11. Uranoplasty, Bone Flap and Osteotomies 203

11
URANOPLASTY
AND
OSTEOTOMIES
URANOPLASTY
FIRST
HAD BEEN LIMITED
OPERATIONS
VELUM
UNTIL
OR CLOSURE OF THE
TRANSLATED
SEVERAL
SCHMID
BY
HOWEVER
OF
MARGINS
VELUM
THE
CURVED LINE FROM THE POSTERIOR
TO THE CLEFT AFTER
BLOOD SUPPL
CLOSURE
FROM
OF THE
NATURE AFREI
ITS
SUCCESSFUL
IN
BE POSSIBLE
BY AN OPERA
THE
SOFT
AN ANTERIOR DIRECTION
MEDIAL
THE
COVER
CLEFT
IN
CLOSE
UP
MARGINS WOULD HAVE TO BE
THE BONE WOULD HAVE AN ADEQUATE
ONE COULD ALSO EXPECT
IF
SOME
ONE PROVIDED
OF THE PALATE WOULD
SUTUIE
HEALING
COVER OF THE
SOFT
SAW ALONG THE ALVEOLAT PIOCESS
PARTICULARLY
CARRIED
FINALLY
DEMONSTRATING
THAT
TENDED THROUGH THE
HIS
THROUGH THE
OUT
LATER
TO
HELP
HAVE TO BE
STILL
BONE WITH
THE
INCISIONS
BONE WITH
MIDLINE
URANOPLASTY
COULD BE
MOVEMENT
FIRST
ALONG THE
THEN HE
PASSED
THICK
SOFT
ENDS ACROSS THE
WERE THEN
LINE
SILVER
CLEFT
OF HIS
USUAL
RELAXING
EX
OF BOTH
HE PUNCHED
THREECORNERED AWL ON EACH
POSITION
MUCOSAL INCISIONS
OSTEAL
PROPOSED
MUCOSAL
UNDERLYING
STRATEGIC
THE
HIS
LATERAL
MUCOSA AND BONE TOWARD
203
18
OUT
DIEFFENBACH
JOINED
FOR
OPERATION
THOUGHTS IN
INCISING
ARRACHRNENR
SUPELIOR
OPENING
LAREIAL
HIS
OF THE
THE BONES TO ONE ANOTHER AND
AFTER
GOLD OR LEAD WIIE
BY
TOGETHER
MALGIN
THE FRESHENED
THIS
HIS
MIGHT
IT
BONES WOULD HAVE TO BE CUT WITH
PALATINE
CARRIED
HARD PALATE
THE BONE OF THE PALATE TO APPROXIMATE
ALSO THE
PULLED
INTRODUCED
DOSE THE BONY GAP WITH THE
ATTEMPTS TO SUTGICALLY
NON ON
CLEFTS
TO SINGLE
ARE OF INTEREST
HAVE BEEN UNSUCCESSFUL
PALATE
THUS
WHEN DIEFFENBACH
1827
URANOPLASTY
AS
BONE FLAP
HOLE
SIDE
AT
INCISION
WIRE THROUGH THESE TWO HOLES
AND BEGAN TWISTING
MADE ALONG
THE LINE
HIS
LATERAL
WHERE THE PALATE
JOHAN
DIEFFENBACH
BONE MEETS
SMOOTH THIN
THE ALVEOLUS
CONCAVE
TO CHOP THROUGH THE BONE ALONG THIS
LINE
THE
EDGES OF THE BONY
ARE THEN TWISTED
WIRES
EACH
OTHER
NOT
WURZER
BOTH USED
IT
OR TOGETHER
LITTLE
IF HE DID
AGAIN
BEING
INTO
BILLROTH
ACT
WITH
OSTEAL
ATTACHED
NEW
WITH
1873
IN
THE
1850
COMBINED
AND HIS
1861
IN
BILATERAL
TO
UNILATERAL
FOR
OF THE
PROCEDURE
WILLIAM
SIR
VIGOR
IN
URANOPLASRY
TO ONE SIDE
WAS DISCOUNTING
BUT
PRACTICED
THE
GERMAN
AND WAS CONTRAINDICATED
VOMER WAS
THE
DONE
FROM TIME TO TIME
AGAIN
PROCEDURE SHOULD BE LIMITED
THE
APPROACH
ANOTHER GERMAN VON LANGEN
1857
IN
TOO HAPPY
CLEFTS
LIPJAWPALATE
BY 1868
CLEFT
CAN HE GENERALLY
ALONE
FIRST
EXPLAINED
TYPE OF OSTEAL URANOPLASTY LOEWENHARDT
THIS
OUT THAT
WHICH
DIEFFENBACH
AND BUEHRING
1834
IN
SWISS
BECK ALTHOUGH NOT
IN
THE
SUCCEED HE TWISTED
FIRST
WITH STAPHYLORRHAPHY
POINTED
THE
TILL
WAS USED
CHISEL
CLEFTS
DEFECT
NO LONGER
AS
FERGUSSON CAME BACK
OSTEOTOME
SPECIAL
FCRGUSSON
IIC
INCH
MODIFIED
DIEFFENBACHS
FROM THE
URANOPLASTY
BECAME
HORDET
SIR
TILTEJ
THE
THAT
PINDING
SHOEMAKCRS AXX
1874
OF
MADE
SOFT
PCRFOI ARIONS
AND
PALATE
FRAGMENTS
FLAPS
LHQ TSICJI
TI
THIN
XX
LHE
FLAPS
THE HONE WITH
IN
TOGETHER
OSREAL
THEM 025
PLACING
CHFL
USING
BONX
HOLD THE BONE
HE COMBINED
NEISIONS
CLEFT
THE
WILLIAM
TO
SIDE
XX
ITH
SUTURES IN
MANOPLASRN
ONE
IN
OPERATION
MASON IMPROVED
FRANCIS
HOLES ALONG THE LINE
DESTINED
OF
CHISEL
ING
AS MASON EXPLAINED
THE
THE PIOCEDURE
PERFORATED
1900S
DID
OSREAL
FOR
ONFI
XX
AND
SIMPLE
POSTAGE
THEN WITH
DIVISION
WAS ACHIEVED
MA
ITHOUT
XX
NOR BE INAPRLX
THE TAP
SPLINTER
WMPARED
TU
RL
STAMP
FROM PHILADELPHIA
TWO GENTLEMEN
OSTEAL
BONE
URANOPLASTY
EXTREMELY
EDGES OF
EVIDENTL
BOTH
IS
ON FERGUSSONS METHOD BY BORING AWL
URANOPLASRIES
SURGEONS
XX
IN
ERE
BROWN OF MILWAUKEE AND
THE
USING
LATE
THE
ROE AND MEARS
1800S
BONE
DAX
PY
FLAP
IS
THE
EARLS
METHOD
OF PHILADEL
THIS
PHIA
OPERATION HAS INDEED ENJOYED
HANDED DOWN ALMOST
BEEN
HAVING
TEACHER EACH OF
WHOM BEING
ALWAYS GAVE DUE
CREDIT
TO
RATHER DISCREET
FROM
SELECTIVELY
OF THE
GENTLEMAN
LINEAGE
TEACHER
OLD
TO
SCHOOL
MENTOR
HIS
BROWN
IN
GEORGE VAN
CHILDRCNS
METHOD
THIS
CONSISTS
WITH
1FEARS
AND
FORCEPS
SUCH
IN
WIRING
BEHIND
MANNER
TO
AS
TO BRING THE SOFT PARTS ROGERHET
BY FCRGUSSON AND EARNESTLY ADN OCATED
DEVISED
AS
OF MILWAUKEE
BONES FROM
THROUGH RHE PALATE
SAWING
THE BONE FRAGMENTS SUFFICIENRL
APPIOXIMATE
IT
IN
MD
AND
WROTE
HOSPITAL
FORWARD FRACTUIING
DDS
BROWN
INGEN
FREE
AND ALAFORMATIONS
THE SURGERY OF ORAL DISEASE
BOOK
1918
HIS
FOR YEARS BY
MG
OF PHILADELPHIA
BROWN WAS
BY 1922
NERVE AND
THE
SERVED
HE
INFLEXIBILITY
CONSIDERED
CCRTALN OF SUCCESS
MORE
AND
SUPPLY
MUSCLES WHICH USUALLY
OF
SEVERING
BLOOD
METHOD
THIS
USING
BONE
THE
DID
AND TAUGHT
TO HIS
IT
PRE
THE
SHORTENING
AND
METHOD
FLAP
IT
REQUIRE
NOT
WITH
HEALED
THAT
PLEASED
CLOQ
BIOUN
AND
SIMPLER
STUDENTS
OP
OLNCN
13
NS REACHING
I3IOX
WYNN
DR
BINI
FLY SLOP OF
IN
USED
WYNN
1973
MILWAUKEE
MARQUETTE UNIVERSIT
HC BONE
FLAP
AND
WHEN HE
CRC DOING
ON PALATES
SCCONCLARN SURGERY
CONSIDERABLE
BEFOME
THE
FOR SPEECH
AMOUNT
NILIIC
AS LESS
OT
HEAMD
THAN
ABOUT
5CR
RLL
THE
OF HIS BONE
HE
IRNPMO EMENT
CHARM WORK IN
OF TITLE
IT
TO
ON
SIDNEY
RECALLED
HYSLOP WAS ONE OF THE BEST INN AORAL PLASTIC
CONSIDERABLY
TAUGHT
CARRIED
TIIC
MEN
EVER
KNEW
IT
GALLED
SECONDARY SURGERY
FLAP
CASES
EN
HAD
WAS VCMY KINDLY
PEOPLE
TO
ARID
HA
DID
DAYS OF TVME HOUSE CASE AND CLINIC
AND MEDICARE
0NO JJ
WARREN
DAVIS
UF
PHILADELPHIA
NAMED LANMIELONGUE
IN
1928
JDROPOSED IN
ADVOCATED
1877
THE
WHT
COMBINA
LOP
OF OSTEAL URANOPLASTY
TION
BILATERAL
BUT IN
FREE
THE
OF THE JAW AND PALATE
CLEFTS
PLASTY
UNILATERAL
OF THE
SIDE
WHICH WAS
CASE THE RESULTANT
AND
PALATE
FLAPS
HE USED THE
MUCOPERIOSTEAL
CONNECTION WITH THE
IN
WERE HELD TOGETHER BY
IVARRE
FROM
FLAP
FROM THE
FLAP
VOMER
IN
EITHER
SURROUNDING TAPE
ROE
WARIEN DAVIS ACKNOWLEDGED THAT WILLIAMJ
BONE
URANO
OSTEAL
HE USED AN OSTEOMUCOSAL
CLEFTS
SIDE
OPPOSITE
AND THE VON LANGENBECK PROCEDURE IN
TAUGHT HIM
THE
METHOD
FLAP
DAZ
IJ
PEER
IN
AND RESEARCHER LYNDON PEER REMINISCED
SCHOLAR
1964
WHEN ARREN
BACK
AND STRAATSMA
KITLOWSKI
MOLNING DAVIS
AND
ATIONS
PEER
USED
THIS
VISIT
TO
AND
CASES
FROM THEN ON
OPERATION
AN EXCEPTIONAL
REESE
STAGE
IN
AS
IN
RST
GAVE
CARRIED OUT
THE
IN
WHITE
STARCHED
HIS
OF
AND THE
INITIAL
FRACTURED
CHISEL
AT
THE
IN
ITH
DESCRIPTION
THE
FIRST
CUT ALONG THIS
SECOND STAGE
LINE
THE
WITH
COULD COMPLETE THE
AS
HAGERT
OF
FIRST
TWENTY MINUTES
IN
THIS
AN INCISION
LATERAL
COAT AND
WHOWITH JOHN FDERMARORNE
SECOND STAGE
NEW JEISEY
THAT
PEER RECALLED DAVIS
AND SOME ADRENALIN
MUCOPERIOSREUM
MUCOSA
PALATE OPERATOR
TWO WEEKS APART
ALVEOLUS
206
CLEFT
MINUTES
PEER
1954
COLLITO
SKILLFUL
ASSISTANT
THREE
RESULTS
SPEECH
ST BARNABAS MEDICAL
AT
RESONANT AND CAREFULLY MODULATED VOICE
HIS
OPER
STAGE PALATE
THE
THE
DURING
HOSPITAL
TXX
DAVIS
APPEARANCE AND FUNCTION WEIE SO IMPLESSIVE
ORANGE NEW JERSEY
CENTER IN
JEFFERSON
ONE
YEARS
ALONG WITH STAIGE
AFTERNOON PIESENTED
THE
IN
HIM
INVITED
PERFORMED SC EN
AND THE PALATAL
IS
DAVIS
25
PALATE
DIVIDING
BON
HOFFMEISTER
TWOSTAGE
AND
METHOD
WAS MADE THROUGH
AT
THE
BASE
OF THE
THE BONE AND NASAL
PALATAL
SHELVES
TOWARD EACH OTHER AND THE MUCOSA OF THIN
CLEFT
WERE
EDGES
WAS
THE
SO
SPLIT
SUTURES PASSED
THAT THIS
BECK
THROUGH
FISTULA
THE ANTERIOR
HALVES
OPERATION
COULD BE
HOLES IN
DRILL
WAS CLOSED
THE
THIRD
AT
BONE
20
WITH
APPROXIMATED
IN
COMPLETE
OPERATION
SILK
CLEFTS
PEER BELIEVED
PRODUCED BETTER SPEECH THAN THE VON
LANGEN
METHOD
VT
VT
5A
PEERS CONCLUSIONS
CASES
DID
NOT
ACKNO
IN
I5
LEDGE
FROM
HIS
DELETERIOUS
STUDY
OF 133
ON
EFFECTS
BONE
THE MAXILLA
FLAP
HE
IEPORTED
NO
FTSTULAE
MAJORITY
IN
CASES
OF PATIENTS
ANTEROPOSTERIOR
DERDEVELOPMENT
SMALLER
113
GROWTH OF
20
MINOR
MAXILLA
RETARDATION
ASSOCIATED
IN
WITH
THE
UN
THE
PUSHEDIN
MAXILLA
FACES
WITH
SLIGHT
HUT OVERDEVELOPMENT
OF
MANDIBLE
PEER CONSIDERED
AT
THE
PERCENTAGE WITH
CROWDING AND
NOT
VERY
OF THE MANDIBLE
UNDERDEVNPMENR OF
THE
WITH
RELATED
SURGERY
CROSSBITE
THESE DEFORMITIES
TO SUIGICAL
TRAUMA
THE
TYPICAL
BONE
OF THE
FLAP
CLEFT
OPESATION
PALATE
AND
OR THE AGE
TEN
ADVOCATED
STILL
PATIENTS
TO
WHOSE
AND
70
WHO DID
NOT RESPOND
SOFT
FULLTHICKNESS
EVEN BETTER VELOPHARYNGEAL
IF
MORAN TYPE
OF THE
PERCENT
BASED PHARYNGEAL
SUPERIORLY
WAS ADDED
FLAP
IN
PEER REVIEWED
1971
WHAT
DUPLICATES
NOT ONI
TOGETHER
MENT
IN
FILLS
THE
SHOULD HAN
NATURE
BONY UNION
IS
LATERAL
ENDED UP WITH
DEMJEN
BONE
THE
EM
BONE FLAP
FLAP
WITH
FOR
HAVE
THAT IF HE STARTED WITH
UF
CASES
HE
SHORT PALATE
AND HE COULD NOT COMPARE
WARDILL
OR THE
BONES
BUT BONE TEPLACE
LIUIIDRCDS
III
SEEII
THE
BY MOVING
ACROSS THE CLEFT
VON LANGENBECK
THE
HAD NO EXPERIENCE
STEFAN
ACHIEVED
SHORT PALATE
METHOD WITH
DONE
WHICH
GAPS
HE ADMITTED HOWEVER
FLAP
ADVANTAGES OF THE
THE
THAT
PHASIZING
YLA
WITH
WERE SHORT
PALATES
FOR LENGTHENING
CLOSURE WAS REQUIRED
IT
METHOD
FLAP
SPEECH THERAPY FOR THOSE
WAS USED
PALATE
BONE
THE
REQUIRING
THERAPY
PEERS REPORT WITH WALKER AND MEIJER
1964
IN
YEARS LATER
HIS
AS
BONE
HE HAD
EITHER
OF BRATISLAVA
OPERATION
OBSERVED
CARRIED
OUT
RESULTS
TO
IN
10
NEW JERSEY
YEARS
OF
BEFORE
BY
LYNDON PEER AND REPORTED
THE
SPEECH
NO
1O
RCSULRS ARC COMPAIABLE
DISTUIHAUCC
IN
NIIXILLAO
METHODS PRESENTLN USED THEIC
TO ORHET
GI
OV
IS
RH
HAG ERTY
BOB HAGERT
STUDENT OF PEER AND ONE OF THE
OF CHARLESTON
ORIGINAL
AUTHORS OF THE EARL
USES THE
BONE
PATIENTS
14
BONE
TECHNIQUE
FLAP
IN
WIDE
GROWTH IS
THE
LACK FROM
SEEN BUT FEELS
CLEFT
ORIGINAL
CONCERN OVER THE
ILL
CLEFTS
ADMITS
AND 15 YEARS OF AGE 1IC
OF MAXILLARY
EFFECTS
WORK SAYS
FLAP
OF DISSECTING
BONE THAN OVER OSTEOTOMIES AND
AND USUALLY
THAT
IN
HE
OLDER
SOME SHORTENING
THAT
COULD BE INHERENT
THAT THIS
DEFORMITY
TODAY
EXPRESSES
MORE
MUCOPERIOSTEUM
OFF THE
HAGERT
FRACTURING
OF THE MAXILLAC
CLODIUS
IN
THE 1964
CLEFT
NHUV
LIP
INTERNATIONAL
AND PALATE
HELD
AND SURGEON LEO CLODIUS
208
SYMPOSIUM
AT
THE
STATED
ON
UNIVERSITY
HIS
THE EARLY
TREATMENT
OF ZURICH
PREFERENCE
FOR THE
OF
HISTORNN
BONE
FLAP
METHOD
NEW JERSEY
THE
AND REPRESENTING
MONTH
20TH
AND
NASAL
ADX OCARED
AS
POSRERO LARERALB
AR THE SECOND STAGE THE
THE
THE
FOI
PERFORMED
IS
OF
ADVANTAGES
FLAPS
NASAL
CAREFULLY SO AS NOT TO DISRUIB
THE
ARE UNITED
FIRST
ICLAXARION
OF COURSE
BUDS
THE TOOTH
WITH
INCISIONS
PALARAL CLOSURE
CLOSURE
THREELAYER
MEMBRANE MUSCLE AND BONE AND
WHICH
ORAL
BE CARRIED
MUST
ARE AS FOLLOV
THERE
EDGE
SCAR CONTRACRURES
ANREROPOSRERIOR
EASY
CALLY
SHORT
DURING
PLASR
SOFT
AND NO RAW SURFACES
UNDISRUIBED
LEFT
IS
SOLID
PALATE
DEFECTS ARE WELL HEALED
AT
OF THESE
THERAPY MANN
THE
SECOND STAGE MAN
BONY
10
FOR
VELAR RIGIDITY
PRODUCING
VAULT
PALATE
70
DAN
MINOR
RESULT
LENGTHEN
RESULTS
TO
LEADING
THE
OF OUI
OUT
MINIMAL
IS
DENUDING OF BONE THE SOFT PALATE MUSCLE ATTACHMENT TO THE POSRERIOI
PALATAL
THE
BILATERAL
PRODUCES
THE MIDLINE
IS
OPERATION
PALARAL PROCESSES
BY EXTENDING
IN
RECHNK
NARROW THIS
VERY
ERNST TO ENSURE RENSIONLESS
METHOD
THIS
IS
ARCH THIS
PALATAL
DETERMINED
IS
LENGTH
CLEFT
DELAYED SEERING
THE
OUT BETWEEN THE
THE BONEFLAP
STARTED
IS
CARRIED
WEEKS APART AT THE
MUCOUS MEMBRANE FROM
FLAPS THEIR
PEDICLE
AIC
IS
PALATE
USED UNLESS THE
IS
OSTEAL FLAPS
MUCOPELIOSTEAL
SOFT
SPEECH
CARRIED OUR
TWOSTAGE PROCEDUIE
THE
BEFORE
BY DIEFFENBACH
ORIGINATED
NEWARK
IN
BRANCH OF THE PEER PART OF
SWISS
AND THE
OF THE PALATAL SHELVES
CLOSURE
PEER
COMMENTED
HE
TREE
12TH
STUDENT UNDER LYNDON
PREVIOUSLY
BONY
POSSIBLE
TECHNI
CONGENITALLY
RESULTING
LATERAL
ARE GIVEN
SPEECH
DETECTS
SPEECH
WYNN
DESCENDANT
OF THE
THEM
SIDNEY
OF
ALL
DESCRIBED
1959
BROWNHVSLOP
WYNN
RESTORES TO THE
INOF
MILWAUKEE CHILDRENS
IN
HOSPITAL
IN
SUTURING
ONE
MERIT
ITS
TECHNIQUE PROVIDES
FLAP
AND THE MOST ENTHUSIASTIC
METHOD OF OSTEOROMY AND
THIS
STAGE AND DEFENDED
THE BONE
OF
LINE
OF THE
SIMPLE
MOUTH
RELARIVELN
NEW BONY
SAFE
VAULT
AS
PROCEDURE WHICH
NATURE
ORIOI
INTENDED
HE
SDFL
FURTHER CLAIMED
OF RHC
NARROWING
THE PALATE
HE
WITH
CITED
STUDY
OPERATED
209
IF
THE
IDTH
BONE
HIS
CASTS
OF THE PALATE
FLAP
TECHNIQUE
IS
NOT SECONDARS
IS
USED
TO EARLY SURGERN
WORK WITH HYSLOP AND ZWEMER
AND CEPHALOMERRIC
ON BETWEEN
AND
RAYS
MONTHS
IN
1956
SHOWED BONE
OF
WHICH
FLAP
AGE TO HAVE
ON
CASES
11
FLI
INRERMOLAR WIDTH
BETWEEN THE
FIRST
MOLARS WITHIN
PERMANENT
NORMAL
LIMITS
THE
FIRST
VERSION
THE
IN
OR CLASS
II
TO THE
CRUSSBIRC
LINGUAL
CLEFT
IN
MEDIAL
THE
FIRST
MOLAR ON THE SIDE OF THE
PERMANENT
CLEFT
RELATION
BOTH SEGMENTS
TEETH IN
INCISOR
OF THE
SIDE
RELATIONSHIP
TEETH ANTERIOR
THE
MOLARS ON THE
PERMANENT
IN
CROSSBITE
LINGUAL
IN
NUMBER OF
PATIENTS
THE
TEETH
TO THE
NEXT
WYNN CONTINUED
THE
ANTERIOR
HIS
CROSSBITE
MUSCULAR ACTION
LABIAL
REPAIRED
SUBSEQUENT TO THE PALATE
DISTURBANCE
SCARRING
OF THE ROTATION
INDICATIVE
OF THE
OVER
THE
BONE
PALATE
LIP
OF THE
BONY SEGMENTS BY
NOT DUE TO THE
IS
THERE
REPAIR
THERE
AS
AND
GROWTH
NO BROAD SURFACE
IS
VON LANGENBECK
BE WITH
MIGHT
TYPE OF PROCEDURE TO INTERFERE
MUCOPERIOSTEAL
TOWARD THE CLEFT
WITH
DEFENSE
IS
AND TIPPED
ROTATED
CLEFT
WITH THE GROWTH OF THE PALATE
BONES
THEN HE WENT ON
SHORTENING OF THE
IN
FACT
IT
APPEARS
MMEMENR
SOFT
TOWARD THE
BECOMES LENGTHENED FOLLOWING BONE
CPERTS SUCH
AS
OTHER
FROM 1936 THROUGH 1970
BEEN PERFORMED
HAVING
PHARYNGEAL
FLAP
FLAP
OPERATIONS
SUGGESTED THAT SPEECH
GOOD
AS
30
MILWAUKEE
BONE
OPEI ATIONS
FLAP
HILDRENS
INSUFFICIENCY
THAN
WYNN
WERE COUNTED
AS
ONLY NINE
HOSPITAL
BONE
WHO HAD
WERE PERFORMED ON PATIENTS
PIOCEDURE AND WHOSE VELOPHARVOGEAL
RESULTS
OR BETTER
AS
METHODS AS NOTED BY
TOTAL OF
AT
LEUTENCGGCR AND DEMETER OF
METHOD WERE
FLAP
WITH
ACHIEVED
THOSE
NO PERCEPTIBLE
THERE
MIDLINE
BY
FOLLOWING THE BONE
IS
BUT
PALATE
SAMPLES OF POSRADOLESCENTS
SMALL
FLAP
THAT NOT ONLY
THE PALATE
THAT
SPEECH STUDIES
TO CLAIM
APPEARED TO WARRANT
IT
BLIND
STUDIES
WITH OTHEI
WITH
THE
REVEALED
GONIAL
ANGLE
INCREASED
TO AN OBTUSE ANGLE
OBSERVED
CLEFT
ILLAE
210
FLAP
EXHIBITED
INDIVIDUALS
AN INCREASED
GROWTH AND DEVELOPMENT
MORE NORMAL
AFTER
WITH
METHOD COMPARED
TAKEN ON ROENTGENO
TECHNIQUES USING MEASUREMENTS
GRAPHIC CEPHALOGRAMS
GOOD
OF THE BONE
BY PIONEK
MUCOPERIOSTEAL
SEVERELY
GONIAL
AFTER
ANGLE
COLLAPSED
IT
BONE
FLAPS
TO BE
FLAPS
AND
AS ROSS
SUPERIOR
WAS POSTULATED
MAX
THAT
HIGHER VAULT
THE
AND
THAT
WYNN REPORTED
MUSCULATURE
BONE
FOR
1976
METHOD BUT
FLAP
PALATE
SURGERY
AVOID
CONFUSION
WITH
IT
CONSISTS
ALL
THE
THE
HONE AND THE
TION
NET
FILL
IN
HONE
ITY
FILLS
AND
IN
DR
THIS
COCKLES
OSTEOTOMY
IS
MADE
OCCUIS
AS
TO
IN
THAT HONE DEPOSITION
OF THE PELVIS
LEAVING
HIPEDICLER
ATTACHED
HONE
INTO
ELEN
AN ACTUAL
BONE
FRACTURE SITE
MILV
AUKCC 01 THO
HAS HEEN OHSEIX ED
ATE DONE IN
YOUNGER THE INFANT
PE
COMPLETELY TO
MUCOPERIOSTEAL
WALTER BLOUNT EMINENT
THE
STATED
WHEN
CASES OF DYSPLASIA
MORE RAPIDLY
THE
DOES NOT PRODUCE GROWTH OR HONE DEVELOPMCNTAL
OF
THE
DEFORM
MAY EVEN PRODUCE SOME HONE GROWTH
THAT
IT
CLOSURE AS EARLY AS
VARIOUS
FLAP
INCISION
SUCH
TAKE PLACE
HONE
HE
AT TIMES
CONFIDENT
HIS
OSTEOTOMY
AN
MA
OF THE
THE ACETAHULUM
HY
TO PRODUCE
BILATERAL
LEFT
IS
NOT SUHJECTED
IS
PALATE
SURGEON HAS REPORTED
OSTEORORNIES
EXPLAINED
PROCEDURES DESCRIHED
RATHER THAN
THREESIDED
MUSCULATURE
SOFT PALATE
HAPPENS RAPIDLY
PEDIC
HE
FLAP
SO ACRUALB
HARD
WHEN
1EG1OV TH OT HONE
30 YEARS TO
AFTER
OSREOROMY WEDGING OF THE HONE POSREROMEDIALLY
NASAL MUCOSA INTACT
INVOLVED
THE EARLIER
CLEFT
CONSIDERATION
OF SIMPLE
IS
NAME
OF CERTAIN ADVANTAGES OF THE
DESERVES
FLAP
OSTEOTOMY
THROUGH THE NASAL SIDE OF THE PALATE
OSTEOPERIOSREAL
HIS DESCRIPTION
SURGERY
BROWN AND PEER THEY ACTUALLY DIVIDED
WARREN DAVIS
TRUE HIPEDICLED
OF PALATE
METHODS
FLAP
HE CONFUSED WITH
THE HONE LATERALLY ENTIIELY
METHOD
BONE
EARLIER
SURGERY
ADVANTAGES OF THE
THE
CHANGE IN
THIS
FLAP
AS BILATERAL
IT
1970
TUBE CLOSURE
REPEATED
REFERRED TO
JUSTIFYING
OUR METHOD SHOULD NOT
DIEFFENHACH
WYNN
THE
OF BETTER CONTROL OF
GOOD EUSTACHIAN
SIDNEY
BONE
TYPES
OF MAINTENANCE
THE BASIS
ESSENTIAL
IN
FINALLY
ON
IT
OTHER
IN
TONGUE
WITH
CHILDREN
HAD BETTER HEARING THAN THOSE WITH
AND EXPLAINED
METHOD PROVIDED
FLAP
OF MORE ROOM FOR THE
UNSUSPECTED ADVANTAGE
MILLER
BONE
THE
FOLLOWING
SAFE
IS
DO
THE
BILATERAL
MONTHS WITH GOOD RESULTS
OSTEOTOMIES
OF THE
TO
HEARTS
AND
MADE STATEMENTS
NF SURGEONS AND
SPEECH
OSTEOMY
PALATE
WYNNPRESENTED
WARM
THAT
THERAPISTS
THE
WHILE
AIXEOLAT
BOIDCR
CONSTRICTING
THIS
OX ERENRPHASIS
MAXILLATY
CHILDS
GROWTH
ON SIMPLICITY
XX
PSVCHOLOGICALL
PLIORITIES
211
THE ORTHODONTISTS
ORRI7
AND TTAUMA
HILE COMPLETELX
FORMATIXC
MONASRERIO
CORONARIES
MINIMIZATION
INCISION
TO ASSIST
OVERLOOKING THE EARLY SPEECH
YEARS
ET
AL
THE
RESULTS IN
SEEMS TO DEMONSTRATE INAPPROPRIATE
1974
HAVE REPOITED
THAT
PALATAL
OSTEORORNY
MINOR
XOTR PALATE
OR SUHTYIUCOU5
DEFECT
CLEFT
OSTEOTOMY
ON1
FR
BORDCR
EOTORNY
INCOMPLETE CLEFT PALATE
SMALL BONE DEFECT
INCOMPLETE
CLEFT
NOTCH
OSTEOTORNY INTO
SHAPED
CLEFT
PALATE
TO ANRERIOI
OSTEOTOIN
OFTEN
MAY
BE UNSUCCESSFUL
CAN BE ACCOMPLISHED
CLEFT
THE
PALATE
THE
OLDER CHILD
MORE NORMAL
IN
SURGICAL
THE
MANNER
TECHNIQUE
INCISIONS
TUBEROSITY
AND EXTENDING
THE HARD PALATE
THE
INSIDE
CHISEL
OFF THE PERPENDICULAR
OF PALATE
THAT
ORIGINALLY
THE
AND RESTRUCTUR
INTENDED
MUCO
LATERAL
AREA STARRING BEHIND
FORWARD THREEQUARTERS
DIVIDES
OSTEOTORNY
WHAT
TO
BOTH FROM
PATTERNS
OUT THROUGH
ALVEOLAR
OF
RIP
OSREOTOMY IN
BY REPOSITIONING
CARRIED
IS
BILATERAL
PHYSIOLOGIC
NATURE
TO
AS COMPARED
EARLY
OF SPEECH AND DEVELOPMENT
PERIOSTEAL
TYPES
THE
YOUNGER CHILDREN
ALSO ENCOURAGES
PALATES
RHE SRANDPOINR
ING
IN
IN
PALATE
OSTEOTOMY
NOTCH
NOTCH
CLOSURE
HORSESHOE
INCOMPLETE
THE
OF THE LENGTH OF
THE HATNULAR
PROCESS
PLATE AND EXTENDS FORWARD AS OUTLINED
IN
ALL
CLEFTS
FL
HORN JNNAINN
DIVISION
IL
IAJJ
UNILATCIAL
COMPLETE
COMPLETE UNILATERAL
VOMER ATTACHMENT
CLEFT
PALATE
OSTEOTOMY
HANRULUS TO
DIVIDE
AN TERIOI
UNILARCRAL
COMPLETE
TYPE
VOMER PALATE
SOMER
FLAP
WIDC
PIIOR
TO
OSTEOROMY
OSREOTOMY ON ATTACHED
TO OSTE
JUNCTION PRIOR
VOMCR
HIM
OTOM
SIDE
CLEFT
UNILATERAL
10
PRLRRC
ONSET
TRRARH
MENT
OMCI
0101155
FLAP
PRIOR
TO
CLEFT
NARROW SXIRH
PALATE
FICE
VOMER
OSREOTOMY HAMULUS
ANTENOT
TO
TO POSTERIOI
FLAP
LAP
IIILANIIL
BILARCIAL
ORE
BILARCIAL
IDE
SS
CLEFT
PALARC
FICE
FLOATING
BILRREI
AL
COMPLETE
11
CENTIAL
PALART
USE LOCALIZED
SOMER
OMER
TO CONIPLETE
IIVX
FLIP
AS OID
PI
OSTEOTOIRIT
ROT
TEAL
FISRULR
USREOTOMY
WIDE MUCOPERROS
DES ANON
ANRCRIOR PRLRRC DEFECT
TOLLUSS
PILITE
BILIRCI
OID
OSTEIL
212
SIMPLE
IN5
SOFT
CLOSUIC
AL
SX
OSREOROM
IDE
NSUEOPEI
DES ANON
THE
EDGES OF THE
BONE
THE
MADE AT
THE
CLEFT
ARE
MM TO
DEPTH OF
FOR
SITES
OSTEOTOMY
FOR
FIVE
IS
ATTEMPT
ARE INSERTED
INTO
AND CONTROL
TENSION
TO RELIEVE
DAYS
NO
EASE SUTURING
AND PACKS OF FURACIN
BONE
THE
SUTURING
OF MUCOSA AND FREED FROM
STRIPPED
BLEEDING
REMOVAL OF THE PACKS THE LARGE DEFECTS
UPON
TION
THREE
IN
TISSUE
MUCOUS MEMBRANE
FIVE
TO
AND
DAYS
ARE
WITH GRANULA
FILL
BY
REEPITHELIALIZED
TWO WEEKS
AFTER
WYNN NOTED
THAT
EXPERIENCE HAS TAUGHT US
BILATERAL
CLEFT
COMPLETE
IN
IT
CASES
OSREOROMY TECHNIQUE BY
SINGLE
WHICH
TO
IN
1952
ACCORDING
GROWTH INTERFERENCE
IN
VOMER
CONCLUSIONS
WYNNS
LOWING
AS BENEFITS
IN
1974
OF
THE
BILATERAL
RAY SHOWED
AN
FLEXIBLE
SOFT
ISIAXIN
AND MOBILE
CLOSED
ADEQUATE
VERTICAL
IN
SPIRE
FIOM
93
1966
SURVIVED
AS
TO 1975
HAD
AND VOICE
SPEECH
RELATED
QUALITY
CIHEPHONATION
2I
TT
AUDIOLOGY STUDIES
AND
METHODS
OCELUSAL DENTAL
OICE
COMPLICATIONS
EOMPAI
CASES
WITH WHAT
PALATE
CASES
ONLY
HAD BEEN PERFORMED
OPERATIONS
WIVIOTT
DEMONSTRATED
AND WERE STIMULABLE
THE
93
FOR
HAD HYPER NASAL
WHICH
SPEECH
SINCE
OF
FUNCTIONING
INCOMPETENCE
FUNCTIONING
ABLE TO AN
ONLY THE NINE YEARS
PALATOPHARYNGEAL
PERCENT
RELATIONSHIP
RESULTS
AND OUT OF 298
THE
WITH JEFT
CHILDREN
IN
PURPOSES ELEVEN PERCENT
TO PALARAL
FINDINGS
THEIR
OF 30 YEARS AND 730
TO VELOPHARYNGEAL
UNRELATED
AS
WYNN OR
ADEQUATE
SECONDARY SURGERY 194
DEVIATIONS
POSRET IOI
WERE STUDIED
CUTS
FOL
OSTEOTOMY SITES
DISSECTION
SPEECH
GOOD
MINIMAL
THE
41
PHOTOGRAPH OF
PALATE
THAN
ICS CIS
OF
HYSLOP
SPEECH
HCAI INC
MCCJOWANY
THE VARIOUS
PERCENT
THE
PROCEDURE
METHOD
CLEXELOPMENR OF THE MAXILLA
OF THE EXPERIENCE
BY EITHER
82
HCTTEI
SAMPLE
PERCENTAGE
WAS REFERRED TO
CLEFT
CAN
SOFT PALATE
MANLIBULAR
AND HOIIIONRAL
CLEFT
IN
FILLIN
BY MUC
IOSTCAL
PEI
MAXILLARN
UNOPERATED
HIGH
113
MAXILLARY
HE CLAIMED
AS
OF THE EUSTACHIAN TUBE
FUNCTION
DEMONSTRATED 106
PALATE
HONE
LATERAL
DUNN
OSREOROMY OPERATION
OSTEOTOMY
RECONSTRUCTION OF THE BONY VAULT OF THE
BY
MINIMAL
PALATE AT THE SAME OPERATIVE
WERE ENTHUSIASTIC
THE
TO PRECEDE
AS DESCRIBED
CAUSES
BILATERAL
SINGLE AND
PLUS
WISER
TECHNIQUE
FLAP
THE
CASES
BE USED TO CLOSE THE TEMAINING
THEN
ANTERIOR
EASIER AND PROBABLY
IS
SRENSRR
MANN
15 CM
IDE
VERY
REQUIRED
AND VOICE
THEY HAD NORMAL
FOR
NORMAL
SPEECH
AND
WITH
QUALITY
VOCAL
68
SPEECH THERAPY
PRESENTED NORMAL
PERCENT
QUALITY
THIS
MAKES NO
CLOSURE
INSERTIONS
AND
DIVISION
BY
EFFORT
OF MUSCLE
TO CORRECT MALPOSITION
WYNN
REPOSITIONING
DEFENDS
THE
OMISSION
THE MUSCLES OF
THE
MOHILE
OHTAINED
IS
PALATE
VELUM
ARE NOT CUT ACROSS AND THEREFORE
THUS
MUSCULAR ATTACHMENTS MOVES IN
PALATE
PALARAL HONE WITH
DIRECTION
POSTERIOR
YEARS AGO THAT
COMES THROUGH THE APONEUROSIS
OF THE PALATE
WHICH
WOULD
HE DISTURHED
DI
IF
WAS DONE
FROM THE MUSCULATUIE
AND KAPLAN
ALL IN
OF THE POSTERIOR
ISION
1975
OF THE
MENT AND REATRACHMENT
CASES OR THOSE
THERE IS
THIS
OF COURSE
HONES
AND MULLIKEN
LEVAROR MUSCLE RETROPOSITIONING
WHO HA
NEEVE
HORDER OF THE PALATE
RECENT WORK HY FISHER
RETRODIS
SHOULD HE RESERVED FOR SECONDAR
THINK
HAD INTACT
OF ITS
ALL
LENGTH TO THE
GIVING
BROOMHEAD DEMONSTRATED SOME
SUPPLY
GEAL
THE ENTIRE
LONGER MORE
HONY PALATES WITH
SPEECH
VELOPHARYN
INSUFFICIENCY
IN
1978
REPORTED
PALATE
HOLLYWOOD
IN
AND
RADIOGRAPHIC
GROSS
SITES
OSTEOTOMY
WYNN
FLORIDA
LYNCH
STUDIES
MICROSCOPIC
DAYS AND AT 12
AT
WITH
MONTHS
HARD
OF
POSTOPERATIVELY
THEY REPORTED
THE
SHOV
FINDINGS
RRAN
HRIDGING
WOXEN
AUTOGENOU
FIHIOUS
HA
IMPORTANT
LONGTERM
214
RAPID
POSIRIOL
AND HAVERSIAN
PALATE
THAT
HONE
THE
IN
HONE
IILAI
HEALING
AND
OSREOGENIC
CLEFT
PALATE SUIGETY
INTO
CELLS
HRICLGES THE
CLCFR
CLEFT
WITH
AND THCN MATURES HN LAMELLAR HONE REPLACEMENT
BOTH
THC
ANASROMOSIS OF MICLOSCOPIC
REMODELING
SUCCESSFUL
INFANT
AND HONE TOIMARION
SYSTEM RCMODCLING
IICH
IN
INIRIALLN
SUCCC
RESULTS IN
PROCESS
EARLY
THESE
CLEFT
NORMAL
PAL
HLOOD SUPPL
FACTS
PALATE
MAY
AND THE
THAT
HELP
IS
CLEFT
XIRALH
TO EXPLAIN
OSTEOTOMY SURGERY