PRESURGICAL ORTHODONTIC THERAPY IN A NEWBORN WITH MEDIAN CLEFT LIP ACCOMPANIED BY HOLOPROSENCEPHALY AND AGENESIS OF THE PREMAXILLA

Julija Radojičić, Tatjana Čutović, Aleksandra Radojičić, Andrija Radojičić

DOI Number
https://doi.org/10.22190/FUMB230925005R
First page
014
Last page
020

Abstract


Surgical treatment protocols for rare types of clefts do not exist, especially when they are associated with severe anomalies of the brain and face. Surgical treatment of a newborn with holoprosencephaly, premaxillary agenesis and median cleft lip is a big challenge for the surgeon. The complete lack of bone in the nasal bones and premaxilla make surgical therapy almost impossible. The role of pre-surgical orthodontic therapy plays a major role in creating the conditions for surgical repair of cleft-damaged parts of the face.Case presentation. The paper presents presurgical orthodontic therapy in a newborn with a median cleft lip using the RBJ stimulator. Conclusion. The use of stimulators of a specific construction in the therapy of rare clefts is the method of choice.


Keywords

presurgical orthodontic therapy, newborn, holoprosencephaly, median cleft lip, complete lack of premaxilla

Full Text:

PDF

References


Dubourg C, Bendavid C, Pasquier L, Henry C, Odent S, David V. Holoprosencephaly. Orphanet J Rare Dis 2007; 2:8.

Turner L, Jacobsen C, Humenczuk M, Singhal VK, Moore D, Bell H. The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. Cleft Palate Craniofac J 2001; 38(5):519–24.

DeMyer W. Holoprosencephaly (cyclopia-arhinencephaly). In: Vinken PJ, Bruyn GW, Klawans HL, editors. Handbook of clinical neurology. Rev series, 6th ed. Amsterdam: Elsevier Science Publishers; 1987. p. 225–44.

Lewis AJ, Simon EM, Barkovich AJ, Clegg NJ, Delgado MR, Levey E, et al. Middle interhemispheric variant of holoprosencephaly: a distinct cliniconeuroradiologic subtype. Neurology 2002; 59(12):1860–5.

Simon EM, Hevner RF, Pinter JD, Clegg NJ, Delgado M, Kinsman SL, et al. The middle interhemispheric variant of holoprosencephaly. AJNR Am J Neuroradiol 2002; 23(1):151–6.

Hahn JS, Barnes PD, Clegg NJ, Stashinko EE. Septopreoptic holoprosencephaly: a mild subtype associated with midline craniofacial anomalies. AJNR Am J Neuroradiol 2010; 31(9):1596–601.

Gawrych E, Janiszewska-Olszowska J, Walecka A, Syryńska M, Chojnacka H. Lobar holoprosencephaly with a median cleft: case report. Cleft Palate Craniofac J 2009; 46(5):549–54.

Berkowitz S. The complete unilateral cleft lip and palate: serial three-dimensional studies of exellent palatal growth. In: Bardach J, Morris HL, editors. Multidisciplinary Management of Cleft Lip and Palate. Philadelphia: W.B. Saunders Company; 1990. p. 456–74.

Braumann B, Keilig L, Bourauel C, Jäger A. Three-dimensional analysis of morphological changes in the maxilla of patients with cleft lip and palate. Cleft Palate Craniofac J 2002; 39(1):1–11.

Seckel NG, van der Tweel I, Elema GA, Specken TF. Landmark positioning on maxilla of cleft lip and palate infant--a reality? Cleft Palate Craniofac J 1995; 32(5):434–41.

Kriens O. Data-objective diagnosis of infant cleft lip, alveolus, and palate. Morphologic data guiding understanding and treatment concepts. Cleft Palate Craniofac J 1991; 28(2):157–68.

Raam MS, Solomon BD, Muenke M. Holoprosencephaly: A Guide to diagnosis and clinical management. Indian Pediatr 2011; 48(6):457–66.

Radojicic J, Tanic T, Pesic Z, Jovic N, Cutovic T, Filipovic G. Rare disease: lobar holoprosencephaly with a median cleft lip-case report. Cleft Palate Craniofac J 2016; 53(1):109–17.

Acharya BS, Chen EA, Lewis RL, Teichgraeber JF, Lypka MA. A postsurgical obturator after cleft lip repair in patients with holoprosencephaly. Cleft Palate Craniofac J 2015; 52(4):480–3.

Berkowitz S. Neonatal maxillary orthopedics. In: Berkowitz S, editor. Cleft Lip and Palate Diagnosis and Management. 2nd ed. Berlin Heidelberg: Springer Verlag; 2006. p. 381–94.

Mulliken JB, Wu JK, Padwa BL. Repair of bilateral cleft lip: review, revisions, and reflections. J Craniofac Surg 2003; 14(5):609–20.

Kasten EF, Schmidt SP, Zickler CF, Berner E, Damian LA, Christian GM, et al. Team care of the patient with cleft lip and palate. Curr Probl Pediatr Adolesc Health Care 2008; 38(5):138–58.

Chalmers EV, McIntyre GT, Wang W, Gillgrass T, Martin CB, Mossey PA. Intraoral 3D scanning or dental Impressions for the assessment of dental arch relationships in cleft care: which is superior? Cleft Palate Craniofac J 2016; 53(5):568–77.

Chaudhari PK, Kharbanda OP. Intraoral 3D Scanning in Cleft Care. Cleft Palate Craniofac J 2017; 54(5):618.

Radojicic J. Cleft Care: Intraoral 3D Scanning. Cleft Palate Craniofac J 2018; 55(9):1330.




DOI: https://doi.org/10.22190/FUMB230925005R

Refbacks

  • There are currently no refbacks.


© University of Niš, Serbia
Creative Commons licence CC BY-NC-ND
ISSN 0354-4699 (Print)
ISSN 2406-050X (Online)