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Cleft Palate-craniofacial Journal

Chihiro Tanikawa, Donghoon Lee, Yuri Yamamoto Oonishi, Seiji Haraguchi, Tomonao Aikawa, Mikihiko Kogo, Seiji Iida, Takashi Yamashiro
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...
January 9, 2019: Cleft Palate-craniofacial Journal
Wei-Na Zhou, Yong-Chu Pan, Yan-Chi Tang, Wei Hou, Da-Ming Wu, Hua Yuan, Lin-Zhong Wan, Yi-Fei Du, Hong-Bing Jiang
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. PATIENTS: Forty-five nonsyndromic patients with unilateral complete alveolar cleft were enrolled in this study (25 patients in block bone graft group and 20 patients in cancellous bone graft group)...
January 8, 2019: Cleft Palate-craniofacial Journal
Daniela V Luquetti, Matthew L Speltz, Erin R Wallace, Babette Siebold, Brent R Collett, Amelia F Drake, Alexis L Johns, Kathleen A Kapp-Simon, Sara L Kinter, Brian G Leroux, Leanne Magee, Susan Norton, Kathleen Sie, Carrie L Heike
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...
January 8, 2019: Cleft Palate-craniofacial Journal
Louise Öwall, Tron A Darvann, Hanne B Hove, Lars Bøgeskov, Sven Kreiborg, Nuno V Hermann
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. Preoperative computed tomography scans and postoperative 3dMD surfaces were available for measurements...
January 7, 2019: Cleft Palate-craniofacial Journal
Donald J Harvey, Elbert E Vaca, Ali Totonchi, Arun K Gosain
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.K.G.). The patients underwent extensive surgical planning and 2 attempts at cerebroendovascular embolization to reroute shared venous sinus drainage. After the 2 endovascular procedures, attempted separation at age 41 months was aborted due to intraoperative hemodynamic instability...
January 3, 2019: Cleft Palate-craniofacial Journal
Muhammad Subhan Amir, Takao Fuchigami, Toshiro Kibe, Masahiro Tezuka, Kiyohide Ishihata, Norifumi Nakamura
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...
January 2, 2019: Cleft Palate-craniofacial Journal
Nima Khavanin, Hillary Jenny, Diana S Jodeh, Michelle A Scott, S Alex Rottgers, Jordan P Steinberg
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. PARTICIPANTS: Cleft team coordinators. INTERVENTIONS: Coordinators were asked to complete the survey working together with their orthodontists...
January 2, 2019: Cleft Palate-craniofacial Journal
Namiko Kimura, Hyoungseop Kim, Takako Okawachi, Takao Fuchigami, Masahiro Tezuka, Toshiro Kibe, Muhammad Subhan Amir, Emi Inada, Kiyohide Ishihata, Etsuro Nozoe, Norifumi Nakamura
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. The preserved 3-dimensional (3D) data of 23 healthy Japanese participants with the same age were used as controls...
December 26, 2018: Cleft Palate-craniofacial Journal
Dawn Maxey, Amy Lee, Tara Wenger
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...
December 26, 2018: Cleft Palate-craniofacial Journal
Meghan Snyder, Dennis M Ruscello
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. The purpose of the investigation was to study the initial feeding experiences of parents who reside in rural areas and whose children were born with CL, CLP, or CP...
December 26, 2018: Cleft Palate-craniofacial Journal
Kelly P Schultz, Claire J Wiggins, Haley Streff, Veeral S Shah, Edward P Buchanan
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...
December 25, 2018: Cleft Palate-craniofacial Journal
John W Polley, John A Girotto, Matthew P Fahrenkopf, Megan L Dietze-Fiedler, Joshua P Kelley, Joseph C Taylor, Spiros A Lazarou, Neophytos C Demetriades
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. METHODS: Ten consecutive patients with Pruzansky grade III HFM were reconstructed between October 2014 and July 2017 at 2 craniofacial centers following the same protocol...
December 13, 2018: Cleft Palate-craniofacial Journal
Brian Y Hong, Emily S Ho, Elizabeth Zellner, John H Phillips, Christopher R Forrest
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. METHODS: Patients with nonsyndromic isolated sagittal synostosis with complete preoperative (n = 30) and postoperative (n = 13) CT data were included...
December 11, 2018: Cleft Palate-craniofacial Journal
Taka-Aki Tokura, Akihiro Miyazaki, Tomohiro Igarashi, Hironari Dehari, Jun-Ichi Kobayashi, Yoshiki Miki, Kazuhiro Ogi, Tomoko Sonoda, Takatoshi Yotsuyanagi, Hiroyoshi Hiratsuka
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. PATIENTS: A total of 183 patients with HFM. MAIN OUTCOME MEASURES: We used linear and angular measurements and analyzed the middle face and lower face...
December 11, 2018: Cleft Palate-craniofacial Journal
Ana Torres, Ibtesam AlYazeedy, Stephen Yen
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...
December 9, 2018: Cleft Palate-craniofacial Journal
Diana S Jodeh, Stephen Ruso, Randy Feldman, Ernesto Ruas, S Alex Rottgers
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. We performed a retrospective chart review of all patients undergoing treatment at Johns Hopkins All Children's Hospital (JHACH) with a unilateral complete cleft lip and palate between 1987 and 2017...
December 9, 2018: Cleft Palate-craniofacial Journal
Shannon M Woods, Judah S Garfinkle, David A Covell, Mansen Wang, Lauren S Busch, Larry M Doyle
OBJECTIVE: To assess weight gain of infants with cleft lip and/or palate (CL ± P) treated with nasoalveolar molding (NAM). DESIGN: Retrospective, case-control chart review. SETTING: Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon. PATIENTS, PARTICIPANTS: Infants with nonsyndromic CL ± P and noncleft controls. INTERVENTIONS: Prior to primary lip surgery, NAM was either included (+NAM) or not included (-NAM) in the cleft treatment protocol...
December 4, 2018: Cleft Palate-craniofacial Journal
Jonathan Bacos, Sergey Y Turin, Elbert E Vaca, Arun K Gosain
OBJECTIVE: Acute complications in orthognathic surgery are reported in single-institution studies with small sample sizes. We aimed to analyze risk factors for acute complications using a national data set to better inform surgical decision-making. METHODS: 2005-2015 National Surgical Quality Improvement Program (NSQIP) data sets were analyzed for patients undergoing Le Fort 1 and/or bilateral sagittal split osteotomies (BSSO) for nontraumatic indications. Demographics, comorbidities, medical, and surgical 30-day complications were tabulated...
November 29, 2018: Cleft Palate-craniofacial Journal
Matthias Schlund, Arnaud Depeyre, Florence Kohler, Romain Nicot, Joël Ferri
INTRODUCTION: The clinical phenotype of pseudohypoparathyroidism (PHP) is caused by Albright's Hereditary Osteodystrophy (AHO). Often, "round face" the only facial clinical sign reported in the literature. The aim of this study was to highlight various cranio-maxillofacial clinical findings associated with AHO. RESULTS: Four patients presented with PHP type 1a. Only one patient exhibited the classical round face. All patients exhibited dental anomalies, class III malocclusion with maxillary retrusion, and a copper beaten appearance of the skull...
November 29, 2018: Cleft Palate-craniofacial Journal
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