Latest & greatest articles for Cleft Lip

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Top results for Cleft Lip

1. The impact of social stigma on children with cleft lip and/or palate in low-resource areas: a systematic review

The impact of social stigma on children with cleft lip and/or palate in low-resource areas: 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

2. The effect of facemasks in patients with unilateral cleft lip and palate: a systematic review

The effect of facemasks in patients with unilateral cleft lip and 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

3. The role of speech therapy for improving the speech of children with cleft lip and/or cleft palate: a systematic review and meta-analysis

The role of speech therapy for improving the speech of children with cleft lip and/or cleft palate: a 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration

2019 PROSPERO

4. How does bone-anchored maxillary protraction affect the temporomandibular joints of patients with nonsyndromic cleft lip and palate compared to conventional maxillary protraction?

How does bone-anchored maxillary protraction affect the temporomandibular joints of patients with nonsyndromic cleft lip and palate compared to conventional maxillary protraction? 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. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility

2019 PROSPERO

5. The Use of Pre-Surgical Nasoalveolar Molding (PNAM) in Unilateral Cleft Lip and Palate Patients Reduces Width of Alveolar Cleft

The Use of Pre-Surgical Nasoalveolar Molding (PNAM) in Unilateral Cleft Lip and Palate Patients Reduces Width of Alveolar Cleft UTCAT3327, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title The Use of Pre-Surgical Nasoalveolar Molding (PNAM) in Unilateral Cleft Lip and Palate Patients Reduces Width of Alveolar Cleft Clinical Question In patients with unilateral cleft lip and palate, does the use of pre-surgical (...) nasoalveolar molding (PNAM) therapy reduce the width of the alveolar cleft? Clinical Bottom Line The use of pre-surgical nasoalveolar molding in unilateral cleft lip and palate patients reduces the alveolar cleft width. This is supported by a randomized controlled trial including 120 patients (60 controls) and a case control study with 30 patients. All patients studied were previously diagnosed with unilateral cleft lip and palate and were shown to have a significant reduction in intersegmental distances

2018 UTHSCSA Dental School CAT Library

6. Dentists Treating Cleft Lip and/or Palate Patients Will Need to Consider Anatomical Variations when Delivering Local Anesthetic

Dentists Treating Cleft Lip and/or Palate Patients Will Need to Consider Anatomical Variations when Delivering Local Anesthetic UTCAT3331, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Dentists Treating Cleft Lip and/or Palate Patients Will Need to Consider Anatomical Variations when Delivering Local Anesthetic Clinical Question In cleft lip and palate patients, will altered anesthetic techniques be more effective (...) than standard techniques in achieving adequate pain control? Clinical Bottom Line Low evidence to support minor alterations needed that include first anesthetize away from cleft and then at cleft margins. But similarities include the use of topical anesthetic and the guidance for slow injection. 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) Trindade-Suedam/2012 2 patients with cleft palate and lip

2018 UTHSCSA Dental School CAT Library

7. Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. (PubMed)

Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. Cleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of orofacial clefts is prolonged; it typically commences after birth and lasts until the child reaches adulthood or even into adulthood. Residual deformities, functional disturbances, or both, are frequently seen in adults (...) of hypoplastic maxilla in people with cleft lip and palate.Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 15 May 2018), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2018, Issue 4), MEDLINE Ovid (1946 to 15 May 2018), Embase Ovid (1980 to 15 May 2018), and LILACS BIREME Virtual Health Library (Latin American and Caribbean Health Science Information database; from 1982 to 15 May 2018). The US

Full Text available with Trip Pro

2018 Cochrane

8. Cleft lip and palate

Cleft lip and palate Cleft lip and palate - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Cleft lip and palate Last reviewed: February 2019 Last updated: January 2018 Summary Oro-facial clefts are among the most common birth defects. Cleft lip with or without cleft palate is approximately twice as common as isolated cleft palate. The majority of cleft lip deformities are associated with a varying degree of nasal (...) deformity. Oro-facial clefts can occur in isolation or as a component of an identifiable syndrome. The aetiology of cleft lip and palate involves a variety of genetic and environmental factors that result in variable expressions of oro-facial clefting. Comprehensive care involves a multi-disciplinary cleft team with specialists from fields such as facial plastic surgery, genetics, nursing, speech-language pathology, orthodontics, dentistry, oral surgery, audiology, and paediatrics. Definition An oro

2018 BMJ Best Practice

10. Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. (PubMed)

Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients. Cleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of orofacial clefts is prolonged; it typically commences after birth and lasts until the child reaches adulthood or even into adulthood. Residual deformities, functional disturbances, or both, are frequently seen in adults (...) with a repaired cleft. Conventional orthognathic surgery, such as Le Fort I osteotomy, is often performed for the correction of maxillary hypoplasia. An alternative intervention is distraction osteogenesis, which achieves bone lengthening by gradual mechanical distraction.To provide evidence regarding the effects and long-term results of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate.We searched the following

Full Text available with Trip Pro

2016 Cochrane

11. Association of TFAP2A gene polymorphism with susceptibility to non-syndromic cleft lip with or without palate risk in south Indian population (PubMed)

Association of TFAP2A gene polymorphism with susceptibility to non-syndromic cleft lip with or without palate risk in south Indian population The aetiology of non-syndromic cleft lip with or without cleft palate (NSCL/P) is complex involving multiple interacting genes and environmental factors. The primary objective of the present study was to investigate the role of TFAP2A gene single nucleotide polymorphisms (SNPs) in the pathogenesis of NSCL/P. In this study, 173 unrelated NSCL/P patients (...) and 176 controls without clefts were genotyped with TFAP2A rs1675414 (Exon 1), rs3798691 (Intron 1), and rs303050 (Intron 4) variants by allele-specific amplification using the KASPar SNP genotyping system. The method of multifactor dimensionality reduction (MDR) was used to analyze gene-gene interactions. TFAP2A polymorphisms are not found to be associated with non-syndromic cleft lip with or without cleft palate (NSCL/P) at either the genotype or allele levels. No linkage disequilibrium (LD

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2016 Meta gene

12. Infraorbital nerve block for postoperative pain following cleft lip repair in children. (PubMed)

Infraorbital nerve block for postoperative pain following cleft lip repair in children. Postoperative pain is a barrier to the quality of paediatric care, the proper management of which is a challenge. Acute postoperative pain often leads to adverse functional and organic consequences that may compromise surgical outcome. Cleft lip is one of the most common craniofacial birth defects and requires surgical correction early in life. As expected after a surgical intervention in such a sensitive (...) and delicate area, the immediate postoperative period of cleft lip repair may be associated with moderate to severe pain. Infraorbital nerve block associated with general anaesthesia has been used to reduce postoperative pain after cleft lip repair.To assess the effects of infraorbital nerve block for postoperative pain following cleft lip repair in children.We searched the following databases: Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Library, Issue 6, 2015), MEDLINE, EMBASE

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2016 Cochrane

13. Non-Syndromic Patients With Cleft Lip And/Or Palate (CLP) Tend To Have Higher Caries Prevalence Than Non-CLP Patients

Non-Syndromic Patients With Cleft Lip And/Or Palate (CLP) Tend To Have Higher Caries Prevalence Than Non-CLP Patients UTCAT2989, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Non-Syndromic Patients With Cleft Lip And/Or Palate (CLP) Tend To Have Higher Caries Prevalence Than Non-CLP Patients Clinical Question In patients with non-syndromic cleft lip/cleft palate, is there greater predisposition to caries than in non (...) -CL/P patients? Clinical Bottom Line Non-syndromic patients with cleft lip and/or palate tend to have higher caries prevalence than non-CLP patients. This is supported by a meta-analysis of several cross-sectional trials in which the decayed, missing, and filled (DMF) index was significantly higher for CLP patients than non-CLP patients. This would suggest that dentists should factor in CLP while determining caries risk status for patients. Best Evidence (you may view more info by clicking

2016 UTHSCSA Dental School CAT Library

14. Impact of breastfeeding or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants: a systematic review protocol. (PubMed)

Impact of breastfeeding or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants: a systematic review protocol. The objective of this systematic review is to examine the impact of breastfeeding or bottle-feeding on surgical wound dehiscence after cleft lip repair in infants.Immediately after cleft lip repair in infants, breastfeeding and bottle-feeding are generally restricted. Alternative feeding methods such as spoon-feeding are recommended to avoid placing tension (...) lip repair in infants.Cleft lip and/or palate is a craniofacial anomaly and one of the most common birth defects. The incidence of cleft lip and/or palate differs among races, ethnic groups and geographical areas. The prevalence of cleft lip and/or palate is highest in South American countries (Bolivia: 22.94 per 10,000 live births; Paraguay: 14.90 per 10,000 live births), followed by Asian countries (China: 13.60 per 10,000 live births; Japan: 16.04 per 10,000 live births). The prevalence

2015 JBI database of systematic reviews and implementation reports

15. No Significant Difference in Velopharyngeal Function Between Conventional Orthognathic Surgery and Maxillary distraction for advancement of the maxilla in cleft lip and palate patients.

No Significant Difference in Velopharyngeal Function Between Conventional Orthognathic Surgery and Maxillary distraction for advancement of the maxilla in cleft lip and palate patients. UTCAT2625, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title No Significant Difference in Velopharyngeal Function Between Conventional Orthognathic Surgery and Maxillary Distraction for Advancement of the Maxilla in Cleft Lip and Palate (...) Patients Clinical Question Is there a difference in the development of velopharyngeal insufficiency when maxillary advancement in the cleft patient is performed with conventional orthognathic surgery or distraction osteogenesis? Clinical Bottom Line For repaired cleft lip and palate patients, there is no significant difference in development of velopharyngeal insufficiency after maxillary advancement due to conventional orthognathic (CO) surgery or distraction osteogenesis (DO). This is supported

2014 UTHSCSA Dental School CAT Library

16. 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

17. Presurgical nasoalveolar molding for cleft lip and palate repair in children

Presurgical nasoalveolar molding for cleft lip and palate repair in children Presurgical nasoalveolar molding for cleft lip and palate repair in children Presurgical nasoalveolar molding for cleft lip and palate repair in children Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Presurgical nasoalveolar molding for cleft lip and palate repair in children (...) . Lansdale: HAYES, Inc.. Health Technology Brief Publication. 2013 Authors' conclusions Cleft lip and cleft palate are birth defects affecting the upper lip and the roof of the mouth. A cleft or gap forms when the developing facial structures do not join (fuse) fully during gestation. Cleft lip affects the top lip and may present as a small gap or larger gap that extends into the nose on one or both sides. Cleft palate affects the roof of the mouth, usually the soft palate, but may also involve the hard

2013 Health Technology Assessment (HTA) Database.

18. Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate

Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate ABM Protocol ABM Clinical Protocol #17: Guidelines for Breastfeeding Infants with Cleft Lip, Cleft Palate, or Cleft Lip and Palate, Revised 2013 Sheena Reilly, 1,2 Julie Reid, 1,3 Jemma Skeat, 2 Petrea Cahir, 1 Christina Mei, 2 Maya Bunik, 4 and the Academy of Breastfeeding Medicine A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical (...) problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breast- feeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. De?nitions W hen a cleft lip(CL) occurs, thelipisnotcontiguous, and when a cleft palate (CP) occurs, there is communi- cation between the oral and nasal cavities. 1 Clefts can range

2013 Academy of Breastfeeding Medicine

19. Pre-Surgical Infant Orthopedics (PSIO) And Naso-Alveolar Molding (NAM) Show Promise For Obtaining Normal Anatomy Of The Nose And Lip In Patients With Cleft Lip And Palate

Pre-Surgical Infant Orthopedics (PSIO) And Naso-Alveolar Molding (NAM) Show Promise For Obtaining Normal Anatomy Of The Nose And Lip In Patients With Cleft Lip And Palate UTCAT2163, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Pre-Surgical Infant Orthopedics (PSIO) And Naso-Alveolar Molding (NAM) Show Promise For Obtaining Normal Anatomy Of The Nose And Lip In Patients With Cleft Lip And Palate Clinical Question (...) In a child with cleft lip and palate, is there long-term benefit to pre-surgical naso-alveolar molding versus traditional surgical treatment alone? Clinical Bottom Line Long-term anthropologic studies comparing NAM to traditional treatment show equivocal results; however, pre-surgical infant orthopedics (PSIO) is gaining a body of literature to support it’s use. 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

2011 UTHSCSA Dental School CAT Library

20. Patients With Cleft Lip, Alveolus And Palate May Be Predisposed To Periodontal Disease, Especially In Teeth Adjacent To The Cleft

Patients With Cleft Lip, Alveolus And Palate May Be Predisposed To Periodontal Disease, Especially In Teeth Adjacent To The Cleft UTCAT2160, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Patients With Cleft Lip, Alveolus And Palate May Be Predisposed To Periodontal Disease, Especially In Teeth Adjacent To The Cleft Clinical Question Do patients with repaired cleft lip, alveolus, and palate have increased risk (...) of periodontal disease compared to normal subjects? Clinical Bottom Line While studies suggest that patient with cleft lip, palate and alveolus are predisposed to periodontal disease, especially in teeth near the cleft, further studies are required given lack of definitive evidence. Oral hygiene was also found to be poor in a majority of patients with cleft lip, alveolus, or palate, emphasizing the importance of good oral hygiene and close followup with these patients. Best Evidence (you may view more info

2011 UTHSCSA Dental School CAT Library