Jaw Surgery In Cleft Palate Patient | Dr. Shreya Krishna | Cleft Upper Jaw Surgery | Cleft Lip скачать в хорошем качестве

Jaw Surgery In Cleft Palate Patient | Dr. Shreya Krishna | Cleft Upper Jaw Surgery | Cleft Lip

Jaw Surgery In Cleft Palate Patient | Dr. Shreya Krishna | Cleft Upper Jaw Surgery | Cleft Lip Cleft lip and palate patients often exhibit severe dentofacial deformities that necessitate orthognathic surgery. Orthognathic surgery in these patients generally includes not only maxillary advancement, but also sagittal, horizontal, and vertical movement of both jaws. Surgical planning and execution presents many difficulties, caused by the presence of extensive scar tissues from previous surgeries, tissue deficiencies, the difficulty of aligning multiple segments of bone and soft tissues. Other challenges in cleft patients are complications related to post-surgical airway, speech, velopharyngeal insufficiency, nerve damage, and infections. This review is focused on orthognathic surgery in cleft lip and palate patients, management, techniques, success, and complications. Preparation for orthognathic surgery In orthognathic surgery in cleft patients, there are some issues that need to be considered before surgery like velopharyngeal situation, speech problems, hearing problems, the situation of alveolar cleft gap, and dental problems. Speech pathologists play a critical role in terms of assessing speech and articulation problems and determine velopharyngeal function with nasal endoscopy before the surgery. The velopharyngeal sufficiency rarely remains the same after maxillary advancement surgery; more often, an insufficiency is created. Surgical correction of cross-bites and open-bites and the repair of cleft-dental gaps and residual oronasal fistulae usually alleviate articulation disorders. Prevention and treatment of tympanic infection as well as comprehensive preventive and restorative dental care have been provided during early childhood and adolescence. Oral hygiene maintenance may be more difficult in CLP patients than in routine orthodontic treatment patients. Soft tissues may have a more retentive morphology due to scarring from previous operations: shallow buccal sulci, sometimes buccal flaps with mucosa or gingivae covering teeth. Furthermore, because of poor dental esthetics, CLP patients do not like their teeth and smile and have low motivation. Long treatment times reduce motivation further. Orthodontic preparation presents various challenges not only in terms of planning but also in terms of implementation. It may be difficult for the orthodontist to work in a narrow space with low visibility, since the elasticity of lips is low, mouth opening is limited, and the upper jaw is small and retrognathic. All surgical management of maxillo-mandibular deformities usually requires prior adjustment of the dental arches over the maxillary and mandibular basal bones via orthodontic treatment. The “surgery-first” protocol rarely applies to CLP patients. A major dilemma during alignment is the decision on the management of the cleft alveolar region, where often the lateral teeth are missing. Surgical correction of septal and inferior respiratory pathologies is done only in severe obstructive sleep apnoea cases before orthognathic surgery, but rather scheduled to be performed simultaneously or consecutively. 🌍Website Link- https://www.facesurgeonindia.com -------------------------------------------------------------------------------------------------------------------------- Book a consultation with us- Call Us: +91 8056188062 Visit: www.facesurgeonindia.com Mail us: [email protected] WhatsApp- https://wa.me/8056188062 About Dr. Shreya Krishna : Dr. Shreya Krishna is one of the Best Oral and Maxillofacial Surgeon in Delhi, best plastic surgeon in delhi and best oral surgeon in delhi. SHe is expertise for jaw corrective surgery, facial surgery, orthognathic surgery. She is also best chin surgeon in Delhi. She is expert in jaw fracture treatment and orbit fracture treatment. She is the top Jawline Contouring Surgeon. Her core areas of expertise include Corrective Jaw repositioning Surgery using Computer-aided designing and planning, Scarless orbit fracture treatment, Cleft lip and Palate surgeries, Temporomandibular joint surgery, Facial Fracture management, and Oral cyst and tumour management. Dr. Shreya has latest technology for oral maxillofacial surgeries in Delhi. #jawsurgery #oralsurgeon #maxillofacialsurgeon