ANALYSIS OF THE RESULTS OF TREATMENT OF PATIENTS WITH BILATERAL CLEFT LIP AND PALATE

Abstract

It has been proven that after combined treatment, the incidence of relapses is high, which is up to 50% of cases [2,4,5,6].  Determining the tactics of treating patients with bilateral cleft lip and palate in different age periods needs in-depth study, taking into account the latest advances in science and practice.  According to the authors, the reasons for the occurrence of recurrences are an incomplete analysis of the existing deformity of the facial skull, poor fixation of osteotomized bone fragments, slowing down of their consolidation, impaired contact between antagonist teeth in the postoperative period, as well as a change in the degree of tension of the soft tissues and the characteristics of adaptation of the muscles of the maxillofacial region during  jaw movement.

 The most frequent complications are recurrence of reverse sagittal displacement of the jaws in 18% of those operated on, as well as complications in the form of death of the premaxillary bone [2,3].  Thus, the reasons for relapses are the lack of information for doctors in working with these pathologies, the lack of diagnostic tools, as well as the complexity of the deformity, which is difficult to correct by traditional methods.  A large number of corrective operations is due to the lack of a single algorithm in the approach to the treatment of patients with facial defects.

 Thus, for effective treatment of patients, further study of the development of deformities and their systematization into groups is required, taking into account the growth of the cranial and facial skeleton, which made it possible to formulate the purpose and objectives of the study.