The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022
Design of a Novel Orthodontic Appliance to Prevent Pedicle Trauma in Patients Undergoing Double-Opposing Buccal Flaps for Palatal Lengthening.
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Hill Sarah E, Ickow Ilana M, He Waverley, Buckley Rae A, Steinberg Jordan P
Аннотация
OBJECTIVE: To describe a novel orthodontic appliance to prevent pedicle trauma in patients undergoing double-opposing buccal flap surgery for secondary palatal lengthening.
DESIGN: Case series.
SETTING: Cleft and craniofacial clinic, Johns Hopkins Children's Center.
PATIENTS, PARTICIPANTS: Four patients undergoing double-opposing buccal flap surgery for repair of velopharyngeal insufficiency.
INTERVENTIONS: Patients were fitted with the device, which consists of a lower lingual holding arch with acrylic bite blocks.
MAIN OUTCOME MEASURE: Presence of pedicle trauma postsurgery and tolerability of the device.
RESULTS: The appliance was well tolerated in all 4 patients and no biting trauma to the pedicles was observed.
CONCLUSIONS: A reliable appliance has been developed to prevent biting trauma to the pedicles in patients undergoing double-opposing buccal flap surgery in the permanent dentition stage.
DESIGN: Case series.
SETTING: Cleft and craniofacial clinic, Johns Hopkins Children's Center.
PATIENTS, PARTICIPANTS: Four patients undergoing double-opposing buccal flap surgery for repair of velopharyngeal insufficiency.
INTERVENTIONS: Patients were fitted with the device, which consists of a lower lingual holding arch with acrylic bite blocks.
MAIN OUTCOME MEASURE: Presence of pedicle trauma postsurgery and tolerability of the device.
RESULTS: The appliance was well tolerated in all 4 patients and no biting trauma to the pedicles was observed.
CONCLUSIONS: A reliable appliance has been developed to prevent biting trauma to the pedicles in patients undergoing double-opposing buccal flap surgery in the permanent dentition stage.