Unilateral cleft lip and nose repair; closed approach Dallas protocol completed patients.

Unilateral primary lip/nose repair, closed approach using the Dallas protocol presents step-by-step technique with 10 completed cases. Adjustments and corrections frequently used in the lip/nose repair are presented. A discussion of various techniques used today with their advantages and disadvantages is reviewed.

Sequential treatment of speech disorders in velocardiofacial syndrome patients: an 8-year retrospective evaluation.

Background: Speech disorders are the most common presentations of patients with velocardiofacial syndrome (VCFS) and are difficult to be treated with very good treatment outcome. The purpose of this study was to evaluate the clinical diagnosis and outcomes of sequential treatment of therapy for VCFS.

Methods: A retrospective study of 120 patients (ages ranged from 4.

Primary bilateral two-stage cleft lip/nose repair: part II.

The Dallas surgical protocol for primary bilateral cleft lip/nose repair depends on the anatomy of the deformity. In cases of asymmetric bilateral clefts, an extremely small prolabium (<6 mm in vertical high) or a displaced premaxilla, a 2-stage lip repair was performed. At the same time, assessment of the tissue available for the columella determined the approach to the nose.

Primary bilateral one-stage cleft lip/nose repair: 40-year Dallas experience: part I.

A 40-year experience with a proven protocol of repair for primary bilateral cleft lip/nose is presented. The Dallas surgical protocol for primary bilateral cleft lip/nose repair depends on the anatomy of the deformity. In cases of complete and partial bilaterally symmetric cleft lip, alveolus, and palate, 1-stage lip closure was performed at 3 months of age.

Reviewing the orthognathic surgical care of the patient with cleft lip and palate: the single surgeon experience.

Patients with cleft lip and palate are best treated in a multidisciplinary setting and benefit from being treated by experienced surgeons in high-volume centers. We present the evaluation of 103 consecutive patients with cleft lip and palate treated by a senior craniofacial surgeon. The results of orthognathic surgery in respect to function, stability, cosmesis, and complications are audited.

Characterization of the maxillary complex in unilateral cleft lip and palate using cone-beam computed tomography: a preliminary study.

Deficiencies in maxillary growth have often been implicated in suboptimal results of cleft lip and palate therapy. Cone-beam computed tomography provides an opportunity to look at the dimensions of the maxillary complex in three dimensions in a way that is not possible with lateral cephalograms or dental models. The purposes of this preliminary study were to outline a new set of 18 cone-beam computed tomographic measurements, apply them to 6 patients with unilateral cleft lip and palate (UCLP), and contrast them to a comparable sample of 7 normal young adults.

Long-term solutions for the delivery of craniofacial care in India and the developing world.

An international group of craniofacial surgeons was consulted to identify means of providing care of consistent quality to children with craniofacial anomalies in India and subsequently use this as a model for delivering craniofacial care to children in need throughout the developing world. Three senior craniofacial surgeons were selected from the Medical Advisory Board of the World Craniofacial Foundation to evaluate eligible centers in India. A subcommittee of 10 surgeons from the World Craniofacial Foundation Medical Advisory Board was formed to help develop summary recommendations based on this site visit.

Skeletal facial balance and harmony in the cleft patient: Principles and techniques in orthognathic surgery.

The management of the palatal cleft, dental arch, and subsequent maxillary form is a challenge for the craniomaxillofacial surgeon. The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate. This paper focuses on the experience of a recent series of 103 consecutive orthognathic cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach.

Utilization of three-dimensional computed tomography for craniofacial phenotypic analysis in children with velocardiofacial syndrome.

Objectives: To analyze variants of the craniofacial phenotypes in children with velocardiofacial syndrome (VCFS) and children with cleft palates with a new protocol of landmarks using a three-dimensional computed tomography (CT)-reconstructed model in a cross-sectional group experimental design.

Materials And Methods: We present a retrospectively reviewed case series of 21 patients with VCFS, verified by short-tandem repeat techniques, and 20 children with cleft palate with age- and sex-matched controls from the Craniofacial Cleft Department of Oral and Maxillofacial Surgery of the 9th Shanghai People's Hospital. The records during the period between January 2005 and December 2008 were analyzed.

Bone generation in the reconstruction of a critical size calvarial defect in an experimental model.

This study was designed to investigate the optimal combination of known osteogenic biomaterials with shape conforming struts to achieve calvarial vault reconstruction, using a canine model. Eighteen adolescent beagles were divided equally into 6 groups. A critical-size defect of 6 x 2 cm traversed the sagittal suture.

A novel method for measuring and monitoring monobloc distraction osteogenesis using three-dimensional computed tomography rendered images with the "biporion-dorsum sellae" plane. Part II: comparison of measurements before and after distraction.

The aim was to assess the stability of monobloc distraction osteogenesis using three-dimensional computed tomographic (CT) scan volume-rendered images with the "biporion-dorsum sellae" plane. This was a prospective study of patients undergoing monobloc internal distraction osteogenesis at the International Craniofacial Institute, Dallas, TX. Measurements were made of the perpendicular distance of 8 skeletal facial points to the static "biporion-dorsum sellae" plane.

Recombinant human BMP-2 enhances the effects of materials used for reconstruction of large cranial defects.

Purpose: Cranial defect reconstruction presents 2 challenges: induction of new bone formation, and providing structural support during the healing process. This study compares quantity and quality of new bone formation based on various materials and support frameworks.

Materials And Methods: Eighteen dogs underwent surgical removal of a significant portion of their cranial vault.

Bone generation in the reconstruction of a critical size calvarial defect in an experimental model.

Objective: This study was designed to investigate the optimal combination of known osteogenic biomaterials with shape conforming struts to achieve calvarial vault reconstruction, using a canine model.

Methods: Eighteen adolescent beagles were divided equally into 6 groups. A critical size defect of 6 x 2 cm traversed the sagittal suture.

Norian craniofacial repair system: compatibility with resorbable and nonresorbable plating materials.

Background: Choice of bone replacement materials is important when reconstructing large craniofacial defects. Hydroxyapatite cements are often used for such reconstructions. Recent advances in the development of these cements have produced locally applied, in situ hardening materials excellent for use in craniofacial defects.

Two-flap palatoplasty: 20-year experience and evolution of surgical technique.

Background: The two-flap palatoplasty was described more than 30 years ago, but there are few reports of long-term results using this technique. There are also very few long-term series of a single method of palatoplasty from a single surgeon.

Methods: The authors reviewed the technique of the two-flap palatoplasty, with emphasis on the senior author's (K.

Preoperative screening for coagulopathy using prothrombin time and partial thromboplastin time in patients requiring primary cranial vault remodeling.

Background: The aim of this study was to investigate the prevalence of abnormal preoperative screening prothrombin time and partial thromboplastin time in patients listed for primary cranial vault remodeling that required hematologic workup and their diagnoses and subsequent management.

Methods: This retrospective analysis was performed from January of 2000 to December of 2003 at the International Craniofacial Institute, Dallas, Texas, on a total of 168 patients.

Results: All patients had a normal prothrombin time.