Evaluation of 5-year-old children with complete cleft lip and palate: Multicenter study. Part 2: Functional results

Dissaux, C.; Grollemund, Bruno; Bodin, F.; Picard, A.; Vazquez, Marie‐Paule; Morand, B.; James, Isabelle; Kauffmann, I.; Bruant-Rodier, C.

doi:10.1016/j.jcms.2015.08.029

Cited by 50 publications

(46 citation statements)

References 31 publications

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“…[10] Factors such as genetic, facial pattern, severity of the cleft, and effects of surgery have been shown to affect maxillary arch dimensions. [11] Dissaux et al [12] reported that Veau-Wardill-Kilner palatoplasty results in transversal maxillary deficiency and retromaxillary.…”

Section: Introductionmentioning

confidence: 99%

Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage

et al. 2017

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Objectives:The aim of this study was to evaluate the vertical and sagittal facial profile and maxillary arch width, depth, and length of patients with unilateral cleft lip and palate (UCLP) and to compare them with healthy noncleft children in the mixed dentition stage (7–13 years).Materials and Methods:This study is conducted at Hospital Universiti Sains Malaysia. UCLP group comprised 48 patients with nonsyndromic UCLP who have had the lip and palate repaired, whereas the control group comprised 48 healthy noncleft cases. The lateral cephalometrics measurements were used to determine the vertical height, sagittal depth of the face, and cranial base length and angle. Maxillary arch dimensions were measured on the study cast including arch width, depth, and length.Results:Vertical facial height and sagittal depth measurements showed a significant decrease (P < 0.05) in the mean growth pattern in UCLP group. The anterior cranial base length (S-N) was shorter in UCLP children (P < 0.001), while Ba-N length had no significant difference (P = 0.639). Nasion-Sella Tursica-Basion angle was significantly higher in the UCLP group (P = 0.016). Dental arch width with reference to canine-to-canine and first premolar-to- first premolar distance was significantly larger in control (P = 0.001).Conclusion:Mean vertical and sagittal facial dimensions in the UCLP children who do not undergo orthodontic treatment are significantly lesser in all directions of growth than healthy noncleft children. The maxillary dental arch had a normal depth but constricted in width and arch length.

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Section: Introductionmentioning

confidence: 99%

Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage

et al. 2017

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“…Their frequent appearance has been explained as a product of patient recruitment and because large numbers of them were coded by centres specialising in these diseases [30]. However, prevalence variations for diseases such as oral cleft may be explained by different factors.…”

Section: Discussionmentioning

confidence: 99%

Management of rare diseases of the Head, Neck and Teeth: results of a French population-based prospective 8-year study

Friedlander

Choquet

Galliani

et al. 2017

Orphanet J Rare Dis

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Background: In the last ten years, national rare disease networks have been established in France, including national centres of expertise and regional ones, with storage of patient data in a bioinformatics tool. The aim was to contribute to the development and evaluation of health strategies to improve the management of patients with rare diseases. The objective of this study has been to provide the first national-level data concerning rare diseases of the head, neck and teeth and to assess the balance between demand and supply of care in France. Methods: Centres of expertise for rare diseases record a minimum data set on their clinical cases, using a list of rare Head, Neck and Teeth diseases established in 2006. The present analysis focuses on 2008 to 2015 data based on the Orphanet nomenclature. Each rare disease RD "case" was defined by status "affected" and by the degree of diagnostic certainty, encoded as: confirmed, probable or non-classifiable. Analysed parameters, presented with their 95% confidence intervals using a Poisson model, were the following: time and age at diagnosis, proportions of crude and standardized RD prevalence by age, gender and geographical site. The criteria studied were the proportions of patients in Paris Region and the "included cases geography", in which these proportions were projected onto the other French Regions, adjusting for local populations.Results: In Paris Region, estimated prevalence of these diseases was 5.58 per 10,000 inhabitants (95% CI 4.3-7.1). At December 31st 2015, 11,342 patients were referenced in total in France, of whom 7294 were in Paris Region. More than 580 individual clinical entities (ORPHA code) were identified with their respective frequencies. Most abnormalities were diagnosed antenatally. Nearly 80% of patients recorded come to Paris hospitals to obtain either diagnosis, care or follow up. We observed that the rarer the disease, the more patients were referred to Paris hospitals. Conclusions:A health network covering a range of aspects of the rare diseases problematic from diagnostics to research has been developed in France. Despite this, there is still a noticeable imbalance between health care supply and demand in this area.

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“…Subjects with CP may have unintelligible speech, distortion when producing phonemes, nasal air escapes, velopharyngeal inadequacy (due to insufficiency or incompetence), hypernasality (excessive resonance in the nasal cavity), glottal stop (plosion of the glottis when producing phonemes), among others [7][8][9][10][11][12][13] . Such conditions may affect the social interaction of these people, hindering their communication of ideas and feelings 7 .…”

Section: Introductionmentioning

confidence: 99%

Effect of palatoplasty on speech, dental occlusion issues and upper dental arch in children and adolescents with cleft palate: an integrative literature review

2019

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Purpose: to compile acquired knowledge related to speech, maxillary growth, dental arch and dental occlusion issues of subjects with cleft palate (associated or not with cleft lip), relating them to the found structural and morphological changes, along with time of surgery and surgical technique employed in palatoplasty. Methods: a search was carried out on four databases, namely: PubMed, SciELO, LILACS and MEDLINE, between May and August, 2018. The following descriptors, in Portuguese and in their corresponding terms in English, were used: cleft palate, speech, oral surgery or palatoplasty, teeth or dental arch. Results: altogether, 92 articles were found in the four databases. Eleven articles met the established selection criteria, thus, included in this review. According to the findings, the palatoplasty surgical technique influences speech, maxillary growth and dental occlusal issues; however, it is still unclear which technique is more beneficial to the subjects with cleft palate. Conclusion: results found in these 11 studies are divergent in regard to the surgical technique which most favors the development of speech, dental arches and maxillary growth. Therefore, it is important that new researches be carried out relating the aspects of speech, facial growth, dental occlusion and dental arch in the subjects with cleft palate, to the technique and the time of palatoplasty.

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Evaluation of 5-year-old children with complete cleft lip and palate: Multicenter study. Part 2: Functional results

Cited by 50 publications

References 31 publications

Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage

Facial profile and maxillary arch dimensions in unilateral cleft lip and palate children in the mixed dentition stage

Management of rare diseases of the Head, Neck and Teeth: results of a French population-based prospective 8-year study

Effect of palatoplasty on speech, dental occlusion issues and upper dental arch in children and adolescents with cleft palate: an integrative literature review

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