12 -8 (58) 2023 — Sharopov S.G. — SECONDARY MAXILLARY DEFORMITIES IN PATIENTS WITH UNI- AND BILATERAL CLEFT LIP AND PALATE AFTER PRIMARY LIP AND PALATE SURGERIES
SECONDARY MAXILLARY DEFORMITIES IN PATIENTS WITH UNI- AND BILATERAL CLEFT LIP AND PALATE AFTER PRIMARY LIP AND PALATE SURGERIES
Sharopov S.G. Bukhara State Medical Institute named after Abu Ali ibn Sina
Resume
In this article, our goal was to determine the clinical and radiologic manifestations of secondary maxillary deformities in patients with uni- and bilateral clefts of the upper lip and palate after primary lip and palate surgeries. The study included 45 patients aged from 8 to 23 years with jaw deformities after cheilo- and uranoplasty. It was found that in patients with through unilateral cleft lip and palate who did not receive orodontic treatment after cheilo- and uranoplasty, typical clinical symptoms were defects of the nasal floor lining, rough scars in the upper lip area, caused by secondary healing, apparently related to the stitching of the wound edges, suturing the wound edges “on itself”, without taking into account the peculiarities of the location of muscle fibers along the cleft edges, and the technique of surgery – cutting wide triangular flaps, most often by the Z-plasty method, which led to the development of standard residual deformities that could have been avoided using linear methods of treatment.
First page
69
Last page
73
For citation: Sharopov S.G. – SECONDARY MAXILLARY DEFORMITIES IN PATIENTS WITH UNI- AND BILATERAL CLEFT LIP AND PALATE AFTER PRIMARY LIP AND PALATE SURGERIES //New Day in Medicine 2023 8(58): 69-73 https://newdaymedicine.com/index.php/2023/08/08/l-300/
LIST OF REFERENCES:
- Абдукадыров А. Клиника, диагностика и лечение взрослых больных с «синдромом длинного лица»: /Дис. …канд. мед. наук. – М., 1989;180.
- Амануллаев Р.А. Частота рождаемости детей с врожденной расщелиной верхней губы и неба в крупных регионах Узбекистана и Врожденная и наследственная патология головы, лица и шеи у детей // Актуальные вопросы комплексного лечения. – М., 2006;14-15.
- Функционально-эстетическая реабилитация больных с врожденными расщелинами лица: Материалы конф. – М., 2002;95-96.
- Битикенова Г.Б. Совершенствование методов комплексной реабилитации детей с врожденной расщелиной верхней губы и неба с периода новорожденности: /Автореф. дис. …канд. мед. наук. – Алма-Ата, 1995;19.
- Богатырьков Д.В., Оспанова Г.Б., Иванова Ю.А. Раннее лечение детей с мезиальной окклюзией // Ортодонтия. 2009;1(45):49.
- Shomurodov K.E. Peculiarities of cytokine balance in gingival fluid at odontogenicphlegmon of maxillofacial area // The doctor-aspirant. 2010;42(5.1):187-192.
- Isomov M.M., Shomurodov K.E. Peculiarities of rehabilitation of pregnant women with inflammatory diseases of maxillofacial area //International scientific-practical conference “Modern aspects of complex dental rehabilitation of patients with maxillofacial defects” May 21-22, 2020, Krasnodar. 2020;72-76.
- Дусмухамедов М.З. Комплексное лечение детей с врожденной расщелиной неба, прогнозирование и профилактика послеоперационных осложнений: /Дис. …д-ра мед. наук. – Ташкент, 2006;256.
- Мамедов Ад.А. Комплексная реабилитация больных с небно-глоточной недостаточностью и нарушением речи после уранопластики: /Автореф. дис. …д-ра мед. наук. – Екатеринбург, 1997;50.
- Махкамов М.Э. Дифференциальная лечебно-профилактическая тактика при лечении детей с врождённой расщелиной губы и нёба: /Дис. …д-ра мед. наук. – М., 2002;78-81.
- Byung Ch.Ch., Hee M.K. Distraction osteogenesis of the hypoplastic midface using a rigid external distraction system. The results of a one-to six year follow-up // Plast. Reconstr. Surg. – 2006;118:1201-1212.
- Chepik E.A., Topolniskiy O.Z., Tugarin V.A. et al. Rehabilitation techniques for patients with mesial occlusion // J. Cranio-maxillofac. Surg. 2008;36:102.
- Cheung L.K., Chua H.D. A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis // Int. J. Oral Maxillofac. Surg. 2006;35:14-24.
- Masato M. Microvascular Changes and Bone Formation after Autograft // Bul. Kanagawa Dental Coll. 2006;34(1):9-15.
- Minami K., Mori Y., Tae-Geon K. et al. Maxillary distraction osteogenesis in cleft lip and palate patients with skeletal anchorage // Cleft Palate Craniofac. J. 2007;44:137-141.
- Swennen G.R.J., Schutyser F., Hausamen J.E. Threedimensional cephalometry, a color atlas and manual. – N.Y.: Springer, 2005.
- Tesso S., Festa F., Tete S., Longhi V., M.D. Attilio Ghanges in head pasture after rapid maxillary expansion in mouth-breathing girls: a controlled study // Angle Orthod. 2005;75:171-174.
- Wangerin K. Our concept of intraoral distraction // Stomatologie. 2005;102(2):79-87.
- Weinberg S.M., Neiswanger K., Martin R.A., Mooney M.P. The Pittsburgh Oral- Facial Cleft Study: Expanding the Cleft Phenotype. Background and Justification // Cleft Palate Craniofac. J. 2006;43:7-20.