Favorable Transverse Maxillary Development after Covering the Lateral Raw Surfaces with Buccal Fat Flaps in Modified Furlow Palatoplasty : A Three-Dimensional Imaging-Assisted Long-Term Comparative Outcome Study
Copyright © 2022 by the American Society of Plastic Surgeons..
BACKGROUND: The pedicled buccal fat flap has recently been applied to cover the lateral raw surfaces during palatoplasty as an attempt to mitigate scar-induced transverse maxillary constriction during growth, but with no formal long-term comparative analysis. This three-dimensional imaging-assisted study assessed its impact on posterior transverse maxillary development.
METHODS: Cone beam computed tomographic scans from patients with unilateral cleft lip, alveolus, and palate who received buccal fat flap (buccal fat group; n = 22) or Surgicel (Surgicel group; n = 32) for covering lateral raw surfaces during modified Furlow palatoplasty at 9 to 10 months of age and had reached the age of 9 years were retrieved for analysis. Patients with unilateral cleft lip and alveolus (nonpalatoplasty group; n = 24) were also included for comparison. Using three-dimensional maxillary image models, linear (U6T-MSP and U6J-MSP) and area measurements were calculated for cleft and noncleft posterior maxillary sides and for total posterior transverse maxillary dimension.
RESULTS: The buccal fat group had significantly (all p < 0.05) wider dimensions compared with the Surgicel group for all transverse maxillary measurements on both the cleft and noncleft sides, except for U6J-MSP and posterior palatal area parameters on the cleft side ( p > 0.05). The buccal fat group had significantly (all p < 0.05) wider total transverse maxillary dimensions compared with the Surgicel and nonpalatoplasty groups.
CONCLUSION: Covering the lateral raw surfaces with buccal fat flaps resulted in less posterior transverse maxillary constriction compared with the Surgicel-based covering procedure.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:150 |
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| Enthalten in: |
Plastic and reconstructive surgery - 150(2022), 2 vom: 01. Aug., Seite 396e-405e |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lo, Chi-Chin [VerfasserIn] |
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| Anmerkungen: |
Date Completed 29.07.2022 Date Revised 30.07.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1097/PRS.0000000000009353 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM342091050 |
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| 245 | 1 | 0 | |a Favorable Transverse Maxillary Development after Covering the Lateral Raw Surfaces with Buccal Fat Flaps in Modified Furlow Palatoplasty |b A Three-Dimensional Imaging-Assisted Long-Term Comparative Outcome Study |
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| 500 | |a Date Completed 29.07.2022 | ||
| 500 | |a Date Revised 30.07.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 by the American Society of Plastic Surgeons. | ||
| 520 | |a BACKGROUND: The pedicled buccal fat flap has recently been applied to cover the lateral raw surfaces during palatoplasty as an attempt to mitigate scar-induced transverse maxillary constriction during growth, but with no formal long-term comparative analysis. This three-dimensional imaging-assisted study assessed its impact on posterior transverse maxillary development | ||
| 520 | |a METHODS: Cone beam computed tomographic scans from patients with unilateral cleft lip, alveolus, and palate who received buccal fat flap (buccal fat group; n = 22) or Surgicel (Surgicel group; n = 32) for covering lateral raw surfaces during modified Furlow palatoplasty at 9 to 10 months of age and had reached the age of 9 years were retrieved for analysis. Patients with unilateral cleft lip and alveolus (nonpalatoplasty group; n = 24) were also included for comparison. Using three-dimensional maxillary image models, linear (U6T-MSP and U6J-MSP) and area measurements were calculated for cleft and noncleft posterior maxillary sides and for total posterior transverse maxillary dimension | ||
| 520 | |a RESULTS: The buccal fat group had significantly (all p < 0.05) wider dimensions compared with the Surgicel group for all transverse maxillary measurements on both the cleft and noncleft sides, except for U6J-MSP and posterior palatal area parameters on the cleft side ( p > 0.05). The buccal fat group had significantly (all p < 0.05) wider total transverse maxillary dimensions compared with the Surgicel and nonpalatoplasty groups | ||
| 520 | |a CONCLUSION: Covering the lateral raw surfaces with buccal fat flaps resulted in less posterior transverse maxillary constriction compared with the Surgicel-based covering procedure | ||
| 520 | |a CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Denadai, Rafael |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Hsiu-Hsia |e verfasserin |4 aut | |
| 700 | 1 | |a Pai, Betty Chien-Jung |e verfasserin |4 aut | |
| 700 | 1 | |a Chu, Yu-Ying |e verfasserin |4 aut | |
| 700 | 1 | |a Lo, Lun-Jou |e verfasserin |4 aut | |
| 700 | 1 | |a Chou, Pang-Yun |e verfasserin |4 aut | |
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