Surgical Treatment of Congenital Cleft Lips in Children

Subject. Surgical methods for eliminating congenital clefts of the upper lip and palate are widely presented in the specialized literature and correspond to the variety of types of lesions of the maxillofacial region. At the same time, international and domestic experience, research results on these issues emphasize the need for continuous improvement of surgical and rehabilitation techniques to eliminate them. In most cases, the use of these developments follows the path of detailing and updating existing classical technologies. Purpose ― to present a surgical method for removal of a congenital asymmetric cleft of the palate with a deficit of its own tissues. Methodology. There was carried out a retrospective analysis of the results of surgical correction of congenital cleft palate in 497 patients (2015―2019). Was selected a group of 53 people having complex variants of the cleft of the sky. Results. Was presented a method for surgical removal of an asymmetric cleft of the palate according to the severity of the defect and the age of the child. Was proposed the technique of using "titanium silk" with asymmetric clefts of the sky with a deficit of their own tissues. Conclusions: The choice of optimal methods for surgical elimination of complex options for cleft palate should be patient-oriented and can form a new tactic of surgical aid, taking into account preliminary interdisciplinary counseling. The use of "titanium silk" as an additional material for uranoplasty in cases of wide splitting of the hard and soft palate (more than 1.5-2 cm) ensures reliable elimination of the defect at any age of the patient and creates a favorable condition for the completion of the systemic rehabilitation complex. A multifactorial mechanism for choosing the method of surgical elimination of complex variants of palatal clefts should be implemented in a specialized clinic, taking into account many years of experience.

show abstract

Surgical Tactics for Eliminating Complex Variants of Congenital Cleft Palate

Rogozhina

Blohina

Бимбас

2020

Actual Problems in Dentistry

View full text Add to dashboard Cite

show abstract

Analysis of the Frequency of Birth of Children With Congenital Development Disorders in a City With a Petrochemical Industry

Chuykin

Andrianova

Makusheva

et al. 2020

Actual Problems in Dentistry

View full text Add to dashboard Cite

Thing. Studying the frequency of birth of children with congenital malformations in a city with a petrochemical industry. The goal is to identify the effect of industrial emissions from enterprises in Ufa on the frequency of birth of children with congenital cleft lip and palate. Methodology. In the Department of Oral and Maxillofacial Surgery of the Republican Children's Clinical Hospital from 1985 to 2019, the medical documentation of children born in the city with a petrochemical industry with a cleft lip and palate was studied. Results. In industrial areas of Ufa, the average rate of birth of children with clefts is 3.65 ± 0.31 (Kalininsky) and 2.34 ± 0.29 (Ordzhonikidzevsky). According to our studies, it was found that in the industrial zone, the frequency of birth of children with congenital facial pathology is significantly higher than in environmentally safe areas, and ranges from 1: 282 (3.5) in the Kalinin industrial northern region to 1:859 (1.1) in the southernmost, ecologically safe Demsky district (p<0.01). On the whole, in Ufa, the average rates of the birth rate of children with congenital cleft lip and palate were 1:454 (2.204 ± 0.11). Conclusions. The correlation between the value of gross emissions of harmful substances into the atmospheric air and the frequency of congenital cleft lip and palate in the zone with emissions of 135,114―180,120 tons per year, then in the zone with the amount of emissions of 20,000―135,114 tons per year, and the frequency in the zone with emissions of 11,000 is less ― 20,000 tons per year. The average birth rates for children with ARVH in the cities of the Republic of Bashkortostan were per 1000 children born: in cities with NHP ― 2.44; in cities without NHP ― 1.13. The frequency of birth of children with ADV in cities with NHP is more than 2 times higher than the frequency of birth of children with ADV in cities without NHP (p <0.001).

show abstract

Algotithm of Children`s Rehabilitation With Cleft Lip and Palate in the Region With Ecotoxicants

Чуйкин¹,

Chuykin

Davletshin³

et al. 2019

Actual Problems in Dentistry

View full text Add to dashboard Cite

Subject: development of an algorithm for the rehabilitation of children with congenital cleft lip and palate in a region with petrochemical ecotoxicants. Objectives: optimization of the algorithm for the rehabilitation of children with congenital cleft lip and palate in the region with ecotoxicants. Methods. A retrospective analysis of the medical records of children with a diagnosis of congenital cleft lip and palate was conducted on the basis of the Republican Children's Clinical Hospital in Ufa in the department of maxillofacial surgery. In the period from January 1, 1985 on December 31, 2018 were surveyed 3463 children with congenital cleft lip and palate. Results. Children born and living in the region with the petrochemical industry have a high percentage of concomitant somatic diseases and deviations from the norm in blood tests. An algorithm was developed for the rehabilitation of children with congenital cleft lip and palate in the region with petrochemical ecotoxicants, optimized by including a toxicologist, anesthesiologist, immunologist, otorhinolaryngologist, gastroenterologist, and endocrinologist in the algorithm of consultation and treatment. The algorithm is aimed at improving the health of the child by increasing the effectiveness of prevention and treatment of somatic diseases in the preoperative period. Conclusions. The proposed algorithm for the rehabilitation of children with congenital cleft lip and palate has been developed taking into account the adverse effects on the body of emissions into the air of large petrochemical enterprises. Children with congenital cleft lip and palate, born and living in a region with petrochemical ecotoxicants, have a high percentage of somatic diseases and contraindications to surgical treatment according to accepted terms due to the presence of comorbidities and disorders in blood tests, and need additional treatment from a toxicologist, anesthesiologist and other specialists.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Surgical Treatment of Congenital Cleft Lips in Children

Cited by 6 publications

References 1 publication

Surgical Tactics for Eliminating Complex Variants of Congenital Cleft Palate

Surgical Tactics for Eliminating Complex Variants of Congenital Cleft Palate

Analysis of the Frequency of Birth of Children With Congenital Development Disorders in a City With a Petrochemical Industry

Algotithm of Children`s Rehabilitation With Cleft Lip and Palate in the Region With Ecotoxicants

Contact Info

Product

Resources

About