Journal article
A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla
Plastic and reconstructive surgery. Global open, Vol.10(11), pp.E4653-e4653
11/01/2022
DOI: 10.1097/GOX.0000000000004653
PMCID: PMC9640305
PMID: 36381491
Abstract
A severely protruding premaxilla in a patient with bilateral cleft lip and palate prevents functional closure of the orbicularis oris muscle and acceptable reconstruction of the nasolabial components during primary cheiloplasty. This is typically corrected with vomerine osteotomy and premaxillary setback, followed by cheiloplasty and rhinoplasty. Due to the risk of vascular compromise to the prolabium and premaxillary segment, the lip and nose repair is often staged after the vomerine osteotomy and premaxillary setback has healed. Stabilizing the premaxillary segment to allow adequate healing has been a topic of interest. Several methods have been described, but each is associated with varying degrees of compromise of the blood supply to the premaxilla. To combat this, the authors created a custom oral splint that effectively maintained the position of the premaxilla with minimal impingement of the blood supply. The authors present two cases in which a two-stage premaxillary setback with a custom-stabilizing oral splint was performed, followed by primary cheiloplasty and rhinoplasty in an age-appropriate and delayed presentation of bilateral cleft lip and palate and protruding premaxilla.
Details
- Title: Subtitle
- A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla
- Creators
- Kaylee Scott - University of Utah HospitalJack D. Sudduth - University of Utah HospitalLaurel Ormiston - University of Utah HospitalJessica L. Marquez - University of Utah HospitalLisa Jolly - University of Utah HospitalRehan Zahid - University of Utah HospitalFaizi Siddiqi - University of Utah HospitalDuane Yamashiro - University of Utah HospitalBarbu Gociman - University of Utah Hospital
- Resource Type
- Journal article
- Publication Details
- Plastic and reconstructive surgery. Global open, Vol.10(11), pp.E4653-e4653
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/GOX.0000000000004653
- PMID
- 36381491
- PMCID
- PMC9640305
- ISSN
- 2169-7574
- eISSN
- 2169-7574
- Language
- English
- Date published
- 11/01/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984701545502771
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