Final Results from the Delayed Treatment of Patients with Clefts of the Lip and Palate

Ortiz‐Monasterio, Fernando; Olmedo, Alvaro; Trigos, Ignacio; Yudovich, Manuel; Velazquez, M.; Fuente-Del-Campo, Antonio

doi:10.3109/02844317409084379

Cited by 58 publications

(24 citation statements)

References 12 publications

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“…Growth disturbances, especially midface retrusion, in cleft lip and palate patients following surgical treatment is a common finding. [1,2] Many details have been written in literature about the growth of facial skeleton in un-operated cleft lip and palate patients. Studies on un-operated adult cleft patients showed that majority of them have normal growth potential without any maxillary retrusion and actual protrusion of maxilla on non-cleft side.…”

Section: Facial Bones and Dentitionmentioning

confidence: 99%

Management of cleft lip and palate in adults

Murthy

2009

Indian J Plast Surg

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Introduction: With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, where co-coordinated team work is primitive, resources to provide treatment are very thin, public awareness of availability of treatment for this anomaly is minimal, the age of patients reaching for primary treatment varies from few days to late forties. Though the aim and aspiration is to provide holistic multidisciplinary care, the priority is getting treatment for all cleft patients. In such situation, the management of cleft lip and palate demands changes of approach, techniques and philosophy. Aims and Objectives: The deformed anatomy especially the facial bones and dentition is described. Due to well established deformities, the approach for management is individualized. The procedures and modification of procedures has been described. Results and Outcome: The outcome of the primary repair is adults certainly have less than satisfactory outcome for obvious reasons. The expected outcome and expectation of patients and families following primary surgeries in cleft lip and palate has been discussed. Though all adult patients got some improvement in speech after palate repair, achieving normal speech was difficult. The naso-labial appearance was not perfect, but well accepted by the patients and families. There are many psychosocial problems in these patients, the objective evaluation could not be done due to too many variables. However, primary repair of cleft lip and palate is justified and beneficial for the patients.

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Section: Facial Bones and Dentitionmentioning

confidence: 99%

Management of cleft lip and palate in adults

Murthy

2009

Indian J Plast Surg

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“…A commonly accepted protocol in many surgical textbooks is repair of a cle lip at 10 to 12 weeks of age, followed by primary palatoplasty at nine to 12 months of age, before development of speech [1,[5][6][7]. It is well known that timely closure of palatal defect is associated with improved speech outcome [6,8] and late closure of the palate has been clearly demonstrated to give a poor outcome [7,9]. In addition, delayed repair of the cle can lead to impaired family and 2 ISRN Plastic Surgery societal relationships with potential long-term psychological effects on the child [10,11].…”

Section: Introductionmentioning

confidence: 99%

Orofacial Clefts: A Clinical Community Study in a Developing Country

Agbenorku

Diby

Agbenorku

et al. 2013

ISRN Plastic Surgery

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Aim. The study aimed at finding the types of orofacial clefts, reasons for delay in the repair of the deformity and medium through which patients and/or their relatives heard about the outreach program. Methods. This study was from 2009 to 2011 at two different study sites. The team visited various media houses and health facilities at each study site to disseminate information concerning the cleft outreach program. Patients and/or their parents who visited the hospitals were interviewed using a questionnaire designed for the study to retrieve needed information for the study. Patients were then examined and booked for cleft repair by specialists in the team. Results. A total of 61 patients were recorded from both study sites, with ages ranging from 3/12 to 54 years old, with a mean age of 6.7±2.7 (SD) years; while, male : female ratio was 1.05 : 0.5. Cleft lip only (52.5%, n=32) was the highest type of orofacial cleft recorded in the study. In terms of occurrence, complete cleft (63.9%, n=39) was majority; while, position-wise, unilateral cleft right (32.8%, n=20) was the highest. A significant (P=0.017) association between males and unilateral right cleft lips was identified. Lack of finance (47.5%, n=29) was the main reason for delaying in deformity repair. Also, information from physician (41.0%, n=25) was the major medium for information dissemination. Conclusion. Unilateral cleft lip constitutes most of the orofacial clefts in this study, with lack of finance being the commonest reason why patients delay in the repair of their deformity.

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“…Other authors -Ortiz- Monasterio et al (1974), Bishara et al (1976Bishara et al ( , 1985Bishara et al ( , 1986, Sakuda et al (1988), Mars and Houston (1990), and Capelozza et al (1993) -have assessed this angle as larger than the norm.…”

Section: Unoperated Unilateral Cleft Lip and Palatementioning

confidence: 99%