Maxillofacial Morphology in Children with Complete Unilateral Cleft Lip and Palate Treated by One-Stage Simultaneous Repair

Savacı, Nedim; Hoşnuter, Mübin; Tosun, Zekeriya; Demi̇r, Abdullah

doi:10.1097/01.prs.0000160269.73323.67

Cited by 45 publications

(23 citation statements)

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“…Most authors 13,[17][18][19]21 highlighted significant reduction of the upper posterior facial height (S-Pmp). The present results confirmed significant reduction of the upper posterior facial height (S-Pmp) in all groups (I p < 0.001; II p < 0.001; III p < 0.001) compared with control subjects.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6]11 Different management protocols have different impact on the development of craniofacial morphology. 4,7,8,13,15,[17][18][19]24,[27][28][29] This study has compared the craniofacial morphology of children with complete unilateral cleft lip and palate treated with three different surgical protocols, the only difference which is in the technique employed to perform hard palate closure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: a premilinary study

Kulewicz¹,

Dudkiewicz²

2010

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: a premilinary study

Kulewicz¹,

Dudkiewicz²

2010

International Journal of Oral and Maxillofacial Surgery

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“…However, in the Comprehensive Rehabilitation Services in Uganda (CoRSU) hospital, very early synchronous repair of the cleft lip and palate (CLP) is considered to be a lifesaving procedure for Ugandan patients with CLP. The synchronous repair is advocated as failure to complete palatoplasty after lip repair is highly frequent in African patients with CLP due to operation costs, traveling costs, traveling distance and recovered aesthetics [13,14] - in black African societies, clefts are often associated with evil spirits, curses and punishment for ancestral wrongdoings [15]. Moreover, very early closure of the CP is advised as babies with unrepaired CP frequently lose weight in their first few months of life due to the inability to adequately breast-feed [16], resulting in a great risk for malnutrition [17].…”

Section: Introductionmentioning

confidence: 99%

Impact of Early Synchronous Lip and Palatal Repair on Speech

Luyten

Bettens

D’haeseleer

et al. 2013

Folia Phoniatr Logop

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Aims: The purpose of this study was to describe articulation and resonance characteristics of Ugandan English-speaking children with cleft lip and palate (CLP) after synchronous lip and palatal closure (Sommerlad technique) prior to the age of 6 months in comparison with an age- and gender-matched control group. Methods: Eleven Ugandan patients with CLP (mean age 4;9 years), repaired during a synchronous lip and (soft and hard) palatal closure at a mean age of 3.4 months, were included as well as a control group (n = 22) consisting of 2 Ugandan age- and gender-matched noncleft children for each patient (mean age 4;10 years). Objective and perceptual speech assessment techniques were applied. Results: Consonant inventories were significantly smaller in the CLP group. Moreover, phonetic disorders and phonological processes occurred in 91 and 100% of the CLP group, respectively. Perceptual consensus evaluation revealed absence of hyponasality and cul-de-sac resonance in all patients. Hypernasality and nasal emission/turbulence occurred in 18 and 27% of the patients, respectively. No significant group differences were observed regarding the mean nasalance values of oral speech samples. Conclusion: Various deviations from normal speech development seem to occur in patients with CLP following synchronous lip and palatal closure before 6 months of age.

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“…Savaci [13] suggested that simultaneous correction of cleft lip and palate as one stage procedure offers several important advantages, such as less psychological trauma, low cost, and an improvement in speech results due to less scarred palatal fields and low rates of palatal fistula. Literature [14,15] also shows successful results with synchronous repair of bilateral cleft lip and nasal deformity.…”

Section: Discussionmentioning

confidence: 99%

Cleft lip: our experience in repair

Mehrotra

Pradhan²

2010

J. Maxillofac. Oral Surg.

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The ideally repaired cleft lip should provide a symmetrical cupid's bow, philtrum and a minimal scar. The lip length, pout and symmetry of the alar base should be maintained to achieve the best result. The most popular method for cleft lip repair is rotation advancement technique introduced by Millard which improves the relationship of alar base of cleft side, produces harmonious symmetry of the nostril, the surgical scar is masked in the philtral crest and nostril floor. In addition, it uses and preserves the lip anatomy, returns lip tissue into its normal position, minimizes amount of tissue discard and reconstructs orbicularis oris muscle. Methodology We have assessed the incidence of cleft lip deformities, discussed the feasibility of repair by Millard, its modifications and evaluated the results of cleft lip repairs at our center. The study included 158 patients of cleft lip and palate, of which 60 cleft lip patients underwent surgical repair. Result The outcome of our surgical result was good and suggested quantitative changes with progressive diminution of asymmetry of the cleft and non cleft sides.

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Maxillofacial Morphology in Children with Complete Unilateral Cleft Lip and Palate Treated by One-Stage Simultaneous Repair

Cited by 45 publications

References 0 publications

Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: a premilinary study

Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: a premilinary study

Impact of Early Synchronous Lip and Palatal Repair on Speech

Cleft lip: our experience in repair

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