Journal of Medicine
Vol. 2, No. 3 (2022): Issue 1
의학 저널
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44
DIFFERENTIAL APPROACH TO THE TREATMENT OF CHILDREN WITH
CLEFT LIP AND PALATE IN THE PERIOD OF NEONATAL
DEVELOPMENT
Makhkamova Nigora Ergashevna,
1
Makhkamov Mohir Ergashevich,
2
Baltabaev Olimjon
Kurbanbaevich,
2
Nabieva Jamila Malikovna,
3
Patkhiddinov Jaloliddin Sharofiddinovich
4
RESEARCH
Open Access
Abstract:
Bilateral cleft lip and palate is one of the most severe forms of malformations of the maxillofacial
region, which is associated with protrusion of the intermaxillary bone.
Preoperative orthodontic
preparation is necessary for successful primary single-stage cheiloplasty in early childhood.
The aim
of this study was to enhance the treatment of children with cleft lip and palate.
Methods.
We observed 24 children with unilateral and bilateral CLP in maternity clinics and in the
Department of Oral and Maxillofacial Surgery.
Prior to primary cheiloplasty,
a modified Lantham-type
orthodontic appliance was fixed and a partial osteotomy of the cochlea was performed at the same time.
The main distinguishing feature of the approach we performed was the partial osteotomy of the cecum.
It should be noted that we used miniscrews (up to 8-10 mm in length) in the intermaxillary bone
instead of the planned mouthpiece with hooks.
Results.
Before the surgical treatment, the orthodontic appliance is fixed with mini screws on the
lateral fragments of the upper jaw. Clinical and biometrical studies of the jaw models of 12 children with
unilateral and bilateral CLP in the preoperative period and in the postoperative period, normalisation of
the intermaxillary bone to lateral fragment ratio was observed in all patients.
Conclusion.
For a successful
early orthodontic preparation, a secure fixation
of the appliance is
essential. This shortens the treatment period, creates favourable conditions for primary cheilorinoplasty,
the course of the postoperative period, and prevents the development of secondary deformities of the
maxillofacial region, significantly reducing the rehabilitation period of bilateral CCLP patients with good
aesthetic results.
