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Palate surgery

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https://www.readbyqxmd.com/read/28207473/application-of-computer-aided-design-and-customized-implants-in-the-reconstruction-of-pyriform-aperture-defects-secondary-to-unilateral-cleft-lip-and-palate
#1
Yilai Wu, Guomin Wang, Yusheng Yang, Yang Chen
PURPOSE: To design and develop customized implants with the rapid prototyping (RP) technique in order to reconstruct the defected pyriform aperture. METHODS: A 3-dimensional digital model was reconstructed with the software proplan CMF based on the computed tomography data of the patient's skeleton. Then an individualized implant was designed by computer-aided design (CAD) and prepared with the RP technique. A total of 5 patients (3 males and 2 females) with unilateral secondary nasal deformities received the customized implants in this study...
February 15, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28207462/what-are-the-contributing-factors-for-postsurgical-relapse-after-two-jaw-surgery-in-patients-with-cleft-lip-and-palate
#2
Yoon-Hee Park, Ji-Hee Seo, Il-Hyung Yang, Jin-Young Choi, Jong-Ho Lee, Myung-Jin Kim, Seung-Hak Baek
The purpose of this study was to investigate the amount and pattern of postsurgical relapse after 2-jaw surgery in cleft lip and palate patients in terms of the sagittal and vertical aspects. The samples consisted of 21 adult patients who had the similar initial skeletodental pattern before surgery and underwent 2-jaw surgery. They were divided into high relapse (n = 11) and low relapse groups (n = 10) (criteria, 30% forward relapse of the B point). After the cephalometric variables of cephalograms taken at 1 month before surgery (T0), immediately after surgery (T1), and at least 1 year after surgery (T2) were measured, the Wilcoxon test, Mann-Whitney U test, and Pearson correlation test were performed for statistical analysis...
February 15, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28195824/sleep-surgery-in-the-elderly
#3
Christopher J Gouveia, John D Cramer, Stanley Yung-Chuan Liu, Robson Capasso
Objective Assess the frequency and nature of postoperative complications following sleep surgery. Examine these issues specifically in elderly patients to provide guidance for their perioperative care. Study Design Retrospective cohort study. Setting American College of Surgeons National Surgical Quality Improvement Program. Methods We identified patients with obstructive sleep apnea undergoing sleep surgery procedures from 2006 to 2013 in the American College of Surgeons National Surgical Quality Improvement Program, a multi-institutional outcomes program designed to improve surgical quality...
February 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28193324/stability-of-large-maxillary-advancements-using-a-combination-of-prebent-and-conventional-plates-for-fixation
#4
Marwa Ragaey, Joseph E Van Sickels
OBJECTIVE: The purpose of this study was to determine the stability of one and two jaw maxillary advancements fixed with prebent plates and "L"-shaped plates. STUDY DESIGN: Twenty-six patients met the inclusion criteria (group 1: one jaw [14]; group 2: two jaws [12]). Radiographs were digitized before surgery (T1), immediately after surgery (T2), at 6 weeks (T3), and at 6 months (T4). Stability was assessed comparing A-point movement and change in palatal plane...
January 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/28193114/the-relationship-of-exposure-to-anesthesia-on-outcomes-in-children-with-isolated-oral-clefts
#5
Amy L Conrad, Jon W Goodwin, James Choi, Robert I Block, Peg Nopoulos
This study evaluated the relationship between exposure to anesthesia and previously identified differences in cognitive functioning, growth, and volumetric brain measures among a sample of children, adolescents, and young adults with isolated oral clefts. Data from a cross-sectional study were combined with a retrospective chart review. Data were obtained for 87 participants with isolated cleft lip and/or palate (55% male), ranging from 7.5 to 27 years old (mean = 15.78, standard deviation = 4.58). Measures of interest included cognitive functioning, growth measures, and brain volumes...
March 2017: Journal of Child Neurology
https://www.readbyqxmd.com/read/28167017/hearing-sensitivity-in-adults-with-a-unilateral-cleft-lip-and-palate-after-two-stage-palatoplasty
#6
I F P M Kappen, J B S Schreinemakers, K P Q Oomen, D Bittermann, M Kon, C C Breugem, A B Mink van der Molen
OBJECTIVE: To evaluate long-term hearing and middle ear status in patients treated for a unilateral complete cleft lip and palate (UCLP) by two-stage palatoplasty. METHODS: Forty-nine UCLP patients aged 17 years and older were included in this retrospective study. Patients were invited for a multidisciplinary long-term follow-up of their treatment at a tertiary center for craniofacial surgery in the Netherlands. ENT assessment included tympanometry and pure-tone audiometry...
March 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28142007/surgical-splint-design-influences-transverse-expansion-in-segmental-maxillary-osteotomies
#7
Kasper Stokbro, Esben Aagaard, Peter Torkov, Lillian Marcussen, R Bryan Bell, Torben Thygesen
PURPOSE: In segmental maxillary procedures, it is imperative to obtain as much of the planned expansion as possible. Lack of obtained expansion, in addition to late relapse after splint removal, can result in relapse of the posterior crossbite. This study investigated the influence of 2 surgical splint designs on achieving the planned transverse expansion in bimaxillary surgery with segmental maxillary procedures. MATERIALS AND METHODS: Forty-two participants were included in a retrospective observational study...
January 4, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28141644/midfacial-changes-through-anterior-maxillary-distraction-osteogenesis-in-patients-with-cleft-lip-and-palate
#8
Hiroyuki Kanzaki, Yoshimichi Imai, Tetsu Nakajo, Takayoshi Daimaruya, Akimitsu Sato, Masahiro Tachi, Youhei Nunomura, Yusuke Itagaki, Kazuaki Nishimura, Shoko Kochi, Kaoru Igarashi
Maxillary hypoplasia is a major issue in cleft lip and palate patients, and predictable surgical maxillary advancement is required. In the present study, the changes and stability of the maxilla and soft tissue profile achieved after the application of anterior maxillary distraction osteogenesis (AMDO) using intraoral expander in unilateral cleft lip and palate and isolated cleft palate patients were investigated by comparing to the Le Fort I osteotomy (LFI) and maxillary distraction osteogenesis (DO) with rigid external distraction (RED) system...
January 30, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28140670/speech-in-adults-treated-for-unilateral-cleft-lip-and-palate-long-term-follow-up-after-one-or-two-stage-palate-repair
#9
Staffan Morén, Maria Mani, Stålhammar Lilian, Per Åke Lindestad, Mats Holmström
OBJECTIVE:   To evaluate speech in adults treated for unilateral cleft lip and palate with one-stage or two-stage palate closure and compare the speech of the patients with that of a noncleft control group. DESIGN:   Cross-sectional study with long-term follow-up. PARTICIPANTS/SETTING:   All unilateral cleft lip and palate patients born from 1960 to 1987 and treated at Uppsala University Hospital, Sweden, were invited (n = 109). Participation rate was 67% (n = 73) at a mean of 35 years after primary surgery...
January 31, 2017: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/28138793/arterial-supply-of-the-human-soft-palate
#10
Jae Hoon Cho, Jin Won Kim, Hyoung Woo Park, Jeffrey D Suh, Jin Kook Kim, Joo-Heon Yoon
PURPOSE: Palatal surgery for snoring or obstructive sleep apnea is commonly performed; however, the vascular anatomy of the soft palate is not well described. The purpose of this study was to evaluate the vascular anatomy of the soft palate. METHODS: This study was performed on 22 adult cadaveric heads. All specimens were prepared with vascular injections using red liquid silicone through the common carotid artery. The palate was then harvested and decolorized, and the vascular anatomy was studied...
January 30, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28132066/a-hypothesis-and-pilot-study-of-age-related-sensory-innervation-of-the-hard-palate-sensory-disorder-after-nasopalatine-nerve-division
#11
Jiyuan Liu, Xiufen Li, Liyuan Ma, Jian Pan, Xiufa Tang, Yunlong Wu, Chengge Hua
BACKGROUND The nasopalatine nerve may be injured during extraction of teeth embedded in the anterior hard palate. The neural recovery process and its impact on sensation in the anterior hard palatal region are controversial. In our clinical practice, we noticed a distinct recovery process in children compared with adolescents or adults after surgery. We hypothesized that the sensory innervations of the anterior palate might shift during later childhood and pre-adolescence, which is due to the development of the nasopalatine nerve along with the maxillary growth and permanent teeth eruption...
January 29, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28121885/the-drivers-of-academic-success-in-cleft-and-craniofacial-centers-a-10-year-analysis-of-over-2000-publications
#12
Natalie M Plana, Jonathan P Massie, Marleigh J Stern, Michael Alperovich, Christopher M Runyan, David A Staffenberg, Leonidas G Koniaris, Barry H Grayson, J Rodrigo Diaz-Siso, Roberto L Flores
BACKGROUND: Cleft and craniofacial centers require significant investment by medical institutions, yet variables contributing to their academic productivity remain unknown. This study characterizes the elements associated with high academic productivity in these centers. METHODS: The authors analyzed cleft and craniofacial centers accredited by the American Cleft Palate-Craniofacial Association. Variables such as university affiliation; resident training; number of plastic surgery, oral-maxillofacial, and dental faculty; and investment in a craniofacial surgery, craniofacial orthodontics fellowship program, or both, were obtained...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28121880/discussion-infant-robotic-cleft-palate-surgery-a-feasibility-assessment-using-a-realistic-cleft-palate-simulator
#13
Jesse C Selber
No abstract text is available yet for this article.
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28121879/infant-robotic-cleft-palate-surgery-a-feasibility-assessment-using-a-realistic-cleft-palate-simulator
#14
Dale J Podolsky, David M Fisher, Karen W Y Wong Riff, Thomas Looi, James M Drake, Christopher R Forrest
BACKGROUND: A surgical robot offers enhanced precision, visualization, and access and the potential to improve outcomes in cleft palate surgery. The goal of this study was to investigate the feasibility of using the da Vinci robot for cleft palate repair in infants using a cleft palate simulator test bed. METHODS: A high-fidelity cleft palate simulator was developed that allows performance of a robotic cleft palate repair procedure. A complete cleft palate repair was performed with the da Vinci Si with 5-mm instruments and the da Vinci Xi with 8-mm instruments...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28120061/direct-and-oblique-approaches-to-the-craniovertebral-junction-nuances-of-microsurgical-and-endoscope-assisted-techniques-along-with-a-review-of-the-literature
#15
Massimiliano Visocchi, Antonino Germano', Giuseppe Umana, Armando Richiello, Giuseppe Raudino, A M Eldella, Gerardo Iacopino, Giuseppe Barbagallo
PURPOSE: The aim of this review is to provide an update of the technical nuances of microsurgical and endoscopic-assisted approaches to the craniovertebral junction (transnasal, transoral, and transcervical), and to report on the available clinical results in order to identify the best strategy. METHODS: A nonsystematic update of the reviews and reporting on the anatomical and clinical results of endoscopic-assisted and microsurgical approaches to the craniovertebral junction (CVJ) was performed...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/28114211/removal-of-an-unusual-neglected-foreign-body-in-infratemporal-region-using-navigation
#16
Avani Jain, Gaurav Gupta, Mohnish Grover
A 19-year-old male presented with complaint of a bluish mass in the hard palate since 3 months. The patient had a history of trauma 8 years back in the left zygomatic area with a pen. It was lodged in the wound and removed at that time. Computed tomography scan was revealed a linear heterogenous dense structure extending from left infratemporal fossa to oral cavity, traversing through left maxillary sinus, with bone defect seen in lateral and medial wall of maxilla, and in the hard palate, most likely a neglected foreign body...
January 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28106695/velopharyngeal-insufficiency-after-le-fort-i-osteotomy-in-a-patient-with-undiagnosed-occult-submucous-cleft-palate
#17
Rushil R Dang, Bonnie L Padwa, Cory M Resnick
The authors present a 16-year-old patient with no known history of cleft palate who developed velopharyngeal insufficiency after a Le Fort I osteotomy performed for the correction of maxillary hypoplasia and a Class III malocclusion. Postoperative evaluation revealed the presence of velopharyngeal insufficiency and subtle findings of an occult submucous cleft palate. She had a pharyngeal flap 6 months later with successful correction of the velopharyngeal insufficiency. This case illustrates the need to screen for submucous cleft palate prior to orthognathic surgery...
January 18, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28106628/neonatal-micrognathia-national-trends-in-early-mandibular-surgery
#18
Hillary E Jenny, Benjamin B Massenburg, E Hope Weissler, Peter J Taub
BACKGROUND: Micrognathia is a congenital anomaly that may pose breathing and feeding limitations in newborns, sometimes necessitating invasive management. The present study aims to identify the complications associated with receiving mandibular surgery during the birth stay in order to better predict which patients may benefit from early surgical intervention. METHODS: A retrospective cohort study was performed using the 2000 to 2012 kids' inpatient databases. We included all live newborn infants born in the hospital through vaginal delivery or caesarean section...
March 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28105667/palatoglossus-coupling-in-selective-upper-airway-stimulation
#19
Clemens Heiser, Günther Edenharter, Murat Bas, Markus Wirth, Benedikt Hofauer
OBJECTIVES/HYPOTHESIS: Selective upper airway stimulation (sUAS) of the hypoglossal nerve is a useful therapy to treat patients with obstructive sleep apnea. Is it known that multiple obstructions can be solved by this stimulation technique, even at the retropalatal region. The aim of this study was to verify the palatoglossus coupling at the soft palate during stimulation. STUDY DESIGN: Single-center, prospective clinical trail. METHODS: Twenty patients who received an sUAS implant from April 2015 to April 2016 were included...
January 20, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28094564/secondary-cleft-nasolabial-deformities-a-new-classification-system-for-evaluation-and-surgical-revision
#20
Ghassan Abu Sittah, Odette Abou Ghanem, Usama Hamdan, Paul Ramia, Elias Zgheib
INTRODUCTION:   Secondary or residual cleft lip and nasal deformities following primary unilateral or bilateral cleft lip repair are common. Many classification systems have been proposed to describe congenital cleft lip and palate deformities before repair. This article proposes a one-of-a-kind classification system for residual cleft deformities and describes its application to 136 cleft lip revision cases from cleft outreach missions worldwide. METHODS:   Patients' demographics and deformities were classified preoperatively, and a database of the classification was created...
January 17, 2017: Cleft Palate-craniofacial Journal
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