Background: Orthognathic surgery has traditionally been performed using stone model surgery. This involves translating desired clinical movements of the maxilla and mandible into models that are then cut repositioned class I occlusion from which a splint is generated. Model an accurate reproducible method surgical correction dentofacial skeleton in cleft noncleft patients, albeit considerably time-consuming. With advent computed tomography scanning, 3D imaging virtual planning (VSP) have...

Background: Secondary alveolar cleft reconstruction using autologous iliac crest bone graft is currently the standard treatment for clefts. Although effective, harvesting may result in considerable donor-site morbidity, most commonly pain and potential long-term sensory disturbances. In an effort to decrease patient a novel technique recombinant human morphogenetic protein (rhBMP)-2 encased demineralized matrix scaffold was developed as alternative autografting secondary reconstruction....

Background: Alveolar cleft reconstruction using iliac crest bone graft is considered standard of care for children with complete lip and palate at the time mixed dentition. Harvesting may result in donor-site morbidity additional operating length hospitalization. Recombinant human morphogenetic protein (rhBMP)-2 a demineralized matrix an alternative source alveolar reconstruction. The authors investigated outcomes rhBMP-2/demineralized versus by reviewing postoperative surgical complications...

The American Medical Association (AMA) recommends patient education materials (PEMs) be written at or below a sixth grade reading level. This study seeks to determine the quality, readability, and content of available alveolar bone grafting (ABG) PEMs if artificial intelligence can improve PEM readability.

Orthognathic surgery represents a critical intervention within the continuum of care for patients with cleft lip and palate (CLP). Postoperative relapse is significant complication often necessitates reoperation. This study assesses risk factors reoperation due to following orthognathic surgery. A retrospective review was conducted CLP who underwent correction class III malocclusion between 2005 2024, excluding those under 6 months follow-up. Maxillary advancement techniques included...

To investigate how craniofacial syndromes influence surgical outcomes of mandibular distraction osteogenesis (MDO), in order to optimize perioperative care. Retrospective cohort. Single-center. The American College Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) database was queried for relevant Current Procedural Terminology (CPT) codes from 2012 2022. Patients with were identified using ICD-9 and ICD-10 codes. Mandibular osteogenesis. 30-day adverse...

Postoperative helmet therapy (PHT) is commonly utilized after endoscopic craniosynostosis repair to guide cranial reshaping and symmetry. Our institution routinely offers PHT patients undergoing open calvarial vault remodeling (CVR) with unicoronal lambdoid craniosynostosis. This study aims determine if effective in improving residual asymmetry CVR for or synostosis. Patients non-syndromic who underwent CVR+PHT between 2016 2023 were reviewed retrospectively. Suture types <4 cases...

Context Surgical management for severe obstructive sleep apnea has been tracheostomy, which significant morbidity. Objective To determine the efficacy of internal mandibular distraction in treating infants and neonates. Design Retrospective review medical records 29 patients who underwent secondary to micrognathia. Setting Nonprofit, academic, pediatric center. Patients A total with were studied. Nine included respiratory failure group requiring intubation prior surgery. The other 20...

Background: Recent studies indicate that recombinant human bone morphogenetic protein-2 (rhBMP-2) in a demineralized matrix scaffold is comparable alternative to iliac autograft the setting of secondary alveolar cleft repair. Postreconstruction occlusal radiographs demonstrate improved stock when rhBMP-2/demineralized (DBM) used but lack capacity evaluate growth three dimensions. This study uses cone beam computed tomography provide first clinical evaluation volumetric and density...

Background: The maxillary horizontal relapse following Le Fort I advancement has been estimated to be 10% 50%. This retrospective review examines the direct association between amounts of and relapse. We hypothesize that greater advancement, amount. Method: Patients with class III skeletal malocclusion underwent either a or simultaneous mandibular setback (bimaxillary surgery) from 2008 2015. were assessed for history cleft lip palate. known syndromes excluded. Cephalometric analysis was...

Cleft lip and/or palate affects approximately one in 700 live births. Optimal timing for repair of cleft has yet to be objectively validated. Earlier takes advantage a high degree plasticity within the nasal cartilage and maxilla. The authors present patients enrolled an early protocol facilitating effective nostril.American Society Anesthesiologists class I II with unilateral undergoing before 3 months age were over 5 years. Perioperative data, surgical anesthetic complications,...

Background Cleft lip (CL) is one of the most common congenital anomalies and has traditionally been repaired surgically when patient between 3 6 months age. However, recent single-institutional studies have demonstrated efficacy safety early CL repairs (ECLRs) during neonatal period. This study seeks to evaluate outcomes ECLR (repair <1 month) versus traditional repair (TLR) by comparing on a national scale. Methods The American College Surgeons National Surgical Quality Improvement...

Objective This study aims to compare patients’ speech correcting surgery and fistula rates between the Furlow Straight Line (SLR) palatoplasty techniques when combined with greater palatine flaps for complete bilateral cleft lip palate (BCLP) repair. Design was a single-center IRB approved retrospective cohort study. Setting took place at an urban tertiary academic center. Patients, Participants All patients BCLP anomalies that underwent repair January 2003 August 2022 were included....

Over the last 3 years a shift at our institution has taken place in which patients who would have been offered nasoalveolar molding (NAM) as an adjunct to cleft lip repair (repair after months) instead undergone early (ECLR) (2-5 weeks of life) without NAM. This study sought examine financial and social impact transition away from NAM ECLR. The efficacy is limited by patient compliance rigorous treatment schedule requiring weekly visits for appliance adjustments. Nasoalveolar required...

The purpose of this study was to compare the efficacy presurgical nasoalveolar molding in treating unilateral versus bilateral cleft lip–cleft palate patients.A blinded, retrospective conducted with 16 and 13 patients. Pretreatment posttreatment facial intraoral impressions were used soft- hard-tissue changes.Nasoalveolar therapy improves nasal angle (p = 0.010) 0.001) patients, nostril width 0.005) 0.028) Treatment significantly breadth only patients 0.005). Compared unilaterally affected...

Background: External filling ports in tissue expander–based reconstruction have the advantages of being associated with less pain and emotional distress. However, among practicing surgeons using expansion, a theoretical concern remains regarding higher risk infection. The authors’ goal was to evaluate external port safety pediatric population by looking at complications overall success rate reconstruction. Methods: A retrospective review all patients undergoing expansion Children’s Hospital...

Objective: To identify factors associated with late cleft repair at a US tertiary children’s hospital. Design: Retrospective study of children CL/P using Children’s Hospital Los Angeles (CHLA) records. Setting: Patients/Participants: Patients undergoing primary CL or CP CHLA from 2009 to 2018. Main Outcome Measures: Proportion who had delayed and American Cleft Palate-Craniofacial Association (ACPA) guidelines surgery. Results: In total, 805 patients—503 (62.5%) repair, 302 (37.5%)...

There are no approved medical therapies for the treatment of pediatric central giant cell granuloma (CGCG), a benign but potentially aggressive tumor jaw. Zoledronic acid (ZA), third-generation bisphosphonate, has been used in CGCG occurring adults. We describe 4 patients with treated ZA, 3 whom achieved resolution disease up to years follow-up. Our experience suggests that ZA may be considered as CGCG.