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Cleft Palate-craniofacial Journal

Travis L Gibson
No abstract text is available yet for this article.
September 13, 2018: Cleft Palate-craniofacial Journal
Christopher J Goodenough, Kathryn T Anderson, Kari E Smith, Robert A Hanfland, Nitin Wadhwa, John F Teichgraeber, Matthew R Greives
OBJECTIVE: To assess the risk of complication in patients undergoing cleft palate repair with congenital cardiac comorbidities in a large, national cohort. DESIGN: Retrospective review. PATIENTS/SETTING: Using the 2012-2014 National Surgical Quality Improvement Program (NSQIP) Pediatric database, patients undergoing cleft palate repair were selected for analysis. Patients with cleft palate repairs were stratified based on the presence or absence congenital cardiac comorbidities...
September 13, 2018: Cleft Palate-craniofacial Journal
Mimis N Cohen
No abstract text is available yet for this article.
September 13, 2018: Cleft Palate-craniofacial Journal
Blaike M Dumas, Ana Nava, Huay-Zong Law, James Smartt, Christopher Derderian, James R Seaward, Alex A Kane, Rami R Hallac
BACKGROUND: As 3-dimensional (3D) printers and models become more widely available and increasingly affordable, surgeons may consider investing in a printer for their own cleft or craniofacial center. To inform surgeons considering adoption of this evolving technology, this study describes one multi-surgeon center's 5-year experience using a 3D printer. METHODS: This study included 3D models printed between October 2012 and October 2017. A 3D Systems ZPrinter 650 was used to create all models...
September 10, 2018: Cleft Palate-craniofacial Journal
Ananda Ise, Camila Menezes, Joao Batista Neto, Saurab Saluja, Julia R Amundson, Hillary Jenny, Ben Massenburg, Isabelle Citron, Nivaldo Alonso
BACKGROUND: In low- and middle-income countries, poor access to care can result in delayed surgical repair of orofacial clefts leading to poor functional outcomes. Even in Brazil, an upper middle-income country with free comprehensive cleft care, delayed repair of orofacial clefts commonly occurs. This study aims to assess patient-perceived barriers to cleft care at a referral center in São Paulo. METHODS: A 29-item questionnaire assessing the barriers to care was administered to 101 consecutive patients (or their guardians) undergoing orofacial cleft surgery in the Plastic Surgery Department in Hospital das Clínicas, in São Paulo, Brazil, between February 2016 and January 2017...
August 28, 2018: Cleft Palate-craniofacial Journal
Kim Bettens, Gillian de Boer, Tim Bressmann, Laura Bruneel, Kristiane Van Lierde
OBJECTIVE: A new approach to classify oral-nasal balance disorders based on instrumental measurements was developed based on linear discriminant analysis (LDA) of nasalance scores of simulated oral-nasal balance disorders by de Boer and Bressmann. The current study aimed to apply the newly developed functions to clinical data to investigate the applicability of this new approach. DESIGN: Retrospective diagnostic accuracy study. SETTING: Tertiary university hospital...
August 22, 2018: Cleft Palate-craniofacial Journal
Nicole Prendeville, Debbie Sell
OBJECTIVE: To profile the pre- and post-operative feeding difficulties in infants with macroglossia in Beckwith Wiedemann Syndrome (m-BWS) who have had tongue reduction surgery (TRS) and to pilot a bespoke feeding rating scale. DESIGN: Retrospective consecutive case series designed with two pre-operative and one 3-month post-operative feeding assessments. A 4-point Likert-type scale was developed and applied retrospectively to describe the feeding behaviors for liquids, purées, and solids...
August 15, 2018: Cleft Palate-craniofacial Journal
Jean-Charles Doucet, Kathleen A Russell, John Daskalogiannakis, Ana M Mercado, Nicholas Emanuele, Lindsay James, Ronald R Hathaway, Ross E Long
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. PARTICIPANTS: A total of 33 children with complete unilateral cleft lip and palate who were consecutively treated with secondary ABG around 6 years of age were compared to 148 participants from 4 centers with late secondary ABG...
August 13, 2018: Cleft Palate-craniofacial Journal
Eshan Pua, Yolanda Holt, Lakshmi Kollara, Balaji Rangarathnam, Xiangming Fang, Jamie L Perry
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...
August 13, 2018: Cleft Palate-craniofacial Journal
Janine Rosenberg, Meredith Albert, Cassandra Aspinall, Suzel Bautista, Claudia Crilly Bellucci, Todd C Edwards, Carrie L Heike, Solange H Mecham, Donald L Patrick, Laura Stueckle, Kathleen Kapp-Simon
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. Most interviews were conducted over the telephone, audio-recorded, and transcribed. PARTICIPANTS: Forty-one parents (31 English-, 10 Spanish-speaking) were interviewed...
August 9, 2018: Cleft Palate-craniofacial Journal
Ali Ghanem, Dale J Podolsky, David M Fisher, Karen W Wong Riff, Simon Myers, James M Drake, Christopher R Forrest
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...
August 9, 2018: Cleft Palate-craniofacial Journal
Michael R Bykowski, Wesley Sivak, Catharine Garland, Franklyn P Cladis, Jesse A Goldstein, Joseph E Losee
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. PATIENTS/PARTICIPANTS: Iliac crest bone graft (ICBG) harvest techniques: "Open Harvest" (n = 22), "Trephine Only" (n = 14), or "Trephine + Pain Pump" (n = 25)...
August 2, 2018: Cleft Palate-craniofacial Journal
David C G Sainsbury, Amy Davies, Yvonne Wren, Lucy Southby, Ambika Chadha, Rona Slator, Nicola Marie Stock
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...
August 1, 2018: Cleft Palate-craniofacial Journal
Hillary M Kapa, Jennifer L Litteral, Gregory D Pearson, Katherine Eastman, Richard E Kirschner, Canice E Crerand
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...
August 1, 2018: Cleft Palate-craniofacial Journal
Adoración Martínez Plaza, Elena Bullejos Martínez, Miguel Pérez de Perceval Tara, Ana Belén Marín Fernandez, Fernando Monsalve Iglesias, Antonio España López
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. Virtual surgical planning was performed in all cases. The ages varied between 8 and 12 years and all were male...
August 1, 2018: Cleft Palate-craniofacial Journal
Noha A El-Ashmawi, Sherif A ElKordy, Mona M Salah Fayed, Amr El-Beialy, Khaled H Attia
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). DATA COLLECTION AND ANALYSIS: Studies selection was done by 2 authors independently...
July 27, 2018: Cleft Palate-craniofacial Journal
Graham C Schenck, Jamie L Perry, Lakshmi Kollara, David P Kuehn
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...
July 26, 2018: Cleft Palate-craniofacial Journal
Seidu A Bello, Allwell Brown Ibikari, Ifeoluwa Oketade, Saliu A Balogun
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. All of them were surgically repaired and outcome was determined using a Likert scale...
July 25, 2018: Cleft Palate-craniofacial Journal
Regina Fenton, Susan Gaetani, Zoe MacIsaac, Eric Ludwick, Lorelei Grunwaldt
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...
January 1, 2018: Cleft Palate-craniofacial Journal
Ravi Kumar Mahajan, Manila Khokhar, Harish Chandra Ghildiyal
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. Imaging studies were done to know the extension of dermoid and to look for any associated congenital intracranial anomalies. We observed that nasopharyngeal dermoids are usually nonmalignant and can be easily managed by complete local excision followed by palatal closure after 6 months...
October 2018: Cleft Palate-craniofacial Journal
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