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Cleft Palate-craniofacial Journal

Lakshmi Kollara, Adriane L Baylis, Richard E Kirschner, D Gregory Bates, Mark Smith, Xiangming Fang, Jamie L Perry
OBJECTIVE: The 22q11.2 deletion syndrome (22q11.2DS) is the most common genetic cause of velopharyngeal dysfunction; however, limited information exists regarding variations in velopharyngeal anatomy in this clinically challenging population. The purpose of this study was to examine velopharyngeal characteristics among young children with 22q11.2DS in comparison to a normative cohort using an innovative, nonsedated magnetic resonance imaging (MRI) scanning protocol. METHODS: Fifteen children with 22q11...
May 22, 2019: Cleft Palate-craniofacial Journal
Rami S Kantar, Samantha G Maliha, Allyson R Alfonso, Elie P Ramly, Bradley S Eisemann, Pradip R Shetye, Barry H Grayson, Roberto L Flores, Maxime M Wang
OBJECTIVE: Assess the weight and contribution of each of the parameters of the Asher-McDade Scale to overall subjective assessment of nasolabial aesthetics following cleft lip repair. DESIGN: Retrospective cohort evaluation. SETTING: Cleft and craniofacial center. PARTICIPANTS: Forty-one patients who underwent unilateral cleft lip repair. INTERVENTIONS: Unilateral cleft lip repair. MAIN OUTCOME MEASURES: Nasolabial rating using the Asher-McDade scale and overall subjective assessment of nasolabial aesthetics using a rank score following unilateral cleft lip repair...
May 22, 2019: Cleft Palate-craniofacial Journal
Jia Yuan Lee, Hamidah Mohd Zainal, Mohammad Ali Bin Mat Zain
Congenital bifid tongue with cleft palate is a very rare malformation with different variations. We are reporting 2 cases of rare congenital bifid tongue with cleft palate in our hospital setting and their surgical management. A multidisciplinary approach, well-planned staged operations, rehabilitation, and follow-up are needed to achieve favorable outcomes.
May 15, 2019: Cleft Palate-craniofacial Journal
Francesca Wogden, Alyson Norman, Louise Dibben
OBJECTIVE: Limited research has studied the involvement of children in medical decision-making. The aim of the study was to understand the involvement of adolescents with cleft lip and/or palate (CL/P) in decisions about elective surgeries and treatments. DESIGN: Parents and professionals completed mixed-methods questionnaires about the degree to which children had been involved in choices about elective treatments. Data were analyzed using content analysis. Young people aged 12 to 25 years were asked to take part in semistructured interviews...
May 13, 2019: Cleft Palate-craniofacial Journal
Carol Li, Mahmoud Awad, Alison M Maresh
This case describes a full-term baby with pyriform aperture stenosis who failed intranasal dexamethasone and reflux therapy. She underwent repair via a sublabial approach and inferior turbinate reduction. Symptoms initially improved but she was unable to be weaned from intranasal steroids. Three subsequent surgeries ensued, including lysis of synechiae, further turbinate reduction, and placement of custom nasal stents, which failed as they became clogged frequently and were easily dislodged, leading to increased intranasal manipulation and postprocedural inflammation...
May 13, 2019: Cleft Palate-craniofacial Journal
Monika Szmidt, Maciej Górski, Maja Bendyk-Szeffer, Anna Stogiera, Jadwiga Buczkowska-Radlińska
Cleft palate/lip is a frequently occurring congenital anomaly; one in every 800 births results in such a problem. Different treatment options are available for replacing missing soft and hard tissues, including removable dental prostheses, fixed dental prostheses (FDPs), and implant prostheses. In the literature, according to different authors, there are different option standard for prosthetic treatment of cleft palate/lip. Some authors report that removable prosthesis is the choice in such cases, some of them regard conventional tooth-supported FDPs as a standard of care...
May 12, 2019: Cleft Palate-craniofacial Journal
Rafael Denadai, Cassio Eduardo Raposo-Amaral, Anelise Sabbag, Rafael Andrade Ribeiro, Celso Luiz Buzzo, Cesar Augusto Raposo-Amaral, Man Hung, Jonathan R Skirko
OBJECTIVE: To test the Brazilian Portuguese velopharyngeal insufficiency (VPI) Effects on Life Outcome (VELO) instrument for reliability and validity. DESIGN: Cross-sectional methodological study. SETTING: Tertiary craniofacial medical center. PARTICIPANTS: Participants with VPI (VPI group, n = 60), with cleft and without VPI (no VPI/cleft group, n = 60), and with no cleft nor VPI (no VPI/no cleft group, n = 60) and their parents (n = 180)...
May 12, 2019: Cleft Palate-craniofacial Journal
Fleur M Nolte, Annemieke Bos, Charlotte Prahl
OBJECTIVES: The aims of the present study were to examine the impact of a cleft lip and/or palate on the oral health-related quality of life (OHRQoL) in children, to examine differences between the OHRQoL scores reported by children and their parents, and to examine differences between the scores over 4 years for a subgroup of children. DESIGN: Prospective blinded questionnaires. SETTING: All patients were recruited from a university clinic at Academisch Centrum Tandheelkunde Amsterdam...
April 29, 2019: Cleft Palate-craniofacial Journal
Isabelle F P M Kappen, Gerhard K P Bittermann, Nicola Marie Stock, Aebele B Mink van der Molen, Corstiaan C Breugem, Henriette F N Swanenburg de Veye
OBJECTIVE: Long-term outcomes of patients born with a cleft lip and palate (CLP) are scarcely investigated. Yet, this patient group is of particular interest, as they can provide a valuable retrospective view upon their treatment experiences and psychological adjustment. Qualitative accounts may be especially useful in understanding the patient journey. DESIGN: The present study set out to evaluate quality of life and satisfaction with treatment in adult patients previously treated for CLP at the Wilhelmina Children's Hospital...
April 24, 2019: Cleft Palate-craniofacial Journal
Nicola Marie Stock, Bruna Costa, Jennifer R Williams, Anna Martindale
OBJECTIVE: In high-income countries, many cases of cleft lip are now identified at the 18- to 21-week pregnancy scan. The manner in which a diagnosis is communicated is vital for long-term parental well-being, yet previous studies have been indicative of parental dissatisfaction. The aims of the present study were to examine the experiences of parents who received an antenatal diagnosis of cleft lip in their unborn child and to offer pragmatic suggestions for improving the diagnostic experience in practice...
April 24, 2019: Cleft Palate-craniofacial Journal
Anita Myhre, Mehri Agai, Ingrid Dundas, Kristin Billaud Feragen
OBJECTIVE: The present study investigated how adults with congenital craniofacial anomalies (CFAs) and parents experience the long-term and complex treatment offered by a multidisciplinary team (MDT). DESIGN: Exploratory-descriptive qualitative study based on individual semistructured interviews. SETTING: Centralized national follow-up and treatment of CFAs by a multidisciplinary craniofacial team from which participants were systematically recruited...
April 22, 2019: Cleft Palate-craniofacial Journal
Omar B Saeed, Meredith Grogan Moore, H Zawahrah, M Tayem, Tazheh Kavoosi, John A van Aalst
INTRODUCTION: Orofacial clefts (OFC) are the most common congenital craniofacial anomaly. The relationship between intermarriage (consanguinity) and positive family history for OFC is not well described. Consanguinity rates in developed countries are <1% but are considerably higher in the Middle East (45%). Familial clefting rates in developed countries are under 20% but in the Middle East are reported at 30% or higher. OBJECTIVE: To determine OFC demographics and to clarify the relationship between consanguinity and familial clefting among Palestinians...
April 17, 2019: Cleft Palate-craniofacial Journal
Yoshimichi Imai, Takehiko Sanada, Masahiro Tachi
OBJECTIVE: This study examined whether the 2011 Tōhoku earthquake and tsunami affected the birth prevalence of cleft lip and/or cleft palate (CL/P) in Miyagi Prefecture, where the earthquake and tsunami caused severe damage. DESIGN: This was a retrospective cohort study. SETTING: The study was conducted at university and children's hospitals in Miyagi Prefecture. PARTICIPANTS: The annual and monthly numbers of infants born with CL/P were obtained from medical records...
April 15, 2019: 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
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