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Related Experiment Videos

[Bilateral labio-maxillo-palatal clefts. Therapeutic evaluation].

B Raphaël1, B Morand, G Bettega

  • 1Service de Chirurgie Maxillo-Faciale et Stomatologie, CHU de Grenoble, Hôpital Albert Michallon, B. P. 217, 38043 Grenoble.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|October 2, 2001
PubMed
Summary

This study revises cleft lip and palate surgery protocols. Early bony palate closure and periosteal tibial grafts improve surgical outcomes and facial harmony in children.

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Replantation of a lip thrown in the bin.

Journal of stomatology, oral and maxillofacial surgery·2021

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Context:

  • Bilateral facial clefts present complex surgical challenges, especially regarding long-term outcomes.
  • Assessing surgical success in cleft lip and palate (CLP) patients is difficult due to anatomical variations.
  • Current protocols require evaluation to optimize treatment strategies for CLP.

Purpose:

  • To analyze the effectiveness of a 3-step surgical protocol for bilateral facial clefts at Grenoble University Hospital.
  • To identify factors influencing long-term surgical outcomes in cleft repair.
  • To propose modifications to the existing surgical protocol based on outcome analysis.

Summary:

  • A 3-step protocol involving Skoog's cheilo-rhino-uranoplasty and periosteal tibial grafts showed high revision rates for certain procedures (43% for labial vestibule/tubercule, 32% for osteotomy).

Related Experiment Videos

  • While palatine closure (82%) and premaxillary stability (86%) favored periosteal grafts, graft osteogenic capacity decreased with repeated harvesting.
  • A revised protocol emphasizes early total bony palate closure and periosteal tibial grafts, with initial results showing improved scars and maxillary arch form.

    • Impact:

    • The revised protocol demonstrates potential for better aesthetic and functional results in cleft lip and palate surgery.
    • Optimized surgical timing and techniques, including early bony palate closure, enhance maxillary arch development.
    • Continued use of periosteal tibial grafts maintains positive outcomes, contributing to more harmonious facial reconstruction.