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[The upper buccal vestibule in clefts].

M Stricker, P Maxant, F Schaudel

    Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
    |January 1, 1987
    PubMed
    Summary

    Restoring the buccal vestibule with a total skin graft before school age is crucial for children with total bilateral clefts. This ensures proper function and addresses alveolar process issues caused by the cleft and its surgical repair.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Plastic Surgery
    • Pediatric Dentistry

    Context:

    • The buccal vestibule's anatomy and physiological role are critical in oral function.
    • Alveolar process development is significantly impacted by cleft lip and palate conditions and subsequent surgical interventions.
    • Optimal functional outcomes in pediatric patients with clefts necessitate early and effective management.

    Purpose:

    • To highlight the physiological significance of the buccal vestibule in relation to alveolar process positioning.
    • To emphasize the compromised state of the alveolar processes in cases of cleft lip and palate.
    • To advocate for early restitution of the buccal vestibule to ensure functional quality.

    Summary:

    • The buccal vestibule's anatomy and function are described, emphasizing its relationship with the alveolar processes.
    • Cleft conditions and their repair negatively affect the alveolar processes, compromising buccal vestibule function.
    • A total skin graft before school age is recommended for total bilateral clefts to restore buccal vestibule integrity and function.

    Impact:

    • Early intervention with total skin grafts can improve speech, mastication, and overall oral health in children with clefts.
    • Establishing adequate buccal vestibule volume and form is essential for long-term oral rehabilitation and psychosocial well-being.
    • This approach aims to optimize functional outcomes, reducing the need for complex secondary interventions.

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