Tongue pearl: A novel technique for treatment of an infant with median facial cleft and microcephaly

This case report illustrates the presurgical treatment of a patient having a median facial cleft and microcephaly, using a guidance appliance. The appliance was custom designed and modified with a pearl-like acrylic structure attached to its lingual surface for pushing the extremely protruded tongue...

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Bibliographic Details
Main Authors: Sherif Essam Zahra (Author), Mamdouh Aboul Hassan (Author)
Format: Book
Published: Elsevier, 2012-04-01T00:00:00Z.
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Summary:This case report illustrates the presurgical treatment of a patient having a median facial cleft and microcephaly, using a guidance appliance. The appliance was custom designed and modified with a pearl-like acrylic structure attached to its lingual surface for pushing the extremely protruded tongue back to its normal position to facilitate anesthesia and surgical lip closure. Total treatment time was 5 weeks. Regaining normal tongue position, in turn, facilitated both intubation and extubation, preventing the postoperative respiratory distress the authors had experienced with similar cases. Keywords: Median facial cleft, Presurgical orthodontic treatment, Microcephaly, Guidance appliance
Item Description:1013-9052
10.1016/j.sdentj.2011.12.002