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Cleft Palate-craniofacial Journal

Francisco Parri, Veronica Alonso, Asteria Albert, Miguel Bejarano, Francisco Vicario, Josep Rubio-Palau
Microtia has an incidence of 1 in 7000 to 8000 births. Ear reconstruction has 2 main aims: reconstructive and aesthetic, and a considerable number of patients ask for an earring at the end of their treatment. Herein, we explain our team's modification to the Firmin technique, perforating the lowest part of the autologous cartilage framework (Parri's modification). The orifice is cartilaginous and the skin covering both sides is easily perforable without contacting the rest of the framework. In conclusion, our modification for placing an earring is simple; it does not increase the surgical time and contributes to approach the perfection of auricular reconstructive surgery...
April 11, 2019: Cleft Palate-craniofacial Journal
Tom W M Walker, Nazanin Ahmadi-Lari, Annie Pellatt, Alistair R M Cobb
Midline clefts of the lower lip, tongue, and mandible are a rare type of facial cleft classified as "Tessier 30." We present the case of a female patient with an isolated Tessier 30 facial cleft affecting the tongue, lower lip, and mandibular symphysis with ankyloglossia. This was reconstructed with a template-guided resorbable "U"-shaped plate at 10 months of age. The procedure was carried out in one stage, which avoided the need for a repeat general anesthetic for the patient. We had a successful outcome with normal dental eruption and we believe such an approach could be considered as a relevant treatment modality for future cases...
April 10, 2019: Cleft Palate-craniofacial Journal
Yuta Nakajima, Shunsuke Yuzuriha, Fumio Nagai, Kenya Fujita, Masahiko Noguchi
OBJECTIVE: There have been few reports addressing asymmetric bilateral cleft lip repair with contralateral lesser form defects. Two studies have described the thin medial tubercle as the most common remaining labial deformity. In this study, we aimed to evaluate the use of a foxtail-shaped vermilion flap to reconstruct the median tubercle in primary repair. DESIGN: A blinded retrospective study of photography and chart review. SETTING: Shinshu University Hospital, tertiary care...
April 8, 2019: Cleft Palate-craniofacial Journal
Diana S Jodeh, S Alex Rottgers
BACKGROUND: Anthropometry is a well-established means of measuring facial morphology. Although reliable, direct anthropometry can be time-consuming and not conducive to a busy clinical practice. The Vectra H1 handheld stereophotogrammetric system requires 3 stereophotographs taken from different perspectives to generate a three-dimensional (3D) surface. The time needed to take the 3 stereophotographs can increase the possibility of involuntary movements, precluding its use to assess young patients...
April 7, 2019: Cleft Palate-craniofacial Journal
Diana S Jodeh, Aleshia J Pringle, S Alex Rottgers
BACKGROUND: Cleft lip and palate are among the common birth defects in the United States. Management is complex and may be difficult for parents and patients to understand. The goal of this study was to evaluate the readability of online educational material provided by the American Society of Plastic Surgeons (ASPS) and the American Cleft Palate-Craniofacial Association (ACPA) websites regarding cleft lip and palate and to assess parents' comprehension. METHODS: Parents of children younger than 10 years of age presenting to the plastic and reconstructive surgery clinic at Johns Hopkins All Children's Hospital for conditions other than cleft lip and palate were recruited for participation...
April 4, 2019: Cleft Palate-craniofacial Journal
Diana S Jodeh, Nima Khavanin, James J Cray, Gerald F Tuite, Jordan P Steinberg, S Alex Rottgers
BACKGROUND: The use of subgaleal drains following primary cranioplasty for craniosynostosis has undergone limited investigation. Proposed benefits include prevention of seroma, detection of postoperative bleeding, and cerebrospinal fluid leak. We conducted a systematic review of the literature and surveyed craniofacial surgeons to ascertain the current evidence pertaining to drain use following primary cranioplasty for craniosynostosis and to determine surgical practice patterns. METHODS: PubMed and Embase databases were searched to identify relevant articles...
March 18, 2019: Cleft Palate-craniofacial Journal
Roberto L Flores, Pradip R Shetye
No abstract text is available yet for this article.
March 18, 2019: Cleft Palate-craniofacial Journal
Nitika Monga, Om P Kharbanda
OBJECTIVE: The neonate premaxilla in bilateral cleft lip and palate is often protruding and displaced laterally. Surgeons prefer the premaxilla to be repositioned and centralized to allow a tension-free primary lip repair. This report describes the fabrication of a premaxillary bonnet appliance with silicone material and its successful use in 2 cases of bilateral cleft lip and palate (BCLP). PATIENTS, PARTICIPANTS: Two male BCLP patients of ages 34 days and 10 days, respectively...
March 13, 2019: Cleft Palate-craniofacial Journal
Jilen Patel, John Winters, Mark Walters
OBJECTIVE: Dental casts are an important aspect in the treatment planning, documentation, and analysis of the dental arch forms of infants with cleft lip and palate (CLP). Impression taking in a neonate is a technique-sensitive procedure, which can result in foreign body dislodgement and carries a small risk of aspiration and airway obstruction. The advent of digital dental technologies and intraoral scanning may facilitate safer, more effective, and accurate impressions for CLP infants...
March 11, 2019: Cleft Palate-craniofacial Journal
Hatice K Olkun, Mikaela I Poling
In the context of a case presentation of a 16-year-old girl treated for retrognathia associated with Freeman-Burian syndrome (FBS), importance of early orthodontic evaluation and unique problems posed by FBS are discussed. Freeman-Burian syndrome universally presents limited oral access and risk of pulmonary complications, making immaculate oral health-care arduous but mandatory. With early identification and conscientious planning, satisfactory orthodontic and overall health outcomes can be achieved. Sella turcica bridging, when presenting in FBS in the absence of endocrine pathology, may be related to the underlying myopathy of FBS...
March 10, 2019: Cleft Palate-craniofacial Journal
Sean Allen Knudson, Kristopher M Day, Raymond J Harshbarger
An 11-year-old male presented with right proptosis, bulbar conjunctivitis, and diplopia. Computerized tomography (CT) and magnetic resonance imaging revealed an enhancing mass involving the superio-medial orbit, ethmoids, frontal sinus, and anterior cranial fossa with skull base destruction. Diffuse large B-cell lymphoma was diagnosed via CT-guided biopsy. As a component of multidisciplinary care, the patient underwent frontal sinus cranialization, with orbital and skull base reconstruction. Trauma reconstructive principles guided recreation of orbital, frontal sinus, and anterior skull base anatomy...
March 5, 2019: Cleft Palate-craniofacial Journal
Thanawut Kongprasert, Kengkart Winaikosol, Araya Pisek, Aggasit Manosudprasit, Amornrut Manosudprasit, Buddhathida Wangsrimongkol, Poonsak Pisek
OBJECTIVE: To analyze and identify changes in the maxillary dental arch before and after cheiloplasty in a group of unilateral complete cleft lip and palate (UCLP) infants. DESIGN: This is a cohort study. MATERIAL AND METHOD: Study models from 16 infants with nonsyndromic UCLP, who were treated at Khon Kaen University, were taken before (T1) and after cheiloplasty (T2). The dental models underwent a process of scanning through a 3D scanner, from which 9 linear and 2 angular landmarks were evaluated...
March 4, 2019: Cleft Palate-craniofacial Journal
Sergey Y Turin, Chad Purnell, Arun K Gosain
Juvenile psammomatoid ossifying fibroma (JPOF) is a rare benign osseous tumor, usually presenting in the midface. There are many similarities in location, presentation, and radiographic appearance between fibrous dysplasia (FD) and JPOF. Awareness of this entity is important for craniofacial surgeons, as surgical timing and intraoperative management differ between these tumors. Findings that should raise suspicion of JPOF preoperatively include rapid growth, a shell of cortical bone surrounding the lesion, and clearly demarcated borders of the lesion on imaging, as opposed to a gradual transition between normal and abnormal bone...
February 27, 2019: Cleft Palate-craniofacial Journal
Frans J Mulder, David G M Mosmuller, Riekie H C W de Vet, J P W Don Griot
OBJECTIVE: To determine if there is a correlation between objective nasolabial aesthetics assessment using the Cleft Aesthetic Rating Scale (CARS) and patient satisfaction. DESIGN: Retrospective analysis of a generic satisfaction questionnaire and independent assessment by three cleft surgeons of the nasolabial area of these patients on 2D frontal photographs, using the CARS. SETTING: The Vrije Universiteit Medical Center and The Academic Center for Dentistry Amsterdam...
February 26, 2019: Cleft Palate-craniofacial Journal
Jamie L Perry, Joshua Y Chen, Katelyn J Kotlarek, Abigail Haenssler, Bradley P Sutton, David P Kuehn, Thomas J Sitzman, Xiangming Fang
PURPOSE: To investigate the musculus uvulae morphology in vivo in adults with normal velopharyngeal anatomy and to examine sex and race effects on the muscle morphology. We also sought to provide a preliminary comparison of musculus uvulae morphology in adults with normal velopharyngeal anatomy to adults with repaired cleft palate. METHODS: Three-dimensional magnetic resonance imaging data and Amira 5.5 Visualization Modeling software were used to evaluate the musculus uvulae in 70 participants without cleft palate and 6 participants with cleft palate...
February 20, 2019: Cleft Palate-craniofacial Journal
Motoki Katsube, Shigehito Yamada, Yutaka Yamaguchi, Tetsuya Takakuwa, Akira Yamamoto, Hirohiko Imai, Atsushi Saito, Akinobu Shimizu, Shigehiko Suzuki
BACKGROUND: Congenital midfacial hypoplasia often requires intensive treatments and is a typical condition for the Binder phenotype and syndromic craniosynostosis. The growth trait of the midfacial skeleton during the early fetal period has been assumed to be critical for such an anomaly. However, previous embryological studies using 2-dimensional analyses and specimens during the late fetal period have not been sufficient to reveal it. OBJECTIVE: To understand the morphogenesis of the midfacial skeleton in the early fetal period via 3-dimensional quantification of the growth trait and investigation of the developmental association between the growth centers and midface...
February 17, 2019: Cleft Palate-craniofacial Journal
Alistair G Smyth, Jianhua Wu
OBJECTIVE: To assess outcomes from cleft palate repair and define the level of impact of palatal fistula on subsequent velopharyngeal function. DESIGN: A retrospective cohort study. SETTING: A regional specialist cleft lip and palate center within United Kingdom. PATIENTS, PARTICIPANTS: Nonsyndromic infants born between 2002 and 2009 undergoing cleft palate primary surgery by a single surgeon with audited outcomes at 5 years of age...
February 12, 2019: Cleft Palate-craniofacial Journal
Theodore Pezas, Khurram Khan, Bruce Richard
Wide cleft palates (>15-mm gap) present a number of challenges to the surgeon tasked with their repair ( Bardach, 1999 ). Eliminating the need for secondary surgery due to fistula formation can reduce additional anesthetic and scarring risks and optimize early speech development. Greater palatine foraminal osteotomy is a useful surgical adjunct that allows additional medial movement of oral mucoperiosteal flaps to aid in tension-free closure of the oral layer. We use a technique similar to that described by Seibert in 1995 with a few modifications...
February 12, 2019: Cleft Palate-craniofacial Journal
Elizabeth Theng, Meghan Tracy, Susan Starling Hughes, Alison Kaye
There is currently no recognized connection between the occurrence of cleft lip and/or palate (CL/P) and Wilms tumor (WT). A retrospective review of cleft team records (2001-2015) revealed 3 cases of children, all male, with concomitant diagnoses of CL/P and WT treated at our institution. These patients presented as infants for care of their CL/P, all with additional congenital anomalies, developmental delays, and growth delays. Between the ages of 1 and 4 years, each was diagnosed with WT, which was treated with chemotherapy and partial nephrectomy, +/- radiation, leading to full remission in all cases...
February 3, 2019: Cleft Palate-craniofacial Journal
Magdalena Kotova, Wanda Urbanova, Andrej Sukop, Renata Peterkova, Miroslav Peterka, Tereza Petrova
OBJECTIVE: To compare the influence of 3 different time protocols of cleft lip and palate operations on the growth of the dentoalveolar arch in patients with unilateral cleft lip and palate (UCLP). MATERIALS AND METHODS: We evaluated 64 plaster casts of 8-year-old boys with UCLP operated on according to 3 different time protocols: lip repair at the age of 6 months and palate repair at 4 years, lip repair at 3 months and palate repair at 9 months, and neonatal lip repair and palate repair at 9 months...
January 29, 2019: Cleft Palate-craniofacial Journal
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