Management of the alveolar cleft

Pedro E Santiago; Lindsay A Schuster; Daniel Levy-Bercowski

doi:10.1016/j.cps.2014.01.001

Management of the alveolar cleft

Clin Plast Surg. 2014 Apr;41(2):219-32. doi: 10.1016/j.cps.2014.01.001.

Authors

Pedro E Santiago¹, Lindsay A Schuster², Daniel Levy-Bercowski³

Affiliations

¹ Division of Plastic Surgery, Duke University, Durham, NC, USA. Electronic address: pedro.santiago@duke.edu.
² Cleft-Craniofacial Orthodontics, University of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, USA; Children's Hospital of Pittsburgh, Faculty Pavillion, 7th Floor, Suite 7108, Pittsburgh, PA 15224, USA.
³ Craniofacial Orthodontics, Department of Orthodontics, Georgia Regents University, 1120 15th Street, Augusta, GA 30912, USA.

PMID: 24607190
DOI: 10.1016/j.cps.2014.01.001

Abstract

Orthopedic and orthodontic management of patients born with clefts of the lip, alveolus and palate is based on the application of basic biomechanical principles adapted to the individualized cleft anatomy. This article focuses on orthopedic and orthodontic preparation for 2 stages of interdisciplinary orthodontic/surgical cleft care: presurgical infant orthopedics (nasoalveolar molding) for lip/alveolus/nasal surgical repair and maxillary arch preparation for secondary alveolar bone grafting. These preparatory stages of orthopedic/orthodontic therapy are undertaken with the goal of restoring normal anatomic relationships to assist the surgeon in providing the best possible surgical care.

Keywords: Alveolar bone grafting; Alveolar cleft; Nasoalveolar molding; Presurgical infant orthopedics.

Publication types

Review

MeSH terms

Alveolar Process / abnormalities*
Alveolar Process / surgery
Alveolar Ridge Augmentation / methods
Cleft Lip / surgery*
Cleft Palate / surgery*
Humans
Nose / abnormalities
Nose / surgery
Orthodontics, Corrective / methods*
Orthopedic Procedures / methods*
Plastic Surgery Procedures / methods*
Preoperative Care