Abstract
Obturpaedics encompasses seven distinct treatment modalities for neonatal patients with cleft anomalies. Early initiation of these treatments, either immediately following birth or as soon as feasible thereafter, is imperative for neonates presenting with facial cleft abnormalities. Prompt application of specific obturpaedic techniques is particularly critical for infants, born with hard and/or soft cleft and/or glossoptosis, as it can significantly impact their survival. Moreover, obturpaedic interventions play a crucial role in various aspects of cleft lip defect management, including shaping and narrowing the defect, repositioning the protrusive premaxilla and modifying the alveolar ridges to achieve optimal arch formation. These interventions also address aspects in shaping of the cleft nose deformity, laying the groundwork for subsequent surgical intervention aimed at correcting the cleft anomaly. These seven distinct obturpaedic techniques include the Baton facial-obturator device, Obturator with extension, Functional jaw-orthognathic suction and drinking plate, Naso-alveolar moulding, Pre-maxilla positioning, Lip moulding and Naso-ala moulding. These techniques are typically administered from birth until the age of 5 to 7 months, a critical period preceding the initial surgical reconstruction. Importantly, the utilization of obturpaedic treatment(s) during this development window has been consistently associated with favorable long-term outcomes in facial cleft treatment and growth.
Publisher
Athenaeum Scientific Publishers
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