Background
Cleft lip is a commonly occurring congenital development defect. Primary cleft lip repair leads to cleft scar formation. The resulting scar often undergoes hypertrophy, which negatively affects facial esthetics, function, and the patient's mental health.
Aims
The systematic review presented here was carried out to answer the following question: What cleft lip scar management options exist and how effective are they?
Methods
The systematic review of the articles on scar management methods in cleft lip patients was done in accordance with the PRISMA checklist. The literature search was conducted via the PubMed and Google Scholar databases.
Results
A total of 95 items were obtained. Finally, nine works have been included in the systematic review. Among the obtained works, there is a variety of cleft lip scar management methods. All the presented methods of cleft lip scar management proved to be effective in cleft scar therapy.
Conclusions
Cleft lip scar management should be considered as a constant and mandatory element of the treatment plan in cleft patients. It is also worth considering creating detailed protocols of conduct for cases of cleft lip scaring which pay attention to existing needs, prevention/correction and problems of superficiality and depth.
BackgroundCleft lip is a congenital development defect. Primary cleft lip repair leads to cleft scar formation. The resulting scar often undergoes hypertrophy, which negatively affects the facial esthetics, function, and patient's mental health. One of the methods used in scar therapy described in recent years is botulinum toxin injections The aim of this work is to present current knowledge about the impact of botulinum toxin A on cleft lip scar appearance and its effect on scar hypertrophy.MethodsThe literature search was conducted in the English language via the PubMed and Google Scholar databases.ResultsThe results show injections seem to be a promising method in cleft lip scar management. However, future studies, especially randomized controlled trials, are necessary to assess the effect of BoNT‐A compared with placebo and to determine the optimal dosages and injection schemes for BoNT‐A treatment in cleft lip patients.
The diagnosis of neurobehavioral problems in very preterm neonates helps with planning and applying proper and direct therapeutic interventions. (1) Background: The aim of this study was to determine the direct impact of neurobehavior on the sucking reflex and eating abilities of neonates. (2) Methods: We assessed 18 preterm neonates twice hospitalized at the Gynecology and Obstetrics Clinical Hospital through the use of the Neonatal Behavioral Assessment Scale (NBAS). (3) Results: We found that that a neonate’s sucking ability positively correlated with the activity level item from the motor system cluster of the NBAS. (4) Conclusions: Neurobehavior should be closely assessed in very preterm neonates. Firstly, because assessments can detect fundamental problems and help a practitioner plan for early intervention. Secondly, the education of parents regarding the neurobehavior of their child can help in the facilitation of feeding skills and the planning of early rehabilitation.
Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion -IRONSJOINT AND FASCIA MANIFESTATIONS IN THE COURSE OF GRAFT-VERSUS-HOST DISEASE (GVHD)…
AimPresentation of a case of a young patient with a chronic form of GVHD disease, who developed extensive joint changes.
Material and methodsThe case of a 17-year-old patient after allogeneic bone marrow transplantation was presented, in which about 3 months after the transplantation the first symptoms of graft-versus-host disease were diagnosed. The boy developed extensive changes in the joints and fascia, allowing the patient to be qualified to Category 3 according to the NIH Consensus Criteria. The course of the diagnostic process, treatment, and rehabilitation, as well as their results at particular stages of hospitalization, are presented.
Results and conclusionsDue to the multifaceted nature of the disease, proper care and rehabilitation of patients with GvHD are not only needed for aesthetic reasons but above all to significantly restore function and improve the quality of life, especially locomotion. Early diagnosis and implementation of proper rehabilitation treatment are essential in preventing complications associated with the chronic form of the disease.
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