Presurgical Orthopedics in Cleft Lip and Palate Care

  title={Presurgical Orthopedics in Cleft Lip and Palate Care},
  author={Laquia A Vinson},
Cleft lip and palate is one of the most common birth defects occurring 1 of every 700 live births. Historically, cleft lip and palate care typically involves the use of presurgical infant orthopedics appliances (PIOA) fabricated by a pediatric dentist as an adjunct to the overall management of the defect approximate the cleft segments prior to surgical repair. However, the necessity of presurgical orthopedics in managing the resulting orofacial deformity is still one that elicits discussion by… 
1 Citations
The selective grinding prosthetic feeding aid frequency influence towards premaxilla position on infant with complete unilateral cleft lip and palate
The more frequent the selective grinding on prosthetic feeding aid, the higher the premaxilla position change will increase towards midsagittal, and the Pearson correlation coefficient shows positive correlation.


Presurgical Infant Orthopedics for Cleft Lip and Palate: A Review
There is still no consensus in the literature on the best protocol for orthopedic and surgery methods for the treatment of cleft lip and palate in infants, and this review is to discuss presurgical infant orthopedics methods and their advantages and disadvantages.
Presurgical nasoalveolar molding in infants with cleft lip and palate.
The NAM technique has eliminated surgical columella reconstruction and the resultant scar tissue from the standard of care in this cleft palate center and the ability to nonsurgically construct the Columella through the application of tissue expansion principles is demonstrated.
Recent advances in presurgical molding in cleft lip and palate
Presurgical nasal alveolar molding in children with cleft lip and palate allows repositioning of the maxillary alveolus and surrounding soft tissues in hopes of reducing wound tension and improving results.
Effect of presurgical infant orthopedics on facial esthetics in complete bilateral cleft lip and palate.
  • R. B. Ross, M. Macnamera
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 1994
The findings indicate that conservative presurgical orthopedics for infants with complete bilateral cleft lip and palate has no lasting effect on the esthetics of the lip and nose, and does not alter the need for subsequent revisionary surgery.
Presurgical nasoalveolar molding assisted primary reconstruction in complete unilateral cleft lip palate infants.
The use of Presurgical nasoalveolar molding enables in reducing the severity of the deformity the surgical team has to tackle thereby enabling in a better and esthetic primary repair.
The basis for presurgical orthopedic treatment of infants with unilateral complete cleft lip and palate.
  • V. Koželj
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 2000
The results indicate that the upper part of the oral cavity of UCLP patients can reach the dimensions of noncleft contemporaries despite surgery.
Improved primary surgical and dental treatment of clefts.
This is a staged design for correction of classic clefts of the lip and palate that facilitates the continuance of the failed embryonic "migrations" toward a normal end point.
Preoperative Lip Taping in the Cleft Lip
It is found that lip taping effectively narrows, remodels, and approximates the alveolar arch, eliminating the need for initial orthodontia in all patients except those born with maxillary collapse.
Presurgical Orthopedics Has No Effect on Archform in Unilateral Cleft Lip and Palate
There was no evidence that presurgical orthopedics produced any significant effect on archform, raising questions for its continued use in this context.
Cleft Lip Repair: Trends and Techniques
Major changes that have occurred in the management of cleft lip repair over the last 10 years are included, including the increasing acceptance of the need for the “cleft center” with its multispecialty component, especially in the area of early postnatal intervention.