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Experiences with infant and delayed periosteoplasty

R Hellquist

    Swedish Dental Journal. Supplement
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Delayed periosteoplasty in cleft palate patients resulted in better bone formation and fewer instances of anterior crossbite compared to infant procedures. This technique also supported normal craniofacial growth in young patients.

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    A longitudinal study of delayed periosteoplasty to the cleft alveolus.

    The Cleft palate journal·1983

    Area of Science:

    • Craniofacial surgery
    • Pediatric dentistry
    • Orthodontics

    Background:

    • Periosteoplasty has been a standard procedure since 1964 for maxillary alveolar cleft repair.
    • The timing of periosteoplasty (infant vs. delayed secondary) may influence outcomes.
    • Assessing the impact on bone formation, occlusion, and facial growth is crucial.

    Purpose of the Study:

    • To evaluate the efficacy of infant versus delayed periosteoplasty in cleft palate patients.
    • To analyze the influence of periosteoplasty timing on new bone formation in the alveolar cleft.
    • To assess the long-term effects on craniofacial growth and dental occlusion.

    Main Methods:

    • Longitudinal study of patients from Uppsala, Sweden, who underwent either infant or delayed periosteoplasty.

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  • Classification of new bone formation using the Hellquist & Skoog (1976) system.
  • Cephalometric analysis to evaluate craniofacial skeletal growth and dental occlusion.

    • Main Results:

    • Delayed periosteoplasty achieved good bone formation in 80% of cases in patients under 7 years old, versus 47% for infant periosteoplasty.
    • Patients receiving delayed periosteoplasty showed a lower frequency of anterior crossbite.
    • Cephalometric analysis indicated that facial skeletal growth in delayed periosteoplasty patients was within normal limits for similar cleft types.

    Conclusions:

    • Delayed periosteoplasty is more effective in achieving good bone continuity in the alveolar cleft area.
    • This approach appears to have a favorable impact on dental occlusion and normal craniofacial development.
    • Periosteoplasty, particularly when delayed, offers a viable surgical option for alveolar cleft repair without compromising facial growth.