Kruse, Teresa and Braumann, Bert (2019). Interdisciplinary Treatment of Patients with Congenital Malformations - Interaction of Dysfunction and Dysgnathia. Inf. Orthod. Kieferorthop., 51 (1). S. 23 - 30. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4200

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Abstract

This article deals with the interaction of dysfunction and dysgnathia using the example of craniofacial and orofacial malformations. First, it lays out how abnormal form impedes a proper function: In patients with cleft lip and palate, the malformation negatively affects pronunciation, hearing, tooth and jaw position, aesthetics, and social behavior. To regain proper function, the form needs correction in terms of surgical reconstruction of the cleft tissues in the first year of life. Secondly, it shows that abnormal function can also impede a proper form: In patients with cleft lip and palate, the tongue penetrates the cleft area, preventing the cleft segments from converging. A palatal plate helps to normalize the function and steers the growth of the cleft segments. In a similar vein, in newborns with Pierre Robin sequence, a therapy with a pre-epiglottic baton plate can prevent life-threatening respiratory disorders. Born with a mandibular retrognathia, these patients profit from the recovered function providing a coordinated physiological upper and lower jaw growth. To summarize, the interaction between form and function becomes manifest in the reinforcement of the dysmorphia through dysfunction, but also in the reciprocal improvement during very early therapy. Applied to patients without congenital malformations, it explains why certain forms of dysgnathia should be treated at a very early stage.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kruse, TeresaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Braumann, BertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-155061
DOI: 10.1055/a-0809-2974
Journal or Publication Title: Inf. Orthod. Kieferorthop.
Volume: 51
Number: 1
Page Range: S. 23 - 30
Date: 2019
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-4200
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
UNILATERAL CLEFT-LIP; OROFACIAL MYOFUNCTIONAL STATUS; FRONTO-ORBITAL ADVANCEMENT; NASAL SYMMETRY; MIXED DENTITION; PART I; PALATE; CHILDREN; CRANIOSYNOSTOSIS; ORTHOPEDICSMultiple languages
Dentistry, Oral Surgery & MedicineMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15506

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