The modified trott technique of one-stage lip and nose repair in the patient with bilateral cleft lip and palate (bclp)–a long-term follow-up

2014 ◽  
Vol 67 (11) ◽  
pp. 1610
Author(s):  
Lay-Hooi Lim
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
One Stage ◽  
Bilateral Cleft Lip ◽  
Long Term Follow Up

Speech in Adults Treated for Unilateral Cleft Lip and Palate: Long-Term Follow-Up after One- or Two-Stage Palate Repair

2017 ◽  
Vol 54 (6) ◽  
pp. 639-649 ◽  
Author(s):  
Staffan Morén ◽  
Maria Mani ◽  
Stålhammar Lilian ◽  
Per Åke Lindestad ◽  
Mats Holmström
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
University Hospital ◽  
Velopharyngeal Insufficiency ◽  
Control Group ◽  
Two Stage ◽  
One Stage ◽  
Long Term Follow Up

Objective To evaluate speech in adults treated for unilateral cleft lip and palate with one-stage or two-stage palate closure and compare the speech of the patients with that of a noncleft control group. Design Cross-sectional study with long-term follow-up. Participants/Setting All unilateral cleft lip and palate patients born from 1960 to 1987 and treated at Uppsala University Hospital, Sweden, were invited (n = 109). Participation rate was 67% (n = 73) at a mean of 35 years after primary surgery. Forty-seven had been treated according to one-stage palate closure and 26 according to two-stage palate closure. Pharyngeal flap surgery had been performed in 11 of the 73 patients (15%). The noncleft control group consisted of 63 age-matched volunteers. Main Outcome Measure(s) Speech-language pathologists rated perceptual speech characteristics from blinded audio recordings. Results Among patients, seven (10%) presented with hypernasality, 12 (16%) had audible nasal emission and/or nasal turbulence, five (7%) had consonant production errors, one (2%) had glottal reinforcements/substitutions, and one (2%) had reduced intelligibility. Controls had no audible signs of velopharyngeal insufficiency and no quantifiable problems with the other speech production variables. No significant differences were identified between patients treated with one-stage and two-stage palate closure for any of the variables. Conclusions The prevalence of speech outcome indicative of velopharyngeal insufficiency among adult patients treated for unilateral cleft lip and palate was low but higher compared with individuals without cleft. Whether palatal closure is performed in one or two stages does not seem to affect the speech outcome at a mean age of 35 years.

WITHDRAWN—Administrative Duplicate Publication: Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-term Follow-up After 1- or 2-Stage Palate Repair

2018 ◽  
Vol 55 (5) ◽  
pp. 758-768 ◽  
Author(s):  
Staffan Morén ◽  
Per Åke Lindestad ◽  
Mats Holmström ◽  
Maria Mani
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Voice Quality ◽  
Two Stage ◽  
Duplicate Publication ◽  
Long Term Follow Up ◽  
Palate Repair

Morén, S., Lindestad, P. Å., Holmström, M., & Mani, M. (2018). Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-term Follow-up After 1- or 2-Stage Palate Repair. The Cleft Palate-Craniofacial Journal, 55(5), 758–768. DOI: 10.1177/1055665618754946 Article withdrawn by publisher. Due to an administrative error, this article was accidentally published in Volume 55 Issue 5 as well as Volume 55 Issue 8 of publishing year 2018 with different DOIs and different page numbers. The incorrect version of the article with DOI: 10.1177/1055665618754946 has been replaced with this correction notice. The correct and citable version of the article remains: Morén, S., Lindestad, P. Å., Holmström, M., & Mani, M. (2018). Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-Term Follow-Up After One- or Two-Stage Palate Repair. The Cleft Palate-Craniofacial Journal, 55(8), 1103–1114. DOI: 10.1177/1055665618764521

scholarly journals Long term follow up study of survival associated with cleft lip and palate at birth

BMJ ◽  
2004 ◽  
Vol 328 (7453) ◽  
pp. 1405 ◽  
Author(s):  
Kaare Christensen ◽  
Knud Juel ◽  
Anne Maria Herskind ◽  
Jeffrey C Murray
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Follow Up Study ◽  
Long Term Follow Up

scholarly journals Long Term Follow Up of Hemangioma on Bilateral Cleft Lip

1970 ◽  
Vol 2 (3) ◽  
Author(s):  
Parintosa Atmodiwirjo ◽  
Puri Ambar Lestari ◽  
Ayu Diah Kesuma
Keyword(s):  
Cleft Lip ◽  
Asian Population ◽  
Postnatal Growth ◽  
Massive Bleeding ◽  
Left Behind ◽  
Good Shape ◽  
Bilateral Cleft Lip ◽  
Long Term Follow Up

Background: Hemangioma is a common tumor of infancy that exhibits rapid postnatal growth and slow regression during childhood. Cleft lip is a common anomaly found in Indonesia. These entities are twice in common in the Asian population. However, simultaneous occurance of these two abnormalities is rare to be found. Patient and Method: A case of bilateral cleft lip complicated with hemangioma on the left side of lip and the surrounding skin through the mucosa, and the prolabium, which had been performed cheiloplasty procedure at age 9 months old. Cheiloplasty design was made through the hemangioma area with a careful hemostasis to avoid massive bleeding. Result: Hemangioma was partially left behind at the cheiloplasty procedure. There was no bleeding during and after the surgery. Two years following the surgery, there was a fine scar with good shape of the lip and no further growth of the hemangioma. Summary: Hemangioma and cleft lip are very rare to be found in the same location. Because of the involution potential of hemangioma, timing of surgery is very important. Considering the psychosocial aspect, the surgery was performed at the age of 9 months. Two years after surgery, we didn’t find any growth of hemangioma or deformity of the bone and lip. The scar growth is in good esthetic result, no difference with left lip child without hemangioma.

Short- and Long-Term Effects of Late Maxillary Advancement With the Liou-Alt-RAMEC Protocol in Unilateral Cleft Lip and Palate

2018 ◽  
Vol 56 (2) ◽  
pp. 159-167 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Laura B. Zappia ◽  
Chiara Tortora ◽  
Luca Autelitano ◽  
Roberto Tintinelli
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Long Term Results ◽  
Control Group ◽  
Class Iii ◽  
Maxillary Protraction ◽  
Long Term Follow Up ◽  
Short And Long Term

Objective: The objective of this retrospective longitudinal study was to evaluate short- and long-term results of the application of the Liou Alt-RAMEC (alternate rapid maxillary expansion and constriction) technique, a late orthopedic maxillary protraction technique, with intraoral anchorage, in patients with cleft. Materials and Methods: Twenty-six patients with unilateral cleft lip and palate (UCLP) were consecutively treated with the Alt-RAMEC technique. The average age of the patients was 11.7 years (10.3-13.2 years) before protraction and 18.3 years (17.4-21.1 years) at long-term follow-up. A sample of nontreated patients with UCLP was used as a control group. It was matched for sex, skeletal class III, and age (11.3 years). The control sample had records at the end of growth (18.7 years). Results: The sagittal advancement of A-point, after the application of the technique, was 5.7 (2.17) mm. Some mandibular dentoalveolar and positional adaptation was noted. The position of the maxilla was stable in the long term. On the other hand, the UCLP control group showed hardly any growth at the maxillary level during the long-term follow-up period. Conclusion: Our results showed that the Alt-RAMEC technique, performed at the correct time, with a double-hinged expander, followed by class III spring or elastic traction, 24 hours per day, allows for satisfactory maxillary protraction, with, at this stage, apparently stable long-term results. Nevertheless, as only 50% of the patients had long-term follow-up data, we are still unable to predict the percentage of patients which will not eventually need orthognathic surgery.

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