Craniomaxillofac Surg. 1997;25:266–269
  15. Juggins KJ, Nixon F, Cunningham SJ. Patient- and clinician-perceived need for orthognathic surgery. Am J Orthod Dentofacial Orthop. 2005;128:697–702
  16. Lee C, Grayson B, Cutting C, Brecht LE, Lin WY. Prepubertal midface growth in unilateral cleft lip and palate following alveolar molding and gingovoperiosteoplasty. Cleft Palate Craniofac J. 2004;41:375–380
  17. Matic DB, Power SM. The effects of gingivoperiosteoplasty following alveolar molding with a pin-retained Latham appliance versus secondary bone grafting on midfacial growth in patients with unilateral clefts. Plast Reconstr Surg. 2008;122:863–870discussion 122: 871–873, 2008
  18. Meazzini MC, Giussani G, Morabito A, Semb G, Garattini G, Brusati R. A cephalometric intercenter comparison of patients with unilateral cleft lip and palate: analysis at 5 and 10 years of age and long term. Cleft Palate Craniofac J. 2008;45:654–660
  19. Meazzini MC, Capasso E, Morabito A, Garattini G, Brusati R. Comparison of growth results in patients with unilateral cleft lip and palate after early secondary gingivoalveoloplasty and secondary bone grafting: 20 years follow up. Scand J Plast Reconstr Surg Hand Surg. 2008;42:290–295
  20. Meazzini MC, Tortora C, Morabito A, Garattini G, Brusati R. Alveolar bone formation in patients with unilateral and bilateral cleft lip and palate after early secondary gingivoalveoloplasty: long-term results. Plast Reconstr Surg. 2007;119:1527–1537
  21. Rintala AE, Ranta R. Periosteal flaps and grafts in primary cleft repair: a follow-up study. Plast Reconstr Surg. 1989;83:17–21
  22. Santiago PE, Grayson BH, Cutting CB, Gianoutsos MP, Brecht LE, Kwon SM. Reduced need for alveolar bone grafting by presurgical orthopedics and primary gingivoperiosteoplasty. Cleft Palate Craniofac J. 1997;35:77–80
  23. Shaw W, Dahl E, Asher-Mcdade C, Brattstrom V, Mars M, Mcwilliams J, et al. A six-center international study of treatment outcome in patients with clefts of the lip and palate: part 5. General discussion and conclusions. Cleft Palate Craniofac J. 1992;29:413–418
  24. Wood RJ, Grayson BH, Cutting C. Gingivoperiosteoplasty and midfacial growth. Cleft Palate Craniofac J. 1997;34:17–20
  25. Zemann W, Mossböck R, Kärcher H, Kozelj V. Sagittal growth of the facial skeleton of 6-year-old children with a complete unilateral cleft of lip, alveolus and palate treated with two different protocols. J Craniomaxillofac Surg. 2007 Dec;35(8):343–349

PII: S1010-5182(09)00107-3

doi: 10.1016/j.jcms.2009.06.001

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 3 , Pages 185-191 , April 2010

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