Tessier No. 3 and No. 4 clefts: Sequential treatment in infancy by pre-surgical orthopedic skeletal contraction, comprehensive reconstruction, and novel surgical lengthening of the ala base-canthal distance

被引:8
作者
Spolyar, John L. [1 ,2 ,3 ,4 ,5 ,6 ]
Hnatiuk, Mark [3 ,7 ,8 ,9 ]
Shaheen, Kenneth W. [2 ,4 ,10 ,11 ,12 ]
Mertz, Jennifer K. [3 ,13 ,14 ]
Handler, Lawrence F. [2 ,10 ,15 ]
Jarial, Ravinder [16 ,17 ]
Roldan, J. Carnilo [17 ,18 ]
机构
[1] UDM Sch Dent, Dept Orthodont, Detroit, MI 48208 USA
[2] Wm Beaumont Hosp, Ian Jackson Craniofacial & Cleft Palate Clin, Royal Oak, MI USA
[3] Craniofacial Inst Michigan, St John Providence Hlth Syst, Detroit, MI USA
[4] Wm Beaumont Hosp, Royal Oak, MI USA
[5] St John Providence Hosp, Southfield, MI USA
[6] Oral Maxillofacial Surg, Clinton, MI 48038 USA
[7] St Johns Hosp, Detroit, MI USA
[8] Providence Hosp, Southfield, MI USA
[9] Surg Craniofacial, Novi, MI 48377 USA
[10] Oakland Univ, William Beaumont Sch Med, Rochester, MI USA
[11] Wayne State Univ, Sch Med, Detroit, MI 48202 USA
[12] Surg Plast Reconstruct, Troy, MI 48084 USA
[13] St John Providence Hosp, Detroit, MI USA
[14] Oral Maxillofacial Surg, Grosse Pointe Farms, MI 48236 USA
[15] Surg Oculoplast Skull Base, Troy, MI 48084 USA
[16] RSJ Plast Surg, Loxahatchee, FL 33470 USA
[17] St John Providence Pk Hosp, Craniofacial Inst Michigan, Novi, MI USA
[18] Catholic Childrens Hosp Wilhelmstift, Div Craniofacial Plast Surg, D-22149 Hamburg, Germany
关键词
Facial cleft; Rare cleft; Tessier cleft; Naso-oro-ocular cleft; Cleft nose; Pre-surgical orthopedic correction; RARE CRANIOFACIAL CLEFTS; OPPOSING Z-PLASTY; FACIAL CLEFT; TISSUE EXPANSION; SOFT-TISSUE; PALATE; LIP; REPAIR; STRATEGIES; MANAGEMENT;
D O I
10.1016/j.jcms.2015.06.002
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
Background: Repair of facial clefts implies wide tissue mobilization with multi-stage surgical treatment. Authors propose pre-surgical orthopedic correction for naso-oro-ocular clefts and a novel surgical option for Tessier No. 3 cleft. Methods: Two male infants, a Tessier No. 3 cleft (age 7 months) and another Tessier No. 4 (age 3 months), were treated with a modified orthopedic Latham device with additional septo-premaxillary molding and observed to age four years. Tessier No. 3 orthopedic measurements were obtained by image corrected cephalometric analysis. Subsequent repair included tissue expansion on Tessier No. 4 and naso-frontal Rieger flap combined with myocutaneous upper lid flap on Tessier No. 3. Results: Orthopedic movements ranged from 18.5 mm in bi-planar to 33 mm in oblique analyses. Tissue margins became aligned with platform normalization. Tissue expansion on Tessier No. 4 improved distances from ala base-lower lid and subalar base-lip. The naso-frontal flap combined with myocutaneous upper lid flap on Tessier No. 3 had similar achievement, but also sufficiently lengthened ala base-canthal distance. Conclusions: Repairs were facilitated by pre-surgical orthopedic correction. The naso-frontal flap combined with an upper lid myocutaneous flap seems viable as a single-stage option to lengthen ala base-canthal distance to advance repair achievement in unilateral Tessier No. 3. (C) 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:1261 / 1268
页数:8
相关论文
共 60 条
[1]
Tessier No. 4 Facial Cleft: Evolution of Surgical Treatment in a Large Series of Patients [J].
Alonso, Nivaldo ;
Freitas, Renato da Silva ;
Oliveira e Cruz, Gilvani Azor de ;
Goldenberg, Dov ;
Tolazzi, Andre Ricardo Dall'Oglio .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (05) :1505-1513
[2]
Comprehensive management of cleft lip and palate deformities [J].
Anastassov, GE ;
Joos, U .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2001, 59 (09) :1062-1075
[3]
[Anonymous], PERSPECT PLAST SURG
[4]
[Anonymous], 1985, LOCAL FLAPS HEAD NEC
[5]
Barillas I, 2009, PLAST RECONSTR SURG, V123, P1002, DOI 10.1097/PRS.0b013e318199f46e
[6]
RELIABILITY OF HEAD FILM MEASUREMENTS .1. LANDMARK IDENTIFICATION [J].
BAUMRIND, S ;
FRANTZ, RC .
AMERICAN JOURNAL OF ORTHODONTICS, 1971, 60 (02) :111-&
[7]
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 [J].
Berkowitz, S ;
Mejia, M ;
Bystrik, A .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 113 (01) :1-18
[8]
Björkman S, 2006, CLIN PHARMACOKINET, V45, P1
[10]
Chan KT, 2003, CLEFT PALATE-CRAN J, V40, P511, DOI 10.1597/1545-1569(2003)040<0511:TEOAIO>2.0.CO