[Status of the dentition in patients with cheilognathopalatoschisis].
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Biomedical subjects
Publications and source records attributed to H J Hochstein.
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In patients with cheiloschisis, gnathoschisis, palatoschisis, and uranoschisis, who underwent plastic operations when between four and six years old, maxillary models were biometrically analyzed in the tenth and eleventh years of age. It has been found that the different choice of the time of reparative operation has no influence whatsoever upon maxillary development during childhood. This is of great practical importance especially from a phoniatric and logopedic point of view.
Model series of patients with cheiloschisis, gnathoschisis, and palatoschisis, who at the age of 4 to 6 had been undergoing surgical operations with simultaneous osteoplasty, were examined, at the age of 9 to 16, for the maxillary growth in length and width. Serving as a reference group were models of patients of a morphologically similar group where the operation for cleft palate had been performed by the same technique, but without additional osteoplasty. It was not possible to obtain statistical evidence for a negative influence of osteoplasty upon maxillary growth.
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The author, after outlining the problems associated with palatoplasty, gives a detailed description of present methods of operation for cleft palate and cleft velum palatinum. Experience gained in the treatment of six patients, where a pedunculated lingual flap was used to repair the oral defect, shows that this particular method is a valuable addition to the techniques already available to the surgeon.
The closure of residual perforations in the anterior region of the palate is often very difficult to achieve. Local graftings and also combined surgical methods show a recurrence rate of up to 12%. The tongue-flap technique is surely considerably more rational and less burdensome to the patient than a distant flap technique.
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