2,989 results match your criteria Cleft Palate-Craniofacial Journal[Journal]


"All Eyes on Me": A Qualitative Study of Parent and Patient Experiences of Multidisciplinary Care in Craniofacial Conditions.

Cleft Palate Craniofac J 2019 Apr 22:1055665619842730. Epub 2019 Apr 22.

1 Centre for Rare Disorders, Oslo University Hospital (Rikshospitalet), Oslo, Norway.

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. Read More

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http://dx.doi.org/10.1177/1055665619842730DOI Listing

The Influence of Consanguinity on Familial Clefting Among Palestinians.

Cleft Palate Craniofac J 2019 Apr 17:1055665619838381. Epub 2019 Apr 17.

2 University of Cincinnati College of Medicine, OH, USA.

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%). Read More

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http://dx.doi.org/10.1177/1055665619838381DOI Listing
April 2019
1 Read

The Birth Prevalence of Cleft Lip and/or Cleft Palate After the 2011 Tōhoku Earthquake and Tsunami.

Cleft Palate Craniofac J 2019 Apr 15:1055665619843409. Epub 2019 Apr 15.

1 Department of Plastic and Reconstructive Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

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. Read More

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http://dx.doi.org/10.1177/1055665619843409DOI Listing

Auricular Reconstructive Surgery Improvement to the Firmin Technique for Placing an Earring.

Cleft Palate Craniofac J 2019 Apr 11:1055665619842727. Epub 2019 Apr 11.

7 Department of Maxillofacial-Plastic Pediatric Surgery, Sant Joan de Deu Hospital, Barcelona, Spain.

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). Read More

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http://dx.doi.org/10.1177/1055665619842727DOI Listing

Tessier 30 Median Mandibular Hard and Soft Tissue Cleft, One-Stage Reconstruction Using a Template-Guided Resorbable "U"-Shaped Plate.

Cleft Palate Craniofac J 2019 Apr 10:1055665619841149. Epub 2019 Apr 10.

2 South West UK Cleft Lip & Palate Service, Lower Maudlin Street, Bristol, United Kingdom.

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. Read More

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http://dx.doi.org/10.1177/1055665619841149DOI Listing
April 2019
1 Read

A Foxtail-Shaped Vermilion Flap to Reconstruct the Medial Tubercle in Asymmetric Bilateral Cleft Lip With Contralateral Lesser Form Defect.

Cleft Palate Craniofac J 2019 Apr 8:1055665619841158. Epub 2019 Apr 8.

2 Department of Plastic Surgery, Nagano Children's Hospital, Nagano, Japan.

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. Read More

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http://dx.doi.org/10.1177/1055665619841158DOI Listing

High-Fidelity Anthropometric Facial Measurements Can Be Obtained From a Single Stereophotograph From the Vectra H1 3-Dimensional Camera.

Cleft Palate Craniofac J 2019 Apr 7:1055665619839577. Epub 2019 Apr 7.

1 Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St Petersburg, FL, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619839577DOI Listing

Comprehension of Online Educational Material Regarding Orofacial Clefts.

Cleft Palate Craniofac J 2019 Apr 4:1055665619839576. Epub 2019 Apr 4.

1 Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619839576DOI Listing

Postoperative Drain Use in Cranial Vault Remodeling: A Survey of Craniofacial Surgeon Practices and a Review of the Literature.

Cleft Palate Craniofac J 2019 Mar 18:1055665619836509. Epub 2019 Mar 18.

1 Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619836509DOI Listing
March 2019
1 Read

The Nasoalveolar Molding (NAM) Treatment Protocol.

Cleft Palate Craniofac J 2019 Mar 18:1055665619837132. Epub 2019 Mar 18.

Director, Craniofacial Orthodontics, Hansjörg Wyss Department of Plastic Surgery, New York, NY, USA.

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http://dx.doi.org/10.1177/1055665619837132DOI Listing

ACPA's 76th Annual Meeting Abstracts.

Authors:

Cleft Palate Craniofac J 2019 Apr;56(1_suppl):1-130

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http://dx.doi.org/10.1177/1055665619829661DOI Listing
April 2019
1 Read

Author Disclosures.

Authors:

Cleft Palate Craniofac J 2019 Apr;56(1_suppl):140-160

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http://dx.doi.org/10.1177/1055665619835915DOI Listing

A Pristine Approach for the Prominent Premaxilla in Bilateral Cleft Lip and Palate (BCLP) Cases.

Cleft Palate Craniofac J 2019 Mar 13:1055665619833865. Epub 2019 Mar 13.

1 Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

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). Read More

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http://dx.doi.org/10.1177/1055665619833865DOI Listing

Intraoral Digital Impression Technique for a Neonate With Bilateral Cleft Lip and Palate.

Cleft Palate Craniofac J 2019 Mar 11:1055665619835082. Epub 2019 Mar 11.

3 Cleft Lip and Palate Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.

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. Read More

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http://dx.doi.org/10.1177/1055665619835082DOI Listing
March 2019
1 Read

Nonoperative Orthodontic Therapy for Retrognathia and Finding of Sella Turcica Bridging in a 16-Year-Old Girl With Freeman-Burian Syndrome.

Cleft Palate Craniofac J 2019 Mar 10:1055665619833855. Epub 2019 Mar 10.

2 FSRG deGruyter-McKusick Institute of Health Sciences, Buckhannon, WV, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619833855DOI Listing

Pediatric Diffuse Large B-Cell Lymphoma of the Frontal Sinus: A Case Report.

Cleft Palate Craniofac J 2019 Mar 5:1055665619831165. Epub 2019 Mar 5.

2 Department of Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center of Central Texas, The University of Texas at Austin Dell Medical School, Austin, TX, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619831165DOI Listing
March 2019
2 Reads

Evaluation of the Effects of Cheiloplasty on Maxillary Arch in UCLP Infants Using Three-Dimensional Digital Models.

Cleft Palate Craniofac J 2019 Mar 4:1055665619835090. Epub 2019 Mar 4.

1 Faculty of Dentistry, Department of Orthodontics, Khon Kaen University, Khon Kaen, Thailand.

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). Read More

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http://dx.doi.org/10.1177/1055665619835090DOI Listing

Fibrous Dysplasia and Juvenile Psammomatoid Ossifying Fibroma: A Case of Mistaken Identity.

Cleft Palate Craniofac J 2019 Feb 27:1055665619833294. Epub 2019 Feb 27.

1 Division of Plastic and Reconstructive Surgery, Lurie Children's Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, IL, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619833294DOI Listing
February 2019
1 Read

Aesthetics Assessment and Patient Reported Outcome of Nasolabial Aesthetics in 18-Year-Old Patients With Unilateral Cleft Lip.

Cleft Palate Craniofac J 2019 Feb 26:1055665619832439. Epub 2019 Feb 26.

1 Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands.

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. Read More

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http://dx.doi.org/10.1177/1055665619832439DOI Listing
February 2019

Why Hasn't Cutting and Grayson Done a Longitudinal Study to Show Why Nasoalveolar Molding Should Not Be Used?

Authors:
Samuel Berkowitz

Cleft Palate Craniofac J 2019 Jan;56(1):141

University of Illinois College of Dentistry, Chicago, IL, USA.

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http://dx.doi.org/10.1177/1055665618771892DOI Listing
January 2019

Morphology of the Musculus Uvulae In Vivo Using MRI and 3D Modeling Among Adults With Normal Anatomy and Preliminary Comparisons to Cleft Palate Anatomy.

Cleft Palate Craniofac J 2019 Feb 20:1055665619828226. Epub 2019 Feb 20.

6 Department of Biostatistics, East Carolina University, Greenville, NC, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665619828226DOI Listing
February 2019

Critical Growth Processes for the Midfacial Morphogenesis in the Early Prenatal Period.

Cleft Palate Craniofac J 2019 Feb 17:1055665619827189. Epub 2019 Feb 17.

1 Department of Plastic and Reconstructive Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

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. Read More

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http://dx.doi.org/10.1177/1055665619827189DOI Listing
February 2019
1 Read

Cleft Palate Outcomes and Prognostic Impact of Palatal Fistula on Subsequent Velopharyngeal Function-A Retrospective Cohort Study.

Cleft Palate Craniofac J 2019 Feb 12:1055665619829388. Epub 2019 Feb 12.

2 Dental Translational and Clinical Research Unit, School of Dentistry, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.

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. Read More

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http://dx.doi.org/10.1177/1055665619829388DOI Listing
February 2019

What We Do: Greater Palatine Medializing Foraminal Osteotomy for Repair of the Wide Cleft Palate.

Cleft Palate Craniofac J 2019 Feb 12:1055665619829386. Epub 2019 Feb 12.

1 Birmingham Children's Hospital, Birmingham, United Kingdom.

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. Read More

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http://dx.doi.org/10.1177/1055665619829386DOI Listing
February 2019

The Rare Association of Cleft Lip and/or Palate and Wilms Tumor.

Cleft Palate Craniofac J 2019 Feb 3:1055665618824440. Epub 2019 Feb 3.

3 Division of Plastic Surgery, Children's Mercy Hospital, Kansas City, MO, USA.

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. Read More

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http://dx.doi.org/10.1177/1055665618824440DOI Listing
February 2019
10 Reads

Dentoalveolar Arch Dimensions in UCLP Boys After Neonatal Cheiloplasty or After Lip Surgery at the Age of 3 or 6 Months.

Cleft Palate Craniofac J 2019 Jan 29:1055665618824835. Epub 2019 Jan 29.

1 Department of Stomatology, Kralovske Vinohrady University Hospital and Third Faculty of Medicine, Charles University, Prague, Czech Republic.

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. The control group contained 13 plaster casts of 8-year-old boys. Read More

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http://dx.doi.org/10.1177/1055665618824835DOI Listing
January 2019

Speech Phenotyping in Unaffected Family Members of Individuals With Nonsyndromic Cleft Lip With or Without Palate.

Cleft Palate Craniofac J 2019 Jan 29:1055665618823936. Epub 2019 Jan 29.

7 Plastic and Maxillofacial Surgery, Royal Children's Hospital, Parkville, VIC, Australia.

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. Read More

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http://dx.doi.org/10.1177/1055665618823936DOI Listing
January 2019
14 Reads

Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team.

Cleft Palate Craniofac J 2019 Jan 27:1055665618820753. Epub 2019 Jan 27.

1 Department of Orthodontics, Faculty of Dentistry, University of Oslo, Norway.

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. The data were collected retrospectively. Read More

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http://dx.doi.org/10.1177/1055665618820753DOI Listing
January 2019
1 Read

Effect of the Visual Presentation of a Craniofacial Syndrome on Speech Intelligibility in Noise.

Cleft Palate Craniofac J 2019 Jan 22:1055665618825403. Epub 2019 Jan 22.

2 Department of Psychology, Montclair State University, Montclair, NJ, USA.

Objective:: Research has argued that a speaker's facial appearance can result in an "intelligibility cost" for the listener. The study investigated whether such an intelligibility cost exists for a visible repaired cleft lip and nasal asymmetry.

Setting:: University department. Read More

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http://journals.sagepub.com/doi/10.1177/1055665618825403
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http://dx.doi.org/10.1177/1055665618825403DOI Listing
January 2019
10 Reads

Escobar Syndrome-An Multidisciplinary Approach for an Excellent Outcome With 3 Years of Follow-Up.

Cleft Palate Craniofac J 2019 Jan 17:1055665618823416. Epub 2019 Jan 17.

2 Department of Pediatric Dentistry and Orthodontics, Dental School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

This case report intends to provide the facial characteristics of Escobar syndrome and to describe the orthodontic treatment of a 12-year-old female patient diagnosed with it. Escobar syndrome, a variant of the multiple pterygium syndrome, is a rare disorder with many systemic, facial, and oral manifestations.The patient presented with mixed dentition, severe dolichofacial pattern, increased lower facial height, convex profile, severe anterior open bite, maxillary hypoplasia, and mandibular retrognatism. Read More

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http://dx.doi.org/10.1177/1055665618823416DOI Listing
January 2019
18 Reads

Surgical Treatment for Palatoglossal Arch Cicatrix and Velopharyngeal Insufficiency After Adenotonsillectomy.

Cleft Palate Craniofac J 2019 Jan 17:1055665618823914. Epub 2019 Jan 17.

3 Division of Plastic and Reconstructive Surgery, Mount Auburn Hospital, Cambridge, MA, USA.

Postadenotonsillectomy velopharyngeal incompetence/insufficiency/dysfunction (VPI) is an uncommon but potentially surgically challenging problem. We report a child without cleft palate who developed severe palatoglossal arch cicatrix and VPI after adenotonsillectomy, and describe bilateral palatoglossal arch z-plasty to restore palatal function and speech. Read More

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http://dx.doi.org/10.1177/1055665618823914DOI Listing
January 2019
19 Reads

Associations Between Hypernasality, Intelligibility, and Language and Reading Skills in 10-Year-Old Children With a Palatal Cleft.

Cleft Palate Craniofac J 2019 Jan 17:1055665618824432. Epub 2019 Jan 17.

1 Department of Speech and Language Disorders, Statped - National Service for Special Needs Education, Oslo, Norway.

Background:: This study investigated the associations between hypernasality and intelligibility, and language and reading skills in 10-year old children with a cleft palate ± lip.

Design:: Cross-sectional data collected during routine assessments of speech and language in a centralized treatment setting.

Participants:: Children aged 10, born with cleft palate ± lip from 4 birth cohorts (N = 123). Read More

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http://dx.doi.org/10.1177/1055665618824432DOI Listing
January 2019
12 Reads

The Elimination of Dental Crowding and Development of a Proper Dental Arch by Maxillary Anterior Segmental Distraction Osteogenesis for a Patient With UCLP.

Cleft Palate Craniofac J 2019 Jan 9:1055665618821831. Epub 2019 Jan 9.

1 Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan.

Objective:: This report describes the case of a male patient with a complete unilateral cleft lip and palate who presented with midface deficiency and an anteroposteriorly constricted maxilla.

Design:: Case report Interventions: Correction involved anterior distraction of the segmented maxilla.

Results:: The present case demonstrates that elongation of the maxilla with anterior distraction is an effective way to develop a proper dental arch, correct anterior and posterior crowding, and improve a midface deficiency. Read More

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http://dx.doi.org/10.1177/1055665618821831DOI Listing
January 2019
3 Reads

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients.

Cleft Palate Craniofac J 2019 Jan 8:1055665618822410. Epub 2019 Jan 8.

1 Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, People's Republic of China  .

Objective:: To compare osseous outcomes of block and cancellous iliac bone grafting in older unilateral alveolar cleft patients.

Design:: Retrospective and observational follow-up study.

Setting:: Cleft Lip and Palate Centre, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, China. Read More

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http://journals.sagepub.com/doi/10.1177/1055665618822410
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http://dx.doi.org/10.1177/1055665618822410DOI Listing
January 2019
6 Reads

Methods and Challenges in a Cohort Study of Infants and Toddlers With Craniofacial Microsomia: The Clock Study.

Cleft Palate Craniofac J 2019 Jan 8:1055665618821014. Epub 2019 Jan 8.

1 Seattle Children's Research Institute, Seattle, WA, USA.

Objective:: The Craniofacial microsomia: Longitudinal Outcomes in Children pre-Kindergarten (CLOCK) study is a longitudinal cohort study of neurobehavioral outcomes in infants and toddlers with craniofacial microsomia (CFM). In this article, we review the data collection and methods used to characterize this complex condition and describe the demographic and clinical characteristics of the cohort.

Setting:: Craniofacial and otolaryngology clinics at 5 study sites. Read More

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http://dx.doi.org/10.1177/1055665618821014DOI Listing
January 2019
13 Reads

Spatially Detailed 3D Quantification of Improved Facial Symmetry After Surgery in Children With Unicoronal Synostosis.

Cleft Palate Craniofac J 2019 Jan 7:1055665618821821. Epub 2019 Jan 7.

1 3D Craniofacial Image Research Laboratory (School of Dentistry, University of Copenhagen; Centre of Head and Orthopedics, Copenhagen University Hospital Rigshospitalet; and Department of Applied Mathematics and Computer Science, Technical University of Denmark), Copenhagen, Denmark.

Objective:: To assess improvement of soft-tissue facial symmetry in children surgically treated for unicoronal synostosis (UCS) in infancy, to correlate pre- and postsurgical facial asymmetry and to evaluate whether the improvement was visually recognizable.

Design:: Case-controlled follow-up.

Patients/settings:: Eleven Danish children diagnosed with UCS were included, 3 of whom had tested positive for Muenke mutation. Read More

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http://dx.doi.org/10.1177/1055665618821821DOI Listing
January 2019
2 Reads

Eleven-Year Follow-Up of Craniopagus Twins After Unsuccessful Attempt at Separation: Are They Better Off?

Cleft Palate Craniofac J 2019 Jan 3:1055665618811534. Epub 2019 Jan 3.

4 Division of Pediatric Plastic Surgery, Lurie Children's Hospital, Chicago, IL, USA.

Craniopagus twins are a rare phenomenon and present numerous challenges in separation. Due to the paucity of data, it is paramount to evaluate outcomes based on case studies to continue improving medical and surgical management of these patients. We present a case report of craniopagus twins cared for by the senior author (A. Read More

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http://dx.doi.org/10.1177/1055665618811534DOI Listing
January 2019
1 Read

Reliability of Americleft Yardstick Nasolabial Appearance Assessment With/Without Basal View for Japanese Children With Unilateral Complete Cleft Lip and Palate.

Cleft Palate Craniofac J 2019 Jan 2:1055665618818679. Epub 2019 Jan 2.

1 Department of Oral and Maxillofacial Surgery, Field of Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Objective:: There is debate on the reliability of the Americleft Yardstick (AY) global nasolabial appearance assessment method. The objective was to analyze the effect of the additional basal view (BV) feature on the reliability of the AY method for Japanese children with complete cleft lip and palate (CUCLP).

Design:: Blind retrospective analysis of clinical records on 43 patients (5- to 7-year-old) with nonsyndromic CUCLP who underwent primary lip repair from 2005 to 2011. Read More

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http://journals.sagepub.com/doi/10.1177/1055665618818679
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http://dx.doi.org/10.1177/1055665618818679DOI Listing
January 2019
2 Reads

Cleft and Craniofacial Team Orthodontic Care in the United States: A Survey of the ACPA.

Cleft Palate Craniofac J 2019 Jan 2:1055665618822235. Epub 2019 Jan 2.

1 Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MA, USA.

Objective:: To better understand the capacity for orthodontic care, service features, and finances among members of the American Cleft Palate-Craniofacial Association (ACPA).

Design:: Cross-sectional survey.

Setting:: ACPA-approved multidisciplinary cleft teams. Read More

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http://dx.doi.org/10.1177/1055665618822235DOI Listing
January 2019
1 Read

Pilot Study of Visual and Quantitative Image Analysis of Facial Surface Asymmetry in Unilateral Complete Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Dec 26:1055665618819645. Epub 2018 Dec 26.

1 Department of Oral and Maxillofacial Surgery, Field of Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Objective:: To visualize and quantitatively analyze facial surface asymmetry following primary cleft lip repair in patients with unilateral cleft lip and palate (UCLP) and to compare this with noncleft controls.

Design:: Retrospective comparative study.

Patients:: Twenty-two patients with complete UCLP who underwent primary lip repair from 2009 to 2013 were enrolled in this study. Read More

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http://dx.doi.org/10.1177/1055665618819645DOI Listing
December 2018
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"It's Not the Shunt": An Algorithm for the Assessment of Other Medically Actionable Causes of Vomiting in Children With Craniofacial Malformations.

Cleft Palate Craniofac J 2018 Dec 26:1055665618821219. Epub 2018 Dec 26.

3 Division of Craniofacial Medicine, Seattle Children's Hospital, Seattle, WA, USA.

Background:: After shunt malfunction has been ruled out in children with craniofacial malformations with vomiting, it can be challenging to effectively communicate with front-line providers about their unique medically actionable causes of vomiting as compared to children whose shunts were placed for other reasons (eg, prematurity/intraventricular hemorrhage).

Solution:: An algorithm to facilitate communication "What we did that is new": We developed an algorithm to facilitate communication regarding emergent evaluation of vomiting in this population. Read More

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http://dx.doi.org/10.1177/1055665618821219DOI Listing
December 2018
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Parent Perceptions of Initial Feeding Experiences of Children Born With Cleft Palate in a Rural Locale.

Cleft Palate Craniofac J 2018 Dec 26:1055665618820754. Epub 2018 Dec 26.

2 Department of Communication Sciences and Disorders, West Virginia University, Morgantown, WV, USA.

Background And Hypothesis:: An early problem frequently present in infants born with cleft lip (CL), cleft lip and palate (CLP), or cleft palate (CP) is difficulty feeding. In many cases, health-care professionals are not familiar with the appropriate feeding techniques and unable to instruct parents correctly. This problem can be particularly significant in rural areas where health-care resources are limited and children with clefts are seen on an infrequent basis. Read More

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http://dx.doi.org/10.1177/1055665618820754DOI Listing
December 2018
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Syndromic Multisuture Craniosynostosis With Associated Anterior Segment Dysgenesis, Optic Nerve Hypoplasia, and Congenital Glaucoma.

Cleft Palate Craniofac J 2018 Dec 25:1055665618820481. Epub 2018 Dec 25.

1 Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA.

Patients with craniosynostosis with subnormal vision due to papilledema and/or exposure-related corneal decompensation are well documented in the literature; however, there is only a single prior documented case of vision compromise secondary to anterior segment dysgenesis and glaucoma in this patient population. This report highlights a case of syndromic craniosynostosis with advanced corneal decompensation and anterior segment dysgenesis that was masked and ultimately delayed the diagnosis of congenital glaucoma. Read More

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http://dx.doi.org/10.1177/1055665618820481DOI Listing
December 2018
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Corrigendum.

Authors:

Cleft Palate Craniofac J 2019 Jan 19;56(1):142. Epub 2018 Nov 19.

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http://dx.doi.org/10.1177/1055665618816547DOI Listing
January 2019
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Salvage or Solution: Alloplastic Reconstruction in Hemifacial Microsomia.

Cleft Palate Craniofac J 2018 Dec 13:1055665618817669. Epub 2018 Dec 13.

4 American Craniofacial Associates, Athens, Greece.

Introduction:: Skeletal reconstruction in severe grades of hemifacial microsomia (HFM) continues to be challenging. Traditional techniques of autografts and osseous distraction for reconstruction of the glenoid fossa, condyle, and ramus can fall short of expectations and can create new problems. This intercontinental study analyzes the role of alloplastic skeletal rehabilitation in severe HFM. Read More

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http://dx.doi.org/10.1177/1055665618817669DOI Listing
December 2018
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Comparing Cephalic Index and Midsagittal Vector Analysis in Assessing Morphology in Sagittal Synostosis: A CT-Based Morphometric Analysis.

Cleft Palate Craniofac J 2018 Dec 11:1055665618815400. Epub 2018 Dec 11.

2 Division of Plastic and Reconstructive Surgery, Centre for Craniofacial Care and Research, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Introduction:: Assessment of cranial dysmorphism in sagittal synostosis is often subjective but objective measures can be applied. These include cephalic index (CI) and midsagittal vector analysis (MSVA).

Objective:: To assess discriminant validity, construct validity, and responsiveness of CI and MSVA measured from computed tomography (CT) in patients with sagittal synostosis. Read More

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http://dx.doi.org/10.1177/1055665618815400DOI Listing
December 2018
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Quantitative Evaluation of Cephalometric Radiographs of Patients With Hemifacial Microsomia.

Cleft Palate Craniofac J 2018 Dec 11:1055665618813453. Epub 2018 Dec 11.

4 Department of Oral and Maxillofacial Surgery, Toya Kyokai Hospital, Toyako-cho, Abuta-gun, Japan.

Objective:: To clarify the morphological characteristics of hemifacial microsomia (HFM) by quantitative analysis of cephalometric radiographs.

Design:: Retrospective study of imaging data.

Setting:: Imaging data were obtained from the records of Sapporo Medical University Hospital. Read More

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http://dx.doi.org/10.1177/1055665618813453DOI Listing
December 2018
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Comment on Malmborn, Becker, and Klintö: Problems With Reliability of Speech Variables for Use in Quality Registries for Cleft Lip and Palate-Experiences From the Swedish Cleft Lip and Palate Registry, CPCJ 2018.

Authors:
Anette Lohmander

Cleft Palate Craniofac J 2018 Dec 9:1055665618817654. Epub 2018 Dec 9.

1 Division of Speech & Language Pathology, CLINTEC, Karolinska Institutet, Stockholm, Sweden.

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http://dx.doi.org/10.1177/1055665618817654DOI Listing
December 2018
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A Programmable Expander for Patients With Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Dec 9:1055665618815398. Epub 2018 Dec 9.

3 Children's Hospital Los Angeles (CHLA), University of Southern California, Los Angeles, CA, USA.

This report describes a method to expand cleft segments of patients with cleft lip and palate prior to the secondary alveolar bone graft (ABG) using a reprogrammable nickel titanium expander. The expander can be reprogrammed with electric current to the desired width for each patient and delivers a gradual slow expansive spring force that expands and aligns the segments without further adjustments. Reprogramming the expander eliminates the need for multiple appliances and reduces chair time and patient appointments. Read More

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http://dx.doi.org/10.1177/1055665618815398DOI Listing
December 2018
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Clinical Outcomes Utilizing a "Modified Latham" Appliance for Presurgical Infant Orthopedics in Patients With Unilateral Complete Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Dec 9:1055665618816892. Epub 2018 Dec 9.

1 Division of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, St Petersburg, FL, USA.

Presurgical infant orthopedic manipulation is utilized prior to cleft lip/nasal repair to facilitate a gingivoperiosteoplasty (GPP) and primary nasolabial repairs. The Latham dentomaxillary advancement appliance uses a screw that must be tightened daily to approximate the cleft segments in unilateral complete clefts. Our cleft center has been utilizing a "modified Latham" appliance since 1987, including an orthodontic elastic power chain to close the gap in a shorter amount of time. Read More

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http://dx.doi.org/10.1177/1055665618816892DOI Listing
December 2018
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