A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla
Summary:. A severely protruding premaxilla in a patient with bilateral cleft lip and palate prevents functional closure of the orbicularis oris muscle and acceptable reconstruction of the nasolabial components during primary cheiloplasty. This is typically corrected with vomerine osteotomy and prema...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004653 |
| _version_ | 1797988248128061440 |
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| author | Kaylee Scott, MD Jack D. Sudduth, MD, MS Laurel Ormiston, MD Jessica L. Marquez, BA Lisa Jolly, DDS Rehan Zahid, MD Faizi Siddiqi, MD Duane Yamashiro, DDS Barbu Gociman, MD, PhD |
| author_facet | Kaylee Scott, MD Jack D. Sudduth, MD, MS Laurel Ormiston, MD Jessica L. Marquez, BA Lisa Jolly, DDS Rehan Zahid, MD Faizi Siddiqi, MD Duane Yamashiro, DDS Barbu Gociman, MD, PhD |
| author_sort | Kaylee Scott, MD |
| collection | DOAJ |
| description | Summary:. A severely protruding premaxilla in a patient with bilateral cleft lip and palate prevents functional closure of the orbicularis oris muscle and acceptable reconstruction of the nasolabial components during primary cheiloplasty. This is typically corrected with vomerine osteotomy and premaxillary setback, followed by cheiloplasty and rhinoplasty. Due to the risk of vascular compromise to the prolabium and premaxillary segment, the lip and nose repair is often staged after the vomerine osteotomy and premaxillary setback has healed. Stabilizing the premaxillary segment to allow adequate healing has been a topic of interest. Several methods have been described, but each is associated with varying degrees of compromise of the blood supply to the premaxilla. To combat this, the authors created a custom oral splint that effectively maintained the position of the premaxilla with minimal impingement of the blood supply. The authors present two cases in which a two-stage premaxillary setback with a custom-stabilizing oral splint was performed, followed by primary cheiloplasty and rhinoplasty in an age-appropriate and delayed presentation of bilateral cleft lip and palate and protruding premaxilla. |
| first_indexed | 2024-04-11T07:59:49Z |
| format | Article |
| id | doaj.art-fd519f2807d048e696617e80448374f7 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-11T07:59:49Z |
| publishDate | 2022-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-fd519f2807d048e696617e80448374f72022-12-22T04:35:47ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-11-011011e465310.1097/GOX.0000000000004653202211000-00015A Custom Stabilizing Splint for the Management of BLCP with Protruding PremaxillaKaylee Scott, MD0Jack D. Sudduth, MD, MS1Laurel Ormiston, MD2Jessica L. Marquez, BA3Lisa Jolly, DDS4Rehan Zahid, MD5Faizi Siddiqi, MD6Duane Yamashiro, DDS7Barbu Gociman, MD, PhD8From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.From the Department of Surgery, Division of Plastic Surgery, University of Utah Hospital, Salt Lake City, Utah.Summary:. A severely protruding premaxilla in a patient with bilateral cleft lip and palate prevents functional closure of the orbicularis oris muscle and acceptable reconstruction of the nasolabial components during primary cheiloplasty. This is typically corrected with vomerine osteotomy and premaxillary setback, followed by cheiloplasty and rhinoplasty. Due to the risk of vascular compromise to the prolabium and premaxillary segment, the lip and nose repair is often staged after the vomerine osteotomy and premaxillary setback has healed. Stabilizing the premaxillary segment to allow adequate healing has been a topic of interest. Several methods have been described, but each is associated with varying degrees of compromise of the blood supply to the premaxilla. To combat this, the authors created a custom oral splint that effectively maintained the position of the premaxilla with minimal impingement of the blood supply. The authors present two cases in which a two-stage premaxillary setback with a custom-stabilizing oral splint was performed, followed by primary cheiloplasty and rhinoplasty in an age-appropriate and delayed presentation of bilateral cleft lip and palate and protruding premaxilla.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004653 |
| spellingShingle | Kaylee Scott, MD Jack D. Sudduth, MD, MS Laurel Ormiston, MD Jessica L. Marquez, BA Lisa Jolly, DDS Rehan Zahid, MD Faizi Siddiqi, MD Duane Yamashiro, DDS Barbu Gociman, MD, PhD A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla Plastic and Reconstructive Surgery, Global Open |
| title | A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla |
| title_full | A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla |
| title_fullStr | A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla |
| title_full_unstemmed | A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla |
| title_short | A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla |
| title_sort | custom stabilizing splint for the management of blcp with protruding premaxilla |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004653 |
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