This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Leslie Bernstein,, MD, DDS

Arch Otolaryngol. 1972;96(5):395-399.

Abstract
Patients in a series of 45 complete clefts of the lip and palate had the lip and alveolar clefts repaired in infancy. These were compared with a control series of 263 similar clefts in which only the cleft of the lip was repaired in infancy. Both groups had the palatal clefts repaired at a mean age of 3 years and 1 month. Articulated dental casts, obtained from both groups at a mean age of 7 years, were studied to observe the articulation of the posterior dental segments.

The study showed a small increase in posterior crossbite malocclusion and a notably high incidence of collapse of the posterior dental arch in the group that had the alveolar cleft repaired at the time of the cleft lip repair.

The conclusions of this report are against early surgery on the alveolar cleft.

Author Affiliations
Iowa City

From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa Medical Center, Iowa City. Dr. Bernstein is presently with the Department of Otorhinolaryngology, University of California School of Medicine, Davis, Calif.

Footnotes
Accepted for publication March 31, 1972.

Read before the 25th annual scientific meeting of the American Society of Maxillofacial Surgeons, Miami Beach, Fla, March 29, 1971.

Reprint requests to Department of Otorhinolaryngology, University of California School of Medicine, Davis, Calif 95616 (Dr. Bernstein).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?