Biomedical subjects
Publications and source records attributed to M Brousilová.
During treatment of patients with clefts, reliable interdisciplinary collaboration of plastic surgeons and stomatologists-orthodontists is essential. The authors describe the principles and procedures of these disciplines that are linked and mutually interconnected. These have been elaborated on the basis of many years experience and have proven very satisfactory in the long-term care of patients.
The dental care in patients with facial clefts is discussed. In addition to the routine dental care these patients should be submitted to a long-term complex orthodontic therapy and in some of them is required a prosthesis or dental surgery.
In the repair of orofacial clefts can be used various techniques of bone transplantations. The authors describe the long term experience with untoward effects of primary bone grafts on the growth of the maxilla. They discuss the effects of a secondary bone graft consisting of a compact bone. This bone graft, however, does not eliminate the defect of the alveolar process. They prefer the technique of an autotransplantation of spongious bone grafts applied after the onset of puberty. This graft reconstructs he threshold of the nostril and the alveolar process. It exerted favorable effects on the development of the alveolar process and of the anterior segment of the maxilla.
From our data on 46 patients operated on by one surgeon in 1961 and 1962 who were regularly examined up to adulthood, it may be concluded that the growth results of the two-stage palatoplasty, when the second stage is done before the patient is 7 years of age, are almost identical to the results of one-stage palate repair performed at the age of 3 to 4 years. However, a greater orthodontic effort is needed to achieve a properly aligned dentoalveolar arch with the two-stage palatoplasty.
Explore the source record for details and available documents.
Roentgencephalometry was used in a study of 30 boys and 30 girls with isolated cleft palate prior to palatoplasty. Their ages ranged from 3.5 to 4.5 years. These patients were compared with a control series and with a group of 20 boys with unilateral cleft lip and palate, examined similarly prior to palatoplasty. The isolated cleft palate (CP) group showed four basic differences from the control group: a shortening of maxillary depth and mandibular length (body and ramus), a reduction of the posterior height of the upper face, and a marked widening of the nasal cavity. In contrast to the unilateral cleft lip and palate group the CP group failed to demonstrate a shortening of the anterior height of the upper face or an elongation of the lower face. There was also no indication of a posterior displacement of the upper jaw, of a dentoalveolar retroinclination of the maxilla, or of an increase of the interocular distance. The observed shortening of both jaws in the CP group might be of importance in understanding the pathogenesis of isolated cleft palate. Unilateral cleft lip and palate was not associated with a reduction of the depth of the upper jaw, although the observed shortening of the lower jaw and of the posterior height of the upper face and the widening of the nasal cavity were similar to those seen in isolated cleft palate.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.