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Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing
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Infantile swallowing: surgical meaning.

R Becelli1, C De Sanctis1, G Matarazzo2

  • 1University of Rome "Sapienza" second Faculty of Medicine and Surgery, Maxillofacial surgery department.

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|June 8, 2019
PubMed
Summary

Untreated infantile swallowing (I.S.) is a primary cause of relapse in dento-skeletal III class surgery. Addressing I.S. before surgical intervention, including Le Fort I and BSSO, prevents surgical failures and ensures stable outcomes.

Keywords:
Atypical SwallowingIII dento-skeletal classInfantile SwallowingPostsurgical relapse

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Area of Science:

  • Orthodontics and Maxillofacial Surgery
  • Pediatric Dentistry

Background:

  • Dento-skeletal III class malocclusion often requires surgical correction.
  • Infantile swallowing (I.S.) is a contributing factor to surgical relapse in these cases.
  • Pre- and post-surgical management of I.S. is crucial for treatment success.

Purpose of the Study:

  • To analyze the causes of surgical relapses in patients with dento-skeletal III class and I.S.
  • To highlight the consequences of untreated I.S. on surgical outcomes.
  • To evaluate the efficacy of a pre- and post-surgery protocol for I.S. in preventing relapses.

Main Methods:

  • Retrospective analysis of 30 patients with dento-skeletal III class and I.S. treated between 2006 and 2014.
  • Surgical protocol included Le Fort I and Bilateral Sagittal Split Osteotomy (BSSO).
  • Patients underwent pre- and post-surgery protocols addressing I.S.

Main Results:

  • No skeletal relapses were recorded in the 30 patients treated with the comprehensive protocol.
  • Three patients who did not undergo I.S. protocols experienced relapses post-surgery.

Conclusions:

  • Surgical errors are not the sole cause of relapse; untreated I.S. is a significant factor.
  • Untreated I.S. can lead to bicortical screw derangement and improper bone formation, impacting surgical stability.
  • A pre- and post-surgery protocol for I.S. is essential for preventing relapses in dento-skeletal III class surgical cases.