2,908 results match your criteria Cleft Palate-Craniofacial Journal[Journal]


Facial Growth of Patients With Complete Unilateral Cleft Lip and Palate Treated With Alveolar Bone Grafting at 6 Years.

Cleft Palate Craniofac J 2018 Aug 13:1055665618792791. Epub 2018 Aug 13.

8 Lancaster Cleft Palate Clinic, Lancaster, PA, USA.

Objective: To investigate the effect that alveolar bone grafting (ABG) around 6 years of age has on facial growth by assessing craniofacial growth outcomes.

Design: Retrospective cohort study.

Setting: North American cleft centers. Read More

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Evaluating Nasalance Values Among Bilingual Mandarin-English Speakers.

Cleft Palate Craniofac J 2018 Aug 13:1055665618791942. Epub 2018 Aug 13.

1 Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, USA.

Objective: The goals of this research are (1) to establish normative nasalance values for bilingual Mandarin-English speakers and compare values to those of previously reported monolingual Mandarin speakers, and (2) to examine whether sex, age, dialect, and language proficiency affect levels of nasalance among Mandarin-English speakers in both English and Mandarin.

Design: All participants recorded the speech stimuli, constructed to include oral sentences, nasal sentences, oronasal sentences, and vowels /ɑ, i, u/ in Mandarin and English. Nasalance measurements were recorded using the Nasometer II 6450. Read More

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Parent Observations of the Health Status of Infants With Clefts of the Lip: Results From Qualitative Interviews.

Cleft Palate Craniofac J 2018 Aug 9:1055665618793062. Epub 2018 Aug 9.

2 Shriners Hospital for Children, Chicago, IL, USA.

Objective: To explore, using semistructured qualitative interviews, parent observations of their infant's health as they relate to having a cleft lip or cleft lip and cleft palate (CL±P) and/or associated treatments.

Design: Cross-sectional, qualitative study across 3 sites.

Setting: Parents were recruited from 3 academic craniofacial centers. Read More

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Economy of Hand Motion During Cleft Palate Surgery Using a High-Fidelity Cleft Palate Simulator.

Cleft Palate Craniofac J 2018 Aug 9:1055665618793768. Epub 2018 Aug 9.

4 Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.

Objective: The objectives of this study were to assess economy of hand motion of residents, fellows, and staff surgeons using a high-fidelity cleft palate simulator to (1) stratify performance for the purpose of simulator validation and (2) to estimate the learning curve.

Design: Two residents, 2 fellows, and 2 staff surgeons performed cleft palate surgery on a high-fidelity cleft palate simulator while their hand motion was tracked using an electromagnetic hand sensor. The time, number of hand movements, and path length of their hands were determined for 10 steps of the procedure. Read More

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A Multimodal Preemptive Analgesic Protocol for Alveolar Bone Graft Surgery: Decreased Pain, Hospital Stay, and Health Care Costs.

Cleft Palate Craniofac J 2018 Aug 2:1055665618791943. Epub 2018 Aug 2.

1 Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

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. Read More

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The Cleft Multidisciplinary Collaborative: Establishing a Network to Support Cleft Lip and Palate Research in the United Kingdom.

Cleft Palate Craniofac J 2018 Aug 1:1055665618790174. Epub 2018 Aug 1.

6 Centre for Appearance Research, University of the West of England, Bristol, United Kingdom.

Background: As a growing paradigm of health research, trainee collaboratives can influence clinical practice through the generation of cost-effective multicenter audit and research projects. The aims of the present article are to outline and discuss the establishment of a multidisciplinary collaborative in the context of cleft lip and/or palate (CL/P).

Methods: The Cleft Multidisciplinary Collaborative (CMC) was formed in April 2016 under the overarching supervision of the National Institute for Health Research. Read More

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Assessment of Psychosocial Risk in Families of Children With Craniofacial Conditions Using the Psychosocial Assessment Tool-Craniofacial Version.

Cleft Palate Craniofac J 2018 Aug 1:1055665618791417. Epub 2018 Aug 1.

1 Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Objectives: Using the Psychosocial Assessment Tool-Craniofacial Version (PAT-CV), this study measured variation in psychosocial risk in families of children with craniofacial conditions by demographic and clinical characteristics, frequency of condition-related problems, concordance between caregivers' report of risk, and association between risk level and psychosocial service utilization.

Design: Caregivers (n = 242) of 217 children with craniofacial conditions completed the PAT-CV, a psychosocial risk screener. Medical records were also abstracted. Read More

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August 2018
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Impact of Virtual Planning on Surgical Reposition of the Premaxilla Using an Endonasal Approach and Simultaneous Alveoloplasty.

Cleft Palate Craniofac J 2018 Aug 1:1055665618791706. Epub 2018 Aug 1.

1 Hospital Universitario Virgen de las Nieves, Granada, Spain.

Objective: Describe the surgical repositioning of the premaxilla using an innovative minimally invasive endonasal approach and secondary bone graft at the same time. We want to emphasize the importance of virtual surgical planning in this technique.

Material And Methods: A total of 6 patients with bilateral complete cleft lip and palate underwent a surgical repositioning of the premaxilla. Read More

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Effectiveness of Gingivoperiosteoplasty on Alveolar Bone Reconstruction and Facial Growth in Patients With Cleft Lip and Palate: A Systematic Review and Meta-Analysis.

Cleft Palate Craniofac J 2018 Jul 27:1055665618788421. Epub 2018 Jul 27.

1 Department of Orthodontics and Dentofacial Orthopedics, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.

Objective: The aim of the systematic review is to evaluate the effects of gingivoperiosteoplasty (GPP) on alveolar bone quality and facial growth in patients with cleft lip and palate (CLP).

Search Methods: Electronic and manual search was done up to October 2017. Eligibility Criteria: Clinical and observational studies that compared GPP to control; patients without GPP evaluated either before or after the age for secondary bone graft (SBG). Read More

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July 2018
1 Read

Effects of Surgical Intervention and Continuous Positive Airway Pressure Therapy on Velopharyngeal Structure and Function: A Case Report.

Cleft Palate Craniofac J 2018 Jul 26:1055665618787688. Epub 2018 Jul 26.

5 Department of Speech and Hearing Science, University of Illinois at Urbana-Champaign, Champaign, IL, USA.

Changes to the velum and velopharyngeal muscles following Furlow double-opposing Z-plasty in a 7-year-old female with submucous cleft palate and velopharyngeal dysfunction (VPD) were evaluated. Perceptual, instrumental (ie, nasometry and aerodynamic pressure flow), and research magnetic resonance imaging analyses were used during pre- and postsurgical time points at a university research clinic. Continuous positive airway pressure (CPAP) therapy was trialed following a failed surgery for residual VPD in the patient. Read More

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Atypical Facial Clefts From Northcentral Nigeria, Review of 36 Cases.

Cleft Palate Craniofac J 2018 Jul 25:1055665618790884. Epub 2018 Jul 25.

4 Otun Centre for Health and Social Research, Lagos, Nigeria.

Objective: This study aims to present the pattern and management of atypical facial clefts from a Nigerian population.

Design: This is a retrospective study of patients seen during series of surgical outreach programs in North Central Nigeria, between 2011 and 2017. All cases of atypical facial clefts encountered were evaluated for the pattern of presentation using Tessier classification system. Read More

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Reconstruction of Premaxilla With Alveolar Distraction Osteogenesis in a Patient With Complete Cleft Lip and Palate: A Case Report.

Cleft Palate Craniofac J 2018 Jan 1:1055665618785789. Epub 2018 Jan 1.

4 Department of Orthodontics, Okan University, Istanbul, Turkey.

This case report presents an early clinical evaluation of a patient with bilateral cleft lip and palate (CLP) treated with ArchWise Distraction Osteogenesis Technique and Appliance. A 16-year-old patient with a bilateral CLP had a chief complaint of missing upper anterior teeth and poor aesthetics. The patient had class III skeletal and dental relationships, maxillary hypoplasia, maxillary posterior arch constriction, premaxillary deficiency, multiple missing teeth due to an alveolar cleft, and a concave profile. Read More

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January 2018
4 Reads

Digital Images in Academic Plastic Surgery: A Novel and Secure Methodology for Use in Clinical Practice and Research.

Cleft Palate Craniofac J 2018 Jan 1:1055665618787399. Epub 2018 Jan 1.

1 Department of Plastic Surgery, UT Southwestern, Dallas, TX, USA.

Background: Digital photographs have become an integral part in plastic and reconstructive surgery. They are significant in clinical research and outcome evaluation. There is a need for effective and secure methods to store, search, and retrieve those photographs. Read More

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January 2018
3 Reads

Ewing Sarcoma Presenting as a Congenital Scalp Mass.

Cleft Palate Craniofac J 2018 Jan 1:1055665618787100. Epub 2018 Jan 1.

1 Division of Plastic Surgery, University of Rochester Medical Center, Rochester, NY, USA.

Ewing sarcoma is a locally aggressive, highly malignant tumor most commonly seen in the skeletal system. The "Ewing family of tumors" also includes other tissue types that are not common, such as soft tissue origin classified as extraosseous Ewing sarcoma (EES) or primitive neuroendocrine origin. Age of onset most often occurs within the first 2 decades of life. Read More

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January 2018
3 Reads

Description of Mandibular Improvements in a Series of Infants With Congenital Muscular Torticollis and Deformational Plagiocephaly Treated With Physical Therapy.

Cleft Palate Craniofac J 2018 Jan 1:1055665618763374. Epub 2018 Jan 1.

1 Division of Pediatric Plastic Surgery and the Cleft Craniofacial Center, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.

Background: Many infants with congenital muscular torticollis (CMT) have deformational plagiocephaly (DP), and a small cohort also demonstrate mandibular asymmetry (MA). The aim of this retrospective study was to evaluate mandibular changes in these infants with previous computed tomography (CT) scans who underwent physical therapy (PT) to treat CMT.

Methods: A retrospective study included patients presenting to a pediatric plastic surgery clinic from December 2010 to June 2012 with CMT, DP, and MA. Read More

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January 2018
1 Read

Outcomes of Closed Versus Open Technique of Rhinoplasty During Primary Repair of Unilateral Cleft Lip: A Systematic Review.

Cleft Palate Craniofac J 2018 Jan 1:1055665618787689. Epub 2018 Jan 1.

2 Maxillofacial, Facial Plastic and Reconstructive Surgery, Pantai Jerudong Medical Centre, Brunei Darussalam.

Objective: Primary cleft rhinoplasty has almost become the norm in cleft practice. Although various closed and open rhinoplasty techniques are in use, there is no consensus as to which technique is superior in terms of outcome. The authors hypothesized that the long-term outcomes of open rhinoplasty during primary cleft lip repair in unilateral cleft is better than that of the closed method. Read More

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January 2018
3 Reads

Nasometric Comparison Between Spanish-English Bilingual and English Monolingual Children.

Cleft Palate Craniofac J 2018 Jan 1:1055665618786350. Epub 2018 Jan 1.

3 Durham VA Medical Center, Durham, NC, USA.

Objective: It is well established in the literature that English diagnostic tests should not be directly applied to speakers whose primary language is Spanish. Normative nasalance data across word and sentence-level stimuli among Spanish-English bilingual children living in the United States have not been provided. The present study aims to (1) compare differences in nasalance between typically developing Spanish-English bilingual children and English-speaking monolingual children and (2) determine whether within-speaker nasalance differences exist in Spanish-English bilingual children when presented with English and Spanish speech stimuli. Read More

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January 2018
2 Reads

Nasopharyngeal Dermoids and Cleft Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618763376. Epub 2018 Jan 1.

1 Department of Plastic surgery, Amandeep Hospital, Amritsar, Punjab, India.

Nasopharyngeal dermoids associated with cleft palate present as intraoral protruding masses. Only 5 cases of nasopharyngeal dermoids associated with cleft palate have been reported in the literature. We are reporting 4 such cases encountered by us in the last 10 years in our series of 900 cleft palate surgeries. Read More

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January 2018
1 Read

The Impact of Maxillary Advancement on Consonant Proficiency in Patients With Cleft Lip and Palate, Lay Listeners' Opinion, and Patients' Satisfaction With Speech.

Cleft Palate Craniofac J 2018 Jan 1:1055665618784804. Epub 2018 Jan 1.

2 Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.

Objective: This study investigates the impact of maxillary advancement (Le Fort I osteotomy) on consonant proficiency in patients with cleft lip and palate (CLP) and explores how these patients and lay people perceive their speech 1 year post Le Fort I osteotomy.

Design: Retrospective group study before and after treatment.

Participants: All patients with CLP who had undergone Le Fort I osteotomy for maxillary retrognathia between 2007 and 2010 at Karolinska University Hospital, Sweden (n = 21). Read More

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January 2018
1 Read

A New Technique for Retracting the Protrusive Premaxilla With Fewer Patient Visits.

Cleft Palate Craniofac J 2018 Jan 1:1055665618784810. Epub 2018 Jan 1.

3 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Bilateral cleft lip and palate with premaxillary protrusion is a great challenge due to a large defect area. Retraction of the premaxilla before surgery can be done with numerous orthopedic treatment options. In patients who have cleft lip and alveolus, but not cleft palate, it is quite difficult to get to the place where the premaxilla should be. Read More

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January 2018
2 Reads

Premaxillary Setback With Posterior Vomerine Ostectomy: Outcomes of Single-Stage Repair of Complete Bilateral Cleft Lip With a Severely Protruding Premaxilla.

Cleft Palate Craniofac J 2018 Jan 1:1055665618782806. Epub 2018 Jan 1.

1 Global Smile Foundation, Norwood, MA, USA.

Objective: Evaluating the safety and outcomes of premaxillary setback with posterior vomerine ostectomy in single-stage repair of complete bilateral cleft lip (CBCL) with severe premaxillary protrusion.

Design: Retrospective case series.

Setting: Multiple outreach surgical sites. Read More

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January 2018
1 Read

Predicting the Ideal Patient for Ambulatory Cleft Lip Repair.

Cleft Palate Craniofac J 2018 Jan 1:1055665618779980. Epub 2018 Jan 1.

1 One:Map Surgical Analytics Research Group, Maywood, IL, USA.

Background: The utilization of ambulatory surgical centers (ASCs) for cleft lip repair is increasing to reduce costs. This study better defines the patient population appropriate for ambulatory cleft repair with uplift modeling, a predictive analytics technique.

Methods: Pediatric patients who underwent cleft lip repair were identified in the 2007 to 2011 California Healthcare Cost and Utilization Project State Inpatient Database and State Ambulatory Surgery and Services Database. Read More

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January 2018
1 Read

Outcomes of Alveolar Graft With Rhbmp-2 in CLP: Influence of Cleft Type and Width, Canine Eruption, and Surgeon.

Cleft Palate Craniofac J 2018 Jan 1:1055665618780981. Epub 2018 Jan 1.

1 Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil.

Objective: To evaluate the influence of cleft type and width, canine eruption stage, and surgeon on the outcomes of alveolar graft with rhBMP-2.

Design: Cross-sectional.

Setting: Tertiary craniofacial center. Read More

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January 2018
1 Read

Presurgical Preparation of Infants With Unilateral Cleft Lip and Palate: The SAC-PP-MR Innovative Technique.

Cleft Palate Craniofac J 2018 Jan 1:1055665618780980. Epub 2018 Jan 1.

1 Casa Azul, A.C., San Pedro Garza Garcia, Nuevo León, Mexico.

In this article, we demonstrate an effective, cheap, and fast way to shape the nasal alar cartilage in patients with unilateral cleft lip and palate. This technique straightens the vomer and brings the philtrum, columella, premaxilla, and the maxillary frenum to the midsagittal plane, while the alveolar ridges are shaped and positioned. This reduces the lip and palatal cleft to zero even in a 4-week period. Read More

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January 2018
1 Read

Three-Dimensional Printing of Personalized Nasal Stents for Patients With Cleft Lip.

Cleft Palate Craniofac J 2018 Jan 1:1055665618782804. Epub 2018 Jan 1.

3 Department of Oral and Maxillary Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province, China.

Objective: This report describes the design and printing of personalized nasal stents for cleft lip using 3-dimensional (3D) technology.

Materials And Methods: We used silicone rubber to make the impressions, a 3D laser scanner to obtain 3D data, and Dental SG resin cartridges as printing material. We printed the personalized nasal stents using a photosensitive resin printer. Read More

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January 2018
1 Read

Orofacial Function, Articulation Proficiency, and Intelligibility in 5-Year-Old Children Born With Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618783154. Epub 2018 Jan 1.

1 Division of Speech and Language Pathology, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.

Objective: To explore and describe orofacial function in 5-year-old children born with clefts affecting the palate and to investigate potential relationship with articulation proficiency and intelligibility.

Design: A prospective cohort study of 88 consecutive patients born with cleft lip and palate (CLP) between July 2009 and June 2011.

Participants: Excluding internationally adopted children and children with no speech production resulted in 52 children with different cleft types and additional malformations, examined at age 5. Read More

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January 2018
1 Read

Associations Between Parenting Stress at School Entry and Later Psychosocial Adjustment: A Longitudinal Study of Children With Congenital Craniofacial Anomalies.

Cleft Palate Craniofac J 2018 Jan 1:1055665618781371. Epub 2018 Jan 1.

1 Department of Psychology, St John's University, Jamaica, NY, USA.

Objective: To examine the reciprocal relationships between parenting stress and psychosocial adjustment of children with congenital craniofacial anomalies (CFAs) at 2 time points: school entry and approximately 2.5 years later, after children had time to adjust to school.

Design: Retrospective review of medical charts of children with CFAs. Read More

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January 2018
1 Read

Longitudinal 3D Assessment of Facial Asymmetry in Unilateral Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618780108. Epub 2018 Jan 1.

5 Oral and Maxillofacial Surgery, Scottish Craniofacial Research Group, Glasgow University Dental Hospital and School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.

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. Read More

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January 2018
4 Reads

Upper Airway 3D Changes of Patients With Cleft Lip and Palate After Orthognathic Surgery.

Cleft Palate Craniofac J 2018 Jan 1:1055665618778622. Epub 2018 Jan 1.

4 Department of Biological Sciences, Bauru School of Dentistry and Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil.

Objectives: The purpose of this study was to 3-dimensionally assess the airway characteristics of patients with unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP) who underwent orthognathic surgery.

Design: This was a retrospective study.

Setting: The study took place at a national referral center for cleft lip and palate rehabilitation. Read More

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January 2018
1 Read

Use of Technological Aids in the Resection of a Rare Maxillofacial Tumor of Infancy.

Cleft Palate Craniofac J 2018 Jan 1:1055665618763375. Epub 2018 Jan 1.

2 Dell Children's Medical Center, Dell Medical School, University of Texas at Austin, Austin, TX, USA.

Melanotic neuroectodermal tumor of infancy is a rare maxillofacial tumor, usually presenting within the first year of life, often a benign locally aggressive lesion, with wide local excision providing the best opportunity of cure. In past reports, direct tissue visualization guided resection, with occasional need for reoperation to clear margins. In this case report, a method is presented to achieve clear margins in surgery using virtual surgical planning and surgical stealth navigation. Read More

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January 2018
2 Reads

Microbial Profile and Dental Caries in Cleft Lip and Palate Babies Between 0 and 3 Years Old.

Cleft Palate Craniofac J 2018 Jan 1:1055665618776428. Epub 2018 Jan 1.

1 Department of Paediatric Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkey.

Objective: The aim of this study was to examine the microbiological changes in newborn babies with cleft lip palate from birth up to age 3 and to correlate them with their caries levels and mothers' microbiological data and to compare with normal infants.

Basic Research Design: Prospective.

Settings: Marmara University, Faculty of Dentistry, Pediatric Dentistry Clinic, and Şişli Hamidiye Etfal Education and Research Hospital New Born Clinic. Read More

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January 2018
1 Read

A Single Lab Test to Aid Pierre Robin Sequence Severity Diagnosis.

Cleft Palate Craniofac J 2018 Jan 1:1055665618778400. Epub 2018 Jan 1.

5 Department of Plastic Surgery, Sothern California Permanente Medical Group, Los Angeles, CA, USA.

Objective: The workup of patients with Pierre Robin sequence (PRS) consists of a physical examination, O 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. Read More

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January 2018
5 Reads

Markedly Elevated Intracranial Pressure Treated With Cranial Vault Expansion, Instead of CSF Shunting, in a Child With Hurler-Scheie Syndrome and Multiple Suture Craniosynostosis.

Cleft Palate Craniofac J 2018 Jan 1:1055665618777906. Epub 2018 Jan 1.

4 Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL, USA.

Despite a known association of mucopolysaccharidoses (MPS) and craniosynostosis, treatment of elevated intracranial pressure (ICP) in these patients is primarily cerebrospinal fluid (CSF) shunting. We present a unique case of Hurler-Scheie syndrome with multisuture craniosynostosis and elevated ICP, without ventriculomegaly, where elevated ICP was successfully treated with extensive cranial vault expansion and shunt placement was avoided. Patients with MPS should be evaluated for craniosynostosis, and calvarial vault expansion may be considered as a viable treatment alternative to CSF shunting for elevated ICP in select patients. Read More

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January 2018
3 Reads

Safety of Ibuprofen for Postoperative Pain After Palatoplasty: A Pilot Study.

Cleft Palate Craniofac J 2018 Jan 1:1055665618760532. Epub 2018 Jan 1.

3 Department of Otolaryngology, Oklahoma State University, Tulsa, OK, USA.

Objective: To determine the safety of ibuprofen used for postoperative pain control following palatoplasty in pediatric patients.

Design: Retrospective chart review.

Setting: Tertiary care, pediatric hospital. Read More

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January 2018
2 Reads

Orthodontic-Surgical Approach for Treating Skeletal Class III Malocclusion With Severe Maxillary Deficiency in Isolated Cleft Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618777573. Epub 2018 Jan 1.

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

Orthodontic treatment in patients with orofacial cleft such as cleft lip and palate or isolated cleft palate is challenging, especially when the patients exhibit severe maxillary growth retardation. To correct this deficiency, maxillary expansion and protraction can be performed in the first phase of orthodontic treatment. However, in some cases, the malocclusion cannot be corrected by these procedures, and thus, skeletal discrepancy remains when the patients are adolescents. Read More

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January 2018
1 Read

Innovative Surgical Treatment of Severe Cherubism.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774008. Epub 2018 Jan 1.

1 Division of Plastic and Reconstructive Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA.

Background: Cherubism is an autosomal dominant syndrome characterized by excessive bilateral maxillomandibular bony degeneration and fibrous tissue hyperplasia. Conservative management is the preferred treatment as cherubism has a self-limiting course. Functional or emotional disturbances may, however, demand surgical intervention. Read More

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January 2018
1 Read

Survey of North American Multidisciplinary Cleft Palate and Craniofacial Team Clinic Administration.

Cleft Palate Craniofac J 2018 Jan 1:1055665618776069. Epub 2018 Jan 1.

1 Division of Plastic and Reconstructive Surgery, Department of Surgery, Cleft Palate and Craniofacial Institute, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA.

Objective: This study aims to provide an understanding of the ways cleft palate (CP) and craniofacial teams address billing, administration, communication of clinical recommendations, appointment scheduling, and diagnosis-specific protocols.

Design: An online clinic administration survey was developed using data from an open-ended telephone questionnaire. The online survey was distributed by e-mail to the American Cleft Palate-Craniofacial Association (ACPA) nurse coordinator electronic mailing list, used regularly by the ACPA and its members to communicate with teams. Read More

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January 2018
1 Read

Symptoms of Obstructive Sleep Apnea, Nasal Obstruction, and Enuresis in Children With Nonsyndromic Cleft Lip and Palate: A Prevalence Study.

Cleft Palate Craniofac J 2018 Jan 1:1055665618776074. Epub 2018 Jan 1.

2 Department of Biological Sciences, Bauru School of Dentistry and Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru-SP, Brazil.

Objective: To estimate the prevalence of symptoms of obstructive sleep apnea (OSA), nasal obstruction, and enuresis in children with nonsyndromic unilateral cleft lip and palate.

Design: Prospective cross-sectional study.

Setting: Referral care center. Read More

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January 2018
2 Reads

An Algorithm for the Assessment of Facial Asymmetry in Children With Focus on Etiology and Treatment.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775725. Epub 2018 Jan 1.

2 Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Background: Facial asymmetry is a common referral indication for craniofacial teams but has a wide range of causes. Prompt identification of etiology is critical to treatment, as medical and surgical interventions vary depending on the cause of asymmetry in each patient.

Solution: A standardized diagnostic algorithm. Read More

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January 2018
1 Read

Outcome Measures in UCLP: The Modified 5-Year-Olds'-Index-Development and Reliability.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774018. Epub 2018 Jan 1.

2 Dental School, University of Bristol, Bristol, United Kingdom.

Objective: Can we reliably discriminate severity within the existing categories of the 5-Year-Olds' Index?

Design: Retrospective method comparison and development study.

Setting: School of Oral and Dental Science, University of Bristol.

Methods: Dental study models of 5-year-olds with unilateral cleft lip and palate (UCLP) were collected from the archives of 2 national cleft surveys (n = 351). Read More

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January 2018
3 Reads

Orthognathic Correction in Prader-Willi Syndrome: Occlusion and Sleep Restored.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775724. Epub 2018 Jan 1.

2 University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.

Children with Prader-Willi Syndrome (PWS) may present with a malocclusion and have a high propensity of developing obstructive sleep apnea (OSA). Obstructive sleep apnea is associated with short- and long-term adverse effects that negatively impact children with PWS. A case of a 15-year-old male with PWS, OSA, and a debilitating malocclusion is presented who underwent a combination of Le Fort 1 osteotomy, genioplasty, and tongue reduction to successfully treat his OSA and malocclusion. Read More

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January 2018
7 Reads

A Standardized Protocol for the Prospective Follow-Up of Cleft Lip and Palate Patients.

Cleft Palate Craniofac J 2018 Jan 1:1055665618771422. Epub 2018 Jan 1.

3 British Columbia's Children's Hospital Cleft and Craniofacial Team, Vancouver, British Columbia, Canada.

Objective: To develop a standardized all-encompassing protocol for the assessment of cleft lip and palate patients with clinical and research implications.

Method: Electronic database searches were conducted and 13 major cleft centers worldwide were contacted in order to prepare for the development of the protocol. In preparation, the available evidence was reviewed and potential fistula-related risk determinants from 4 different domains were identified. Read More

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January 2018
2 Reads

Tessier Number 30 Median Mandibular Cleft With Congenital Heart Anomalies in Qena, Egypt.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775730. Epub 2018 Jan 1.

1 Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, South Valley University, Qena, Egypt.

Median cleft deformities of the lower lip and mandible are very rare congenital anomalies. Our patient had median cleft of the lower lip, mandible, and the chin with tongue duplication, ankyloglossia, and cleft strap muscles with 2 neck contracture bands. This anomaly was associated with congenital heart disease transposition of great vessels, large ventricular septal defect, and severe pulmonary stenosis. Read More

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January 2018
7 Reads

Presurgical Nasal Molding With a Nasal Spring in Patients With Mild-to-Moderate Nasal Deformity With Incomplete Unilateral Cleft Lip With or Without Cleft Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774773. Epub 2018 Jan 1.

1 Baylor College of Dentistry, Dallas, TX, USA.

Objective: Traditional nasoalveolar molding (NAM) requires steep learning curve for clinicians and significant compliance from parents. Nasal springs have been developed by the author to simplify presurgical nasal molding. This article presents the design, construction, and application of the spring. Read More

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January 2018
2 Reads

Psychosocial Functioning of Children in a Craniofacial Support Group.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775866. Epub 2018 Jan 1.

3 Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Objective: To describe psychosocial functioning before and after participation in support groups for pediatric patients with craniofacial diagnoses and their families.

Design: Baseline and postgroup outcomes and comparison to test norms.

Setting: Urban children's hospital. Read More

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January 2018
5 Reads

Surgical Correction of Metopic Craniosynostosis: A 3-D Photogrammetric Analysis of Cranial Vault Outcomes.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775729. Epub 2018 Jan 1.

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

Objective: To evaluate 3-dimensional (3-D) photogrammetry as a tool for assessing the postoperative head shape of patients who had undergone cranial vault remodeling for metopic synostosis.

Design: We prospectively analyzed images of patients with metopic craniosynostosis who had undergone anterior cranial vault remodeling and age-matched controls. To ensure standardized facial orientation, each 3-D image was positioned to "best fit" the preoperative face by aligning 6 soft tissue landmarks. Read More

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January 2018
3 Reads

Differences in Weight Loss and Recovery After Cleft Lip and Palate Repair.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774020. Epub 2018 Jan 1.

2 University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.

Objective: To determine the degree of weight loss, time to regain lost weight, and impact on postoperative outcomes after primary cleft lip (CL) and cleft palate (CP) repair.

Design: Single institution retrospective.

Patients: Two hundred seven patients who underwent primary CL and/or CP repair procedures. Read More

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January 2018
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Assessing Attentional Bias in Secondary Cleft Lip Deformities: An Eye-Tracking Study.

Cleft Palate Craniofac J 2018 Jan 1:1055665618775728. Epub 2018 Jan 1.

2 Division of Plastic and Reconstructive Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Objective: Using a well-established measure of attention, we aimed to objectively identify differences in severity between types of simulated secondary cleft lip deformities.

Design: Volunteer participants viewed a series of images of a child digitally modified to simulate different secondary unilateral cleft lip deformities (long lip, short lip, white roll/vermilion disjunction, and vermilion excess), a lip scar with no secondary deformity, or a normal lip. Eye movements were recorded using a table-mounted eye-tracking device. Read More

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January 2018
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Evaluation of Nasal Airway Volume of Operated Unilateral Cleft Lip and Palate Patients Compared With Skeletal Class III Individuals.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774024. Epub 2018 Jan 1.

1 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.

Cleft lip and palate (CLP) patients have various problems with nasal anatomy beyond just oronasal separation. The alar base, concha, and septum are over impressed in these individuals. Additionally, skeletal class III deformity is seen. Read More

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January 2018
4 Reads

Mean GOSLON Yardstick Scores After 3 Different Treatment Protocols-A Long-term Study of Patients With Unilateral Cleft Lip and Palate.

Cleft Palate Craniofac J 2018 Jan 1:1055665618774010. Epub 2018 Jan 1.

1 Department of Reconstructive Plastic Surgery, Stockholm Cranofacial Team, Karolinska University Hospital, Stockholm, Sweden.

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. Read More

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January 2018
2 Reads