Primary Anterior Nasal Cleft Floor Reconstruction with Inceptive Obturpaedic Treatment
Journal Title: Journal of Dental Health and Oral Research - Year 2024, Vol 5, Issue 3
Abstract
Primary anterior nasal floor reconstruction presents an additional challenge during primary cheiloplasty for cleft anomalies. Successful reconstruction of the anterior nasal floor requires a superior layer along the full length of the primary palate, achieved through a sequence of three distinct interventions. Obturpaedic treatment is utilising the neonatal and infant growth period to modulate presurgically the alveolar segments in aligning for an ideal gothic arch. The modulation aids in narrowing the anterior nasal floor, but also decreasing the width of the cleft lip defect and cleft defect of the secondary palate. Excess tissue at the lateral lip segment, as identified during the design of a cheiloplasty, can be used effectively as a muco-subdermoid tissue flap for the floor in the primary palate defect. The flap is pedicled at the buccal-lip-sulcus region, placed between the alveolar segments and connects at the secondary hard palate. Such a created mucosal layer in the anterior nasal floor also serves as a secure superior layer in supporting transplanted bone during secondary osteoplasty. After post-primary surgery, this layer avoids oro-nasal opening due to an effective secured flap between the primary palate and a reconstructed secondary hard palate. This subsequently leads during the paediatric growth phase and orthopaeddontic treatments to an advantage, which impacts the long-term. The combination of an essential obturpaedic and a precise primary surgical intervention significantly reduces the need of extensive secondary treatments, in aesthetic, functional and midfacial dysgnathial development during the paediatric growth and the post-orthopaeddontic periods.
Authors and Affiliations
Çağla Eroğlu1*, Rolanda Prinsloo2, Kurt-W Bütow3
Keywords
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- EP ID EP751724
- DOI https://doi.org/10.46889/JDHOR.2024.5309
- Views 31
- Downloads 0
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