[Implant-borne prosthetic rehabilitation in patients with cleft lip and palate: A retrospective study on 43 patients]. / Réhabilitation implanto-portée des patients porteurs de fentes labio-alvéolo-palatines : étude rétrospective sur 43 patients.

INTRODUCTION: Implant-borne rehabilitation in cleft lip and palate patient are aimed to allow for good orofacial functions, stable occlusion, and adequate support for the naso-labial region. The goal of our study was to evaluate the functional and esthetic results of the implant-born dental rehabilitation of the cleft lip and palate patients in our department. MATERIAL AND METHODS: Our retrospective study concerned patients operated between 1995 and 2010 in our department. All included patients suffered from a cleft alveolus and lip, with or without cleft palate. Dental implants were placed in the bone-grafted alveolus and the end of growth and at distance from the bone graft procedure. Criteria of implant survival and implant-borne rehabilitation success were defined. RESULTS: A total of 78 implants were placed in 43 patients between 1995 and 2010. Two implants were lost (implant survival rate: 97.4%). Despite this loss, all the patients could be rehabilitated with good functional and esthetic results. DISCUSSION: Implant-borne rehabilitation is a reliable solution for prosthetic rehabilitation in patients with cleft lip and palate. This solution allows for avoiding removable prosthesis and dental mutilation.

[Bronchogenic cervical cyst in a child]. / Kyste bronchogénique cervical chez un enfant.

INTRODUCTION: The bronchogenic cyst is a rare congenital malformation of the tracheobronchial tree. Ectopic bronchogenic cysts are extremely rare; they usually develop at the cervical level. This cyst is characterized by the presence of respiratory epithelium. OBSERVATION: A 5-year-old child was referred to maxillofacial surgery consultation because a right bronchial cyst was suspected. The radiological assessment suggested a thyroglossal tract cyst. The anatomopathological examination confirmed the cyst and lead to the final diagnosis of a dysembryoplastic bronchogenic cyst. DISCUSSION: A bronchogenic cyst is rarely found at the cervical level. When this is the case, its embryological origin and management may be discussed. The preoperative diagnosis may be complex with no clinical or non-specific symptomatology. A complete excision of the lesion must be performed to reduce the risk of recurrence and malignant transformation.