Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto
ABSTRACT: Premaxilla repositioning in cases of bilateral cleft lip and palate (BCLP) by means of intraoral devices has been a controversial aspect in its treatment. This study presents a therapeutic proposal for early intraoral dynamic orthopedics for out community. The objective was to evaluate the...
- Autores:
-
Cerón Zapata, Ana María
López Palacio, Ana María
Cano Acosta, Alonso Enrique
Toro Herrera, Sergio Alejandro
Ramírez, Elizabeth
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2007
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/5674
- Acceso en línea:
- http://hdl.handle.net/10495/5674
- Palabra clave:
- Paladar hendido bilateral
Ortopedia prequirúrgica
Gingivoperiosteoplastia
Bilateral cleft lip and palate
Pre-surgical orthopedics
Gingival-periosteoplasty
- Rights
- openAccess
- License
- Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
| id |
UDEA2_576183ea83cba7fd083aa368e5b84875 |
|---|---|
| oai_identifier_str |
oai:bibliotecadigital.udea.edu.co:10495/5674 |
| network_acronym_str |
UDEA2 |
| network_name_str |
Repositorio UdeA |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| dc.title.alternative.spa.fl_str_mv |
Early rehabilitation of bilateral cleft lip and palate patients using an orthopaedic appliance and gingivo-periosteoplasty : pilot study |
| title |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| spellingShingle |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto Paladar hendido bilateral Ortopedia prequirúrgica Gingivoperiosteoplastia Bilateral cleft lip and palate Pre-surgical orthopedics Gingival-periosteoplasty |
| title_short |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| title_full |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| title_fullStr |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| title_full_unstemmed |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| title_sort |
Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio piloto |
| dc.creator.fl_str_mv |
Cerón Zapata, Ana María López Palacio, Ana María Cano Acosta, Alonso Enrique Toro Herrera, Sergio Alejandro Ramírez, Elizabeth |
| dc.contributor.author.none.fl_str_mv |
Cerón Zapata, Ana María López Palacio, Ana María Cano Acosta, Alonso Enrique Toro Herrera, Sergio Alejandro Ramírez, Elizabeth |
| dc.subject.none.fl_str_mv |
Paladar hendido bilateral Ortopedia prequirúrgica Gingivoperiosteoplastia Bilateral cleft lip and palate Pre-surgical orthopedics Gingival-periosteoplasty |
| topic |
Paladar hendido bilateral Ortopedia prequirúrgica Gingivoperiosteoplastia Bilateral cleft lip and palate Pre-surgical orthopedics Gingival-periosteoplasty |
| description |
ABSTRACT: Premaxilla repositioning in cases of bilateral cleft lip and palate (BCLP) by means of intraoral devices has been a controversial aspect in its treatment. This study presents a therapeutic proposal for early intraoral dynamic orthopedics for out community. The objective was to evaluate the results obtained by using a mucosa bony supported intra oral device along with gingiva-periostioplasty surgery as part of the initial lip closure in cases of complete BCLP. Methodology: 4 babies with complete BCLP, 20 weeks old were evaluated, 3 boys and 1 girl. Every patient received an intra oral mucosa bony supported device. After the orthopedic result, a primary rhino cheiloplasty and a gingival periostioplasty were performed. Models of the upper arch were compared before and after the orthopedic treatment with digital measurements that were then subjected to descriptive statistical analysis; bone formation was evaluated by means of computerized tomography 6 months after the gingival periostioplasty. Results: every patient achieved retraction of the maxilla and a satisfactorily alveolar alignment. There was bone formation in 3 of the 6 sites in which the gingival-periosteoplasty was performed. Conclusions: pre-surgical orthopedic treatment with an intraoral-appliance can successfully improve mal-alignment of the pre-maxilla in patients with bilateral cleft lip and palate, and allows bone formation when it is followed by gingival-periosteoplasty. This protocol represents a practical option for treatment in cases with protrusion of the pre-maxilla in our community. |
| publishDate |
2007 |
| dc.date.issued.none.fl_str_mv |
2007 |
| dc.date.accessioned.none.fl_str_mv |
2016-12-21T20:38:42Z |
| dc.date.available.none.fl_str_mv |
2016-12-21T20:38:42Z |
| dc.type.spa.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.hasversion.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
| dc.type.local.spa.fl_str_mv |
Artículo de investigación |
| format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| status_str |
publishedVersion |
| dc.identifier.citation.spa.fl_str_mv |
Cerón AM, López AM, Cano AE, Toro SA, Ramírez E. Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia: estudio piloto. Rev Fac Odontol Univ Antioq. 2007; 19(1): 90-99. |
| dc.identifier.issn.none.fl_str_mv |
0121-246X |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10495/5674 |
| dc.identifier.eissn.none.fl_str_mv |
2145-7670 |
| identifier_str_mv |
Cerón AM, López AM, Cano AE, Toro SA, Ramírez E. Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia: estudio piloto. Rev Fac Odontol Univ Antioq. 2007; 19(1): 90-99. 0121-246X 2145-7670 |
| url |
http://hdl.handle.net/10495/5674 |
| dc.language.iso.spa.fl_str_mv |
spa |
| language |
spa |
| dc.relation.ispartofjournalabbrev.spa.fl_str_mv |
Rev Fac Odontol Univ Antioq |
| dc.rights.*.fl_str_mv |
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO) |
| dc.rights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| dc.rights.uri.*.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/co/ |
| dc.rights.accessrights.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| dc.rights.creativecommons.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| rights_invalid_str_mv |
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO) https://creativecommons.org/licenses/by-nc-sa/2.5/co/ http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Universidad de Antioquia, Facultad de Odontología |
| dc.publisher.group.spa.fl_str_mv |
Salud Bucal y Bienestar |
| dc.publisher.place.spa.fl_str_mv |
Medellín, Colombia |
| institution |
Universidad de Antioquia |
| bitstream.url.fl_str_mv |
http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/1/CeronAna_2007_RehabilitacionLabioPaladarHendido.pdf http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/2/license_url http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/3/license_text http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/4/license_rdf http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/5/license.txt |
| bitstream.checksum.fl_str_mv |
266278dd17be38fd14dd65bc05f97d6b 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 8a4605be74aa9ea9d79846c1fba20a33 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional Universidad de Antioquia |
| repository.mail.fl_str_mv |
andres.perez@udea.edu.co |
| _version_ |
1812173183509331968 |
| spelling |
Cerón Zapata, Ana MaríaLópez Palacio, Ana MaríaCano Acosta, Alonso EnriqueToro Herrera, Sergio AlejandroRamírez, Elizabeth2016-12-21T20:38:42Z2016-12-21T20:38:42Z2007Cerón AM, López AM, Cano AE, Toro SA, Ramírez E. Rehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia: estudio piloto. Rev Fac Odontol Univ Antioq. 2007; 19(1): 90-99.0121-246Xhttp://hdl.handle.net/10495/56742145-7670ABSTRACT: Premaxilla repositioning in cases of bilateral cleft lip and palate (BCLP) by means of intraoral devices has been a controversial aspect in its treatment. This study presents a therapeutic proposal for early intraoral dynamic orthopedics for out community. The objective was to evaluate the results obtained by using a mucosa bony supported intra oral device along with gingiva-periostioplasty surgery as part of the initial lip closure in cases of complete BCLP. Methodology: 4 babies with complete BCLP, 20 weeks old were evaluated, 3 boys and 1 girl. Every patient received an intra oral mucosa bony supported device. After the orthopedic result, a primary rhino cheiloplasty and a gingival periostioplasty were performed. Models of the upper arch were compared before and after the orthopedic treatment with digital measurements that were then subjected to descriptive statistical analysis; bone formation was evaluated by means of computerized tomography 6 months after the gingival periostioplasty. Results: every patient achieved retraction of the maxilla and a satisfactorily alveolar alignment. There was bone formation in 3 of the 6 sites in which the gingival-periosteoplasty was performed. Conclusions: pre-surgical orthopedic treatment with an intraoral-appliance can successfully improve mal-alignment of the pre-maxilla in patients with bilateral cleft lip and palate, and allows bone formation when it is followed by gingival-periosteoplasty. This protocol represents a practical option for treatment in cases with protrusion of the pre-maxilla in our community.RESUMEN: La reposición de la premaxila en los casos de labio y paladar hendido bilateral (LPHB) por medio de dispositivos intraorales ha sido un aspecto controvertido en su tratamiento. En este estudio se presenta una propuesta terapéutica de ortopedia dinámica intraoral temprana para nuestra comunidad. El objetivo fue evaluar los resultados obtenidos por el uso de un dispositivo intraoral muco-óseo-soportado, acompañado de la cirugía de gingivoperiosteoplastia como parte del cierre primario del labio en los casos de LPHB completo. Métodos: se evaluaron 4 sujetos de 20 semanas de nacidos con LPHB completo, 3 hombres y una mujer. A todos los pacientes se les implantó un dispositivo intraoral muco-óseo-soportado. Después de obtener el resultado ortopédico se les realizó la gingivoperiosteoplastia y la rinoqueiloplastia primaria. Se compararon los modelos del arco maxilar, antes y después del tratamiento ortopédico mediante mediciones digitales a las cuales se les realizo análisis estadístico descriptivo y se evaluó la formación ósea con tomografías computarizadas, 6 meses después de realizada la gingivoperiosteoplastia. Resultados: en cada uno de los pacientes se logró una retracción de la premaxila y una alineación alveolar satisfactoria. Hubo formación ósea en 3 de los 6 sitios en los que se realizó la gingivoperiosteoplastia. Conclusiones: la ortopedia dinámica intraoral temprana con este tipo de dispositivo mejora la posición de la premaxila y de los segmentos laterales en los casos de LPHB y propicia la neoformación ósea en el sitio de la fisura cuando se acompaña de la gingivoperiosteoplastia. Los resultados sugieren que este dispositivo ortopédico intraoral es una opción terapéutica para pacientes con LPHB en nuestra comunidad.application/pdfspaUniversidad de Antioquia, Facultad de OdontologíaSalud Bucal y BienestarMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Paladar hendido bilateralOrtopedia prequirúrgicaGingivoperiosteoplastiaBilateral cleft lip and palatePre-surgical orthopedicsGingival-periosteoplastyRehabilitación temprana del paciente con labio y paladar hendido bilateral utilizando un dispositivo ortopédico y gingivoperiosteoplastia : estudio pilotoEarly rehabilitation of bilateral cleft lip and palate patients using an orthopaedic appliance and gingivo-periosteoplasty : pilot studyRev Fac Odontol Univ AntioqRevista Facultad de Odontología Universidad de Antioquia9099191ORIGINALCeronAna_2007_RehabilitacionLabioPaladarHendido.pdfCeronAna_2007_RehabilitacionLabioPaladarHendido.pdfArtículo de investigaciónapplication/pdf536168http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/1/CeronAna_2007_RehabilitacionLabioPaladarHendido.pdf266278dd17be38fd14dd65bc05f97d6bMD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/5674/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/5674oai:bibliotecadigital.udea.edu.co:10495/56742021-07-30 11:41:34.119Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |