Dr. Chhajlani's Maxillofacial, Cleft and Facial Plastic Surgery Centre.
Department of Oral and Maxillofacial Surgery, Index Institute of Dental Sciences, Malwanchal University, Indore.
Curr Opin Otolaryngol Head Neck Surg. 2021 Aug 1;29(4):327-332. doi: 10.1097/MOO.0000000000000737.
Gingivoperiosteoplasty (GPP) and alveolar bone grafting (ABG) procedures have a vast history. There have been many publications regarding ABG and secondary ABG, with and without presurgical infant orthopedics (PSIO), in bilateral cleft lip and palate patients. There is little long-term data available describing results of both techniques.
The interdisciplinary approach to primary and secondary surgical procedures has proven to be beneficial for patients with bilateral cleft lip and palate. In the neonates, naso-alveolar molding (NAM) has been found to optimize the aesthetic outcome as well as re-approximating the arches to facilitate GPP. During the mixed dentition stage, arch preparation/expansion before the secondary ABG procedure improves arch morphology, restores the functional interarch relationship, and facilitates surgery.
This review aims to highlight the key points of both the procedures and why combining both procedures along with PSIO procedures such as NAM might be helpful for the patients in the long term.
目的综述：牙龈骨膜成形术（GPP）和牙槽骨移植术（ABG）有着悠久的历史。有许多关于 ABG 和二次 ABG 的出版物，涉及双侧唇腭裂患者是否进行术前正畸（PSIO），以及是否进行 PSIO。关于这两种技术的长期效果的数据很少。
最新发现：初级和二级手术的跨学科方法已被证明对双侧唇腭裂患者有益。在新生儿中，已经发现鼻牙槽塑形（NAM）可以优化美观效果，并重新接近弓，以利于 GPP。在混合牙列阶段，在进行二次 ABG 手术之前进行弓预备/扩张，可以改善弓形态，恢复功能的牙弓关系，并有助于手术。
总结：本综述旨在强调这两种手术的要点，以及为什么将这两种手术与 PSIO 手术（如 NAM）相结合，对患者的长期效果可能有帮助。
