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plastic surgery cleft palate lip

Christopher Hughes, Jacob Campbell, Swagoto Mukhopadhyay, Susan McCormack, Richard Silverman, Janice Lalikos, Alan Babigian, Charles Castiglione
OBJECTIVE: Reconstructive surgical care can play a vital role in the resource-poor settings of low- and middle-income countries. Telemedicine platforms can improve the efficiency and effectiveness of surgical care. The purpose of this study is to determine whether remote digital video evaluations are reliable in the context of a short-term plastic surgical intervention. SETTING: The setting for this study was a district hospital located in Latacunga, Ecuador. PATIENTS: Participants were 27 consecutive patients who presented for operative repair of cleft lip and palate...
July 18, 2016: Cleft Palate-craniofacial Journal
J Glicenstein
The history of pediatric plastic surgery is linked to that of paediatrics. Until the early 19th century, there was no children's hospital. Only some operations were performed before the discovery of anesthesia, aseptic and antisepsis: cleft lip repair, amputation for polydactyly. Many operations were described in the 19th century for cleft lip and palate repair, hypospadias, syndactylies. The first operation for protruding ears was performed in 1881. Pediatric plastic surgery is diversified in the 2nd half of the 20th century: cleft lip and palate, burns, craniofacial surgery, hand surgery become separate parts of the speciality...
May 26, 2016: Annales de Chirurgie Plastique et Esthétique
Young-Wook Park, Kwang-Jun Kwon, Min-Keun Kim
BACKGROUND: Most of cleft lip and palate patients have the esthetic and functional problems of midfacial deficiencies due to innate developmental tendency and scar tissues from repeated operations. In these cases, maxillary protraction is required for the harmonious facial esthetics and functional occlusion. CASE PRESENTATION: A 7-year old boy had been diagnosed as severe maxillary constriction due to unilateral complete cleft lip and palate. The author tried to correct the secondary deformity by early distraction osteogenesis with the aim of avoiding marked psychological impact from peers of elementary school...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
Mert Calis, Ali Mubin Aral, Ayse Sencan, Meral Kanbak, İbrahim Vargel, Figen Ozgur, Deniz Iscen
Cleft lip and palate (CL/P) is one of the leading congenital deformities among the world. Children born with CL/P experience problems with feeding, speech, hearing, and dentition. In developed countries, CL/P patients are receiving optimal health care involving multidisciplinary team approach and staged surgical operations, whereas in developing countries, there is severe shortage of both medical and financial sources. To overcome these limitations, humanitarian surgical missions are essential. The aim of this article is to share our experience of humanitarian surgical mission in Uzbekistan consisting of 6 consecutive visits between 2009 and 2014...
April 7, 2016: Annals of Plastic Surgery
Joyce K McIntyre, Harleen Sethi, Anna Schönbrunner, James Proudfoot, Marilyn Jones, Amanda Gosman
BACKGROUND/PURPOSE: Pediatric patients with cleft lip and palate undergo numerous surgeries throughout their childhood and early adulthood to correct the aesthetic and functional stigmata of their diagnoses. This study identifies patient and clinical factors that contribute to the number of surgeries and anesthesia events children undergo for their cleft repair. METHODS/DESCRIPTION: Retrospective chart review was performed using the genetic and dysmorphology database at Rady Children's Hospital San Diego...
May 2016: Annals of Plastic Surgery
Mourad Sebbar, Amal El Aouame, Idriss Tougui
INTRODUCTION: Management of adult patients with a cleft lip and palate is often multidisciplinary. The aim of orthodontic treatment is to correct the malocclusion. When the skeletal dysmorphosis is significant, the solution has to be orthognathic surgery. OBSERVATION: The authors report the case of a 16-year-old patient with a cleft lip and palate and a skeletal Class III. The aim of the orthodontic treatment was to correct dento-alveolar compensations. The skeletal discrepancy was corrected by maxillary advancement and mandibular setback...
June 2016: International Orthodontics
Pravinkumar G Patil, Smita P Nimbalkar-Patil
Bilateral cleft lip/cleft palate is associated with nasal deformities typified by a short columella. The presurgical nasoalveolar molding (NAM) therapy approach includes reduction of the size of the intraoral alveolar cleft as well as positioning of the surrounding deformed soft tissues and cartilages. In a bilateral cleft patient, NAM, along with columellar elongation, eliminates the need for columellar lengthening surgery. Thus the frequent surgical intervention to achieve the desired esthetic results can be avoided...
March 22, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Susan J Flath-Sporn, Rachel R Yorlets, Shawn J Rangel, Anne M Stey, Richard J Redett, Mark M Urata, John G Meara, Amir H Taghinia
BACKGROUND: The American College of Surgeons National Surgical Quality Improvement Program - Pediatrics uses a risk-adjusted, case-mix-adjusted methodology to compare quality of hospital-level surgical performance. This paper aims to focus quality improvement efforts on diagnoses that have large patient volume and high morbidity for pediatric plastic surgery. METHODS: Frequency statistics were generated for a cohort of patients under age 18 who underwent plastic surgery procedures at participating National Surgical Quality Improvement Program - Pediatrics hospitals from January 1, 2011 to December 31, 2012...
March 2016: Journal of Craniofacial Surgery
Hiroshi Koga, Koichi Iida, Tomoki Maeda, Mizuho Takahashi, Naoki Fukushima, Terufumi Goshi
To investigate malformations associated with cleft lip and cleft palate, we conducted surveys at neonatal intensive care units (NICUs) and other non-NICU facilities and to determine whether there are differences among facilities. The regional survey investigated NICU facilities located in Oita Prefecture, including 92 patients with cleft lip and palate (CLP) or cleft palate (CP) that occurred between 2004 and 2013, and the national survey investigated oral surgery, plastic surgery, and obstetrics and gynecology facilities located in Japan, including 16,452 patients with cleft lip (CL), CLP, or CP that occurred since 2000...
2016: PloS One
Silvia Valentová-Strenáčiková, Radovan Malina
Objectives. The objective of this study is to compare the impact of early and late reconstruction of complete unilateral cleft lip and palate on the growth and development of the front of the dentoalveolar arch. Methods. This study was carried out in the years 2012-2015 at the Clinic of Plastic, Reconstructive and Aesthetic Surgery in Banska Bystrica. Infants with unilateral complete cleft lip and palate were divided into 2 groups according to the timing of lip reconstruction. Group A consisted of infants with early lip reconstruction-realised in the first 14 days of life...
2016: PeerJ
Jason Silvestre, Benjamin Chang, Jesse A Taylor
OBJECTIVE: Little is known about designing an effective residency curriculum for pediatric craniofacial surgery. This study elucidates the pediatric craniofacial curriculum of the Plastic Surgery In-Service Training Examination (PSITE) to facilitate knowledge acquisition during residency. DESIGN: Approximately, 6 consecutive PSITEs were reviewed for pediatric craniofacial questions (2010-2015). Subjects were categorized according to topics on the American Board of Plastic Surgery written board examination...
May 2016: Journal of Surgical Education
Christine M Jones, C Alex Campbell, William P Magee, Ruben Ayala, Donald R Mackay
A recent report of the Lancet Commission on Global Surgery has continued to emphasize the importance of surgery in global health. Plastic surgeons have been involved in humanitarian care of children in developing countries for many years. The ability to repair children with cleft lip and palate in resource-poor settings has made this desirable for many plastic surgeons. A number of philanthropic plastic surgery organizations arose to deal with the problem in a more structured way. Dr. Donald Laub at Stanford established Interplast (now ReSurg) in 1969...
May 2016: Annals of Plastic Surgery
Peter A Reichart, Hans R Gelderblom, Pathawee Khongkhunthian, Andrea Schmidt-Westhausen
The 2014-2015 outbreak of the Ebola virus disease (EVD) in West Africa has been considered a major global health emergency by the WHO. Implications for health care providers including oral and maxillo-facial surgeons have been published by the WHO, the Centers for Disease Control and Prevention (USA), and other medical societies and public health organizations. While the risk of infection with the Ebola virus seems to be rather small in Europe, maxillo-facial and plastic surgeons often travel to Africa to treat patients with facial burns, cleft-lip and palate, and noma...
June 2016: Oral and Maxillofacial Surgery
Bowornsilp Chowchuen
Plastic surgery consists of two major fields: reconstructive surgery and cosmetic surgery with its roots lie in the reconstruction aspect. In Thailand, the plastic surgery procedures, performed during the initial period, included cleft lip and cleft palate repairs and skin graftings: In 1987, the Plastic Surgery Unit was established in the Department of Surgery, Srinagarind Hospital in Khon Kaen, which is the city in the Center of the northeast Thailand. In 1991, the partnership training of resident in plastic surgery with Siriraj Hospital was established and continued until the present time...
August 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Eric J Wright, Rohit K Khosla, Lori Howell, Anna Luan, Gordon K Lee
BACKGROUND:   Our institution has incorporated the use of objective structured clinical examinations (OSCE) in our residency curriculum. The OSCE provides trainee education and evaluation while addressing the six Accreditation Council for Graduate Medical Education (ACGME) core competencies required within training programs. We report our program's experience with the first cleft OSCE ever conducted. METHODS:   A validated method for administration of OSCEs currently used at our medical school was utilized for residents in postgraduate years (PGYs) 3 through 6...
December 31, 2015: Cleft Palate-craniofacial Journal
Pericles Foroglou, Antonis Tsimponis, Olga-Christina Goula, Efterpi Demiri
OBJECTIVE: Cleft lip and palate (CLP) is comprised within the wide range of congenital deformities of the maxillofacial region with an overall incidence on the increase from 1:1000 to 1:700 live births thus being the most common congenital birth error. Failure of the lateral and medial nasal processes to fuse with the anterior extension of maxillary processes and of the palatal shelves between the 4th and 8th gestational week results in cleft lip and palate. Clefts include different types with variable severity, confirming the complexity and unpredictable expression of cleft modality and have a multifactorial aetiology...
September 2015: Hellenic Journal of Nuclear Medicine
Graeme E Glass, Ash Mosahebi, Kaveh Shakib
Keeping abreast of current developments is increasingly challenging when the volume of specialty articles being published is rising exponentially, and it is most acute when surgical specialties overlap, as in the case of head, neck, and facial reconstructive surgery. Here, the potential for missing key developments presents a compelling case for a summary article that highlights articles likely to be of mutual relevance. We evaluated 129 original studies and 6 reviews published in the Journal of Plastic, Reconstructive, and Aesthetic Surgery between September 2012 and August 2014, and summarised the main papers of interest and merit under the subheadings of head and neck reconstruction, cleft lip and palate, craniomaxillofacial surgery, facial palsy, facial trauma, and aesthetic surgery...
January 2016: British Journal of Oral & Maxillofacial Surgery
Florian Bauer, Niklas Rommel, Steffen Koerdt, Andreas Fichter, Klaus-Dietrich Wolff, Marco R Kesting
Interest in a surgical career is declining among medical students, and many more need to commit themselves to becoming surgeons to cope with this. We have therefore developed a one-day practical lesson in surgical skills to find out whether a short course such as this can make students more enthusiastic about surgery, and about subsequently pursuing a career in one of its subspecialties. Fifty-four randomly-selected medical students did a one-day practical course in the skills required for maxillofacial surgical specialties...
May 2016: British Journal of Oral & Maxillofacial Surgery
Jordan P Steinberg, Arun K Gosain
Prenatal ultrasound diagnosis of cleft lip with or without cleft palate has received little attention in the plastic surgery literature despite its initial description more than 30 years ago. With more families presenting in the prenatal period, it is critical for plastic surgeons to understand the techniques in use today for prenatal cleft diagnosis as well as their associated limitations. Moreover, it is incumbent on surgeons to understand the implications of the diagnosis as well as how to appropriately counsel affected families, including how to handle questions pertaining to termination...
September 2015: Plastic and Reconstructive Surgery
Harry S Nayar, A Neil Salyapongse, Delora L Mount, Michael L Bentz
BACKGROUND: The current state of global surgery training in U.S. plastic surgery residency programs remains largely undefined. METHODS: An electronic survey was distributed to Accreditation Council for Graduate Medical Education-certified plastic surgery residency programs. Programs with global health curricula were queried regarding classification, collaboration details, regions visited, conditions/procedures encountered, costs, accreditation, and personal sentiment...
December 2015: Plastic and Reconstructive Surgery
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