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Cleft Lip

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181. Extreme maxillomandibular discrepancy in unilateral cleft lip and palate: Longitudinal follow-up in a patient with mandibular prognathism. (PubMed)

Extreme maxillomandibular discrepancy in unilateral cleft lip and palate: Longitudinal follow-up in a patient with mandibular prognathism. Growth deficiency of the maxilla is a frequent finding in patients with complete unilateral cleft lip and palate. When the sagittal discrepancy is severe, orthodontic treatment combined with orthognathic surgery is required. This article reports the treatment of a girl born with unilateral cleft lip and palate who had lip and palate repair at 3 and 12 months

2018 American journal of orthodontics and dentofacial orthopedics

182. Therapeutic effect of a cleft lip teat on infants with respiratory and feeding disorders: Two case reports. (PubMed)

Therapeutic effect of a cleft lip teat on infants with respiratory and feeding disorders: Two case reports. Existing research into the effects of teat application has mainly focused on its negative and positive influence on the development of the oral cavity. Our work demonstrates that apart from changing the setting of the articulatory organs, the teat can also affect the quality of breathing, eating and sleeping.We described the cases of 2 children: a 19-month-old girl and a 2.5-month-old boy (...) , who had breathing disorders due to withdrawal of the tongue and impaired food intake.The babies were bottled fed with a special teat for cleft lip patients to observe the influence of the teat on the setting of the articulatory organs and breathing.We suspected that the specific construction of the teat-the wide outer part and the short internal part-would affect children's reflexes and articulatory organs so as to force the frontal position of the tongue, which was meant to facilitate breathing

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2018 Medicine

183. Influence of Repaired Cleft Lip and Palate on Layperson Perception following Orthognathic Surgery. (PubMed)

Influence of Repaired Cleft Lip and Palate on Layperson Perception following Orthognathic Surgery. Facial scarring and disharmony caused by clefting are associated with psychosocial stress, which may be improved by orthognathic surgery. The authors examine how clefting influences change in layperson perception of a patient following orthognathic surgery.One thousand laypersons were recruited through Mechanical Turk to evaluate patient photographs before and after orthognathic surgery. Nineteen (...) patients-five with unilateral and five with bilateral clefting-were included. Respondents assessed six personality traits, six emotional expressions, and likelihood of seven interpersonal experiences on a scale from 1 to 7.Changes in all aspects of social perception after the procedure differed significantly between cleft versus noncleft cohorts (p < 0.01 for all). Respondents evaluated the change for the cleft cohort compared with the noncleft cohort as more trustworthy, friendly, sad, and afraid

2018 Plastic and reconstructive surgery

184. Outcome of Patients with Complete Unilateral Cleft Lip and Palate: 20-Years Follow-up of Treatment Protocol. (PubMed)

Outcome of Patients with Complete Unilateral Cleft Lip and Palate: 20-Years Follow-up of Treatment Protocol. The treatment plan for cleft lip and palate varies among centers and requires long-term evaluation of its final outcome.A consecutive series of patients born from 1994 to 1996 were reviewed. Inclusion criteria were complete unilateral cleft lip and palate, undergoing all treatment procedures performed by the team, and continuous follow-ups until 20 years of age. Exclusion criteria were (...) incomplete data, having microform cleft lip on the contralateral side, presence of the Simonart band, and other abnormalities.A total of 72 patients were included. Average age at final evaluation was 21.3 years; 83.3 percent of patients underwent one-stage rotation-advancement lip repair and 16.7 percent underwent two-stage repair with an initial adhesion cheiloplasty. All patients underwent palate repair using the two-flap method at an average age of 12.3 months. Velopharyngeal insufficiency occurred

2018 Plastic and reconstructive surgery

185. Hearing status and behavioural patterns among school aged children with cleft lip and/or palate. (PubMed)

Hearing status and behavioural patterns among school aged children with cleft lip and/or palate. There is a dearth of studies on long term hearing status and behavioural patterns among cleft lip and/or palate children after their primary lip and palate closure in Malaysia. This study describes the audiology status and behavioural patterns in a group of school aged children with cleft lip and/or palate.A cross sectional study was carried out where caretakers of cleft lip and/or palate were asked (...) to complete the translated Malay language version of Strength Difficulties Questionnaire. The hearing status of the children was analyzed based on recent pure tone audiometric and tympanogram results. The patients' age, gender, type of cleft pathology, age of palatal surgery and behavioural patterns were examined for their potential relationship with hearing status.A total of 74 children (148 ears) aged between 7 and 17 years with cleft lip and/or palate were recruited. The result showed 37 ears (25.0

2018 International Journal of Pediatric Otorhinolaryngology

186. Philtrum reconstruction in unilateral cleft lip repair. (PubMed)

Philtrum reconstruction in unilateral cleft lip repair. The philtrum is an important aesthetic structure in the midface. A number of philtrum reconstruction techniques have been advocated for secondary cleft lip revision procedures. Conventional surgical management involves end-to-end orbicularis oris muscle approximation during primary cleft lip repair, often resulting in a flat lip appearance that requires secondary revision surgery at a later stage. A novel modification of the approximation (...) of the orbicularis oris muscle is described that may be implemented with any cleft lip technique in order to create an accentuated philtrum column for a natural looking philtrum. The muscle roll technique results in eversion of the orbicularis oris muscle, successfully recapturing the philtrum column topography. This is achieved by utilizing two inverted horizontal sutures, with an additional philtrum takedown suture placed in the region of the dimple to accentuate the philtrum anatomy and three-dimensional

2018 International Journal of Oral and Maxillofacial Surgery

187. Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity (PubMed)

Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity To evaluate the effectiveness of pre-surgical nasoalveolar molding (PNAM) in patients with unilateral cleft lip nasal deformities. Methods: This was a retrospective study involving 29 patients with unilateral cleft lip and palate defects, of whom 13 were treated with palatal devices with nasal stents (PNAM group) and 16 were treated with palatal devices without nasal stents or surgical tapes (...) : At T1, there were no significant intergroup differences in the first 4 asymmetry parameters. At T2, the PNAM group showed a significant improvement in all values compared to the control group. At T3, the PNAM group showed significant improvement in nasal asymmetry and columellar shifting. Model analysis showed significantly greater changes in the inter-alveolar gap and the sagittal difference of the alveolar cleft gap from T1 to T2 in the PNAM group. Conclusion: The use of PNAM is indispensable

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2018 Saudi medical journal

188. A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures (PubMed)

A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures The aim of the study was to compare wound healing complications following the use of either absorbable or non-absorbable sutures for skin closure in cleft lip repair.This was a randomized controlled trial conducted at the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria. Sixty subjects who (...) required either primary or secondary cleft lip repair and satisfied all the inclusion criteria were recruited and randomized into two groups (Vicryl group or Nylon group). The surgical wounds in all subjects were examined on 3rd, 7th, and 14th postoperative days (POD) for presence or absence of tissue reactivity, wound dehiscence, and local wound infection.Hemorrhage, tissue reactivity, wound dehiscence, and local wound infection were identified as wound healing complications following cleft lip repair

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2018 Journal of the Korean Association of Oral and Maxillofacial Surgeons Controlled trial quality: uncertain

189. A Comparison between Piezoelectric Devices and Conventional Rotary Instruments in Bone Harvesting in Patients with Lip and Palate Cleft: A Retrospective Study with Clinical, Radiographical, and Histological Evaluation (PubMed)

A Comparison between Piezoelectric Devices and Conventional Rotary Instruments in Bone Harvesting in Patients with Lip and Palate Cleft: A Retrospective Study with Clinical, Radiographical, and Histological Evaluation Orofacial clefts are congenital malformations characterized by an incomplete shaping of structures that separate the nasal from the oral cavity and can affect the right, left, or both sides. The aim of the present study is to assess, with clinical, radiographical, and histological (...) evaluations, the efficacy of piezoelectric devices compared to traditional rotating instruments in the bone harvesting in patients with history of cleft.We have conducted a retrospective analysis on 20 patients with a history of orofacial clefts that were operated on from February 2014 to June 2017. The patients were divided into two groups: Group R in which bone graft was harvested using a burr and Group P in which the bone graft was obtained by a piezoelectric device. After a healing period of 8 months

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2018 BioMed research international

190. The NAM (Nasal Alveolar Molding)appliance is effective in providing symmetrical nasal outcomes in complete unilateral cleft lip and palate.

The NAM (Nasal Alveolar Molding)appliance is effective in providing symmetrical nasal outcomes in complete unilateral cleft lip and palate. UTCAT2588, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title The NAM (Nasal Alveolar Molding)appliance is effective in providing symmetrical nasal outcomes in complete unilateral cleft lip and palate. Clinical Question Does pre-surgical nasal molding with NAM appliance improve nasal (...) symmetry in complete unilateral cleft lip and palate patients compared to surgery alone? Clinical Bottom Line Pre-surgical nasal molding with an NAM appliance can improve nostril symmetry in complete unilateral cleft lip and palate patients when compared to surgery alone. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Williams/2012 28 nasal molding cases and 14 control cases Comparative study Key results

2013 UTHSCSA Dental School CAT Library

191. Comparison of three-dimensional changes of nasal soft tissue and the maxillary arch in patients with bilateral cleft lip and palate treated with presurgical orthopedic therapy. Systematic review

Comparison of three-dimensional changes of nasal soft tissue and the maxillary arch in patients with bilateral cleft lip and palate treated with presurgical orthopedic therapy. Systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2017 PROSPERO

192. Relation between soft tissue and skeletal changes after maxillary advancement surgery in cleft-lip and palate patients

Relation between soft tissue and skeletal changes after maxillary advancement surgery in cleft-lip and palate patients Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence

2017 PROSPERO

193. Speech processing difficulties in children born with cleft lip and/or palate: a systematic review

Speech processing difficulties in children born with cleft lip and/or palate: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2017 PROSPERO

194. Quality of life in cleft lip and/or palate patients submitted to orthodontic treatment: a systematic review

Quality of life in cleft lip and/or palate patients submitted to orthodontic treatment: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation

2017 PROSPERO

195. Efficacy of bioactive proteins in cleft lip and palate defects: systematic review and meta-analysis

Efficacy of bioactive proteins in cleft lip and palate defects: systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web

2017 PROSPERO

196. Periodontal Status Among Patients With Cleft Lip (CL), Cleft Palate (CP) and Cleft Lip, Alveolus and Palate (CLAP) In Chennai, India. A Comparative Study (PubMed)

Periodontal Status Among Patients With Cleft Lip (CL), Cleft Palate (CP) and Cleft Lip, Alveolus and Palate (CLAP) In Chennai, India. A Comparative Study Long term health of the stomatognathic system as well as esthetic aspects is the therapeutic goals in patients with oro facial clefts.The aim of this study was to assess and compare the periodontal status of patients with cleft lip (CL), cleft palate (CP) and cleft lip, alveolus and palate (CLAP) reporting to a hospital in Chennai, India.The (...) study group consisted of 80 cleft patients. Subjects were divided into three groups. Group 1: patients with cleft lip (CL), Group 2: subjects with cleft palate (CP) and Group 3: subjects with cleft lip alveolus and palate (CLAP). Community Periodontal Index for Treatment needs CPITN Index was recorded.Among the 80 study subjects, 51 (63.8%) were males and 29 (36.2%) were females. Among the 26 study subjects with cleft lip, 10 (38.5%) had healthy periodontium, 4 (15.4%) had bleeding on probing and 12

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2015 Journal of clinical and diagnostic research : JCDR

197. Orthodontic treatment outcomes for cleft lip and palate patients

Orthodontic treatment outcomes for cleft lip and palate patients Orthodontic treatment outcomes for cleft lip and palate patients - National Elf Service Search National Elf Service Search National Elf Service » » » » Orthodontic treatment outcomes for cleft lip and palate patients May 8 2017 Posted by Orthodontic treatment is important in the management of children affected by cleft lip and/or palate (CL/P). Orthodontic interventions can be undertaken at several developmental stages up

2017 The Dental Elf

198. Cleft lip and palate patients have higher caries experience

Cleft lip and palate patients have higher caries experience Cleft lip and palate patients have higher caries experience - National Elf Service Search National Elf Service Search National Elf Service » » » » Cleft lip and palate patients have higher caries experience Oct 10 2017 Posted by Cleft lip and palate (CL/P) is a common birth anomaly and is seen in around 1 in 700 live births. It may occur with other birth anomalies or syndromes or occur in isolation. A number of studies have suggested (...) Business Elite and Google Scholar databases. Reference list of retrieved studies and the journals th e Cleft Palate Craniofacial Journal ; Th e American Cleft Palate-Craniofacial Journal and The Journal of Cleft Lip and Palate and Craniofacial Anomalies were hand searched. Studies involving comparisons between a cleft group and a non-cleft group were considered. Studies involving patients with syndromic CL/P were only included if they included less than 20% of the study group. Initial study selection

2017 The Dental Elf

199. No Current Evidence to Suggest That Teeth Closer To A Surgically Corrected Cleft Lip And Palate Are At Increased Risk For Periodontitis

No Current Evidence to Suggest That Teeth Closer To A Surgically Corrected Cleft Lip And Palate Are At Increased Risk For Periodontitis UTCAT2147, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title No Current Evidence to Suggest That Teeth Closer To A Surgically Corrected Cleft Lip And Palate Are At Increased Risk For Periodontitis Clinical Question Do teeth in close approximation of a surgically corrected cleft palate (...) have a higher risk of periodontitis than other teeth in a patient’s mouth? Clinical Bottom Line The cleft areas do not present a higher prevalence or severity of periodontal pockets and clinical attachment loss than the other areas of their mouth. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) de Almeida/2009 400 Patients with complete cleft lip and palate Cross-Sectional Key results Comparison

2011 UTHSCSA Dental School CAT Library

200. Alveolar Bone Grafting With rhBMP2 may Benefit Patients Undergoing Surgical Correction of Cleft Lip/Palate

Alveolar Bone Grafting With rhBMP2 may Benefit Patients Undergoing Surgical Correction of Cleft Lip/Palate UTCAT2158, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Alveolar Bone Grafting With rhBMP2 May Benefit Patients Undergoing Surgical Correction of Cleft Lip/Palate Clinical Question In Cleft lip/palate patients with alveolar clefting, does the use of rhBMP2 for secondary grafting provide as good or better (...) outcomes compared to autogenous grafting from the iliac crest? Clinical Bottom Line The use of rhBMP-2 could be a promising alternative to autogenous iliac crest grafting for secondary bone alveolar cleft grafts in children with cleft lip/palate. (See Comments on the CAT below) Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Dickinson/2008 Adolescents with alveolar clefting Randomized Controlled Trial Key

2011 UTHSCSA Dental School CAT Library

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