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Cleft Palate-craniofacial Journal | Page 2

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
(no author information available yet)
No abstract text is available yet for this article.
April 2019: Cleft Palate-craniofacial Journal
(no author information available yet)
No abstract text is available yet for this article.
April 2019: Cleft Palate-craniofacial Journal
Michael R Bykowski, Wesley Sivak, Catharine Garland, Franklyn P Cladis, Jesse A Goldstein, Joseph E Losee
OBJECTIVE: To evaluate postoperative pain, hospital length of stay (LOS), and associated costs of multiple perioperative analgesic strategies following alveolar bone grafting (ABG). DESIGN: Retrospective comparative cohort study. SETTING: Tertiary care pediatric hospital. PATIENTS/PARTICIPANTS: Iliac crest bone graft (ICBG) harvest techniques: "Open Harvest" (n = 22), "Trephine Only" (n = 14), or "Trephine + Pain Pump" (n = 25)...
April 2019: Cleft Palate-craniofacial Journal
Dhelal Al-Rudainy, Xiangyang Ju, Felicity V Mehendale, Ashraf Ayoub
OBJECTIVE: Longitudinal evaluation of asymmetry of the surgically managed unilateral cleft lip and palate (UCLP) to assess the impact of facial growth on facial appearance. DESIGN: Prospective study. SETTING: Glasgow Dental Hospital and School, University of Glasgow, United Kingdom. PATIENTS: Fifteen UCLP infants. METHOD: The 3-D facial images were captured before surgery, 4 months after surgery, and at 4-year follow-up using stereophotogrammetry...
April 2019: Cleft Palate-craniofacial Journal
Artur Fahradyan, Beina Azadgoli, Michaela Tsuha, Mark M Urata, Stacey H Francis
OBJECTIVE: The workup of patients with Pierre Robin sequence (PRS) consists of a physical examination, O2 saturation, and polysomnography to determine the severity of respiratory obstruction and need for surgery. We suggest that capillary blood gas (CBG) may be a better physiologic representation of airway obstruction and should be routinely used in the management of patients with PRS. DESIGN: This is a multicenter study based on a retrospective review of medical records...
March 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
Petra Peterson, Michael Mars, Alan Gowans, Ola Larson, Erik Neovius, Gunilla Henningsson, Anna Andlin-Sobocki, Marie Pegelow, Mathias Lemberger, Liisi M Raud-Westberg, Agneta L-A Karsten
OBJECTIVES: (1) To evaluate dental arch relationships, with the Great Ormond Street, London and Oslo (GOSLON) Yardstick, of participants with Unilateral cleft lip and palate (UCLP) and treated with 1-stage palatal closure with 3 different surgical protocols (2) to compare the mean GOSLON ratings with other CLP centers. DESIGN: Retrospective study of medical charts and dental models. SETTING: Karolinska University Hospital, Stockholm, Sweden...
February 2019: Cleft Palate-craniofacial Journal
Chad A Purnell, Lindsay E Janes, Julian L Klosowiak, Arun K Gosain
OBJECTIVE: The concept of mandibular catch-up growth is often quoted in the literature regarding Pierre Robin sequence (PRS). We endeavored to perform a systematic review of whether the literature supports this concept. DESIGN: Systematic review. INTERVENTIONS: A PubMed-based systematic review of the English literature was performed of articles objectively measuring mandibular growth or position after nonoperative management of PRS. MAIN OUTCOME MEASURES: Rate and end point of mandibular length, ramus length, gonial angle, and maxillomandibular discrepancy...
February 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
Jessica O Boyce, Supriya Raj, Katherine Sanchez, Mary L Marazita, Angela T Morgan, Nicky Kilpatrick
OBJECTIVE: Subclinical phenotypes of nonsyndromic cleft lip with or without cleft palate (CL ± P) may be identified from clinically "unaffected" relatives and could be associated with specific cleft-related gene mutations. It has been hypothesized that velopharyngeal insufficiency (VPI) may be a subclinical phenotype of interest in this population, but this has not been explored quantitatively with appropriate control cohorts. The aim of this case-control study was to compare VPI in at-risk clinically unaffected relatives of individuals with nonsyndromic CL ± P with a low-risk matched normative Australian cohort...
January 29, 2019: Cleft Palate-craniofacial Journal
Emeline Mandal, Charles Filip, Maud Els-Marie Andersson, Bjørn Øgaard
OBJECTIVE: Describe patients born with unilateral cleft lip with or without cleft alveolus (CL±A) in relation to cleft severity and laterality, gender, associated anomalies and syndromes, number and type of lip- and nose operations, and time of alveolar bone graft (ABG) treatment in relation to dental status in cleft area. MATERIALS AND METHODS: Patients included 220 children born with unilateral CL±A, born between 1988 and 1997 referred to the Oslo Cleft Lip and Palate Team...
January 27, 2019: Cleft Palate-craniofacial Journal
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