Delayed primary palatal closure in resource-poor countries: Speech results in Ugandan older children and young adults with cleft (lip and) palate

2017 ◽  
Vol 69 ◽  
pp. 1-14 ◽  
Author(s):  
Laura Bruneel ◽  
Anke Luyten ◽  
Kim Bettens ◽  
Evelien D’haeseleer ◽  
Cleo Dhondt ◽  
...  
Keyword(s):  
Young Adults ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Older Children ◽  
Poor Countries ◽  
Resource Poor ◽  
Children And Young Adults

Audiological Status of Chinese Patients with Cleft Lip/Palate

2005 ◽  
Vol 42 (3) ◽  
pp. 280-285 ◽  
Author(s):  
Katie M. Y. Chu ◽  
Bradley McPherson
Keyword(s):  
Young Adults ◽  
Hong Kong ◽  
Health Status ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Chinese Patients ◽  
Ventilation Tubes ◽  
Cleft Lip Palate ◽  
Children And Young Adults ◽  
Hearing Health

Objective To review the audiological and otoscopic status of Chinese children and young adults seen at a cleft lip and palate clinic in Hong Kong and compare with previous studies of Western clinical populations. Design The hearing health status of the patients was analyzed on the basis of the results of their otoscopic, pure tone audiometric, and tympanometric examinations. The patients’ sex, age, race, and type of cleft pathology were examined for their potential relationship to hearing health status. Participants The records of 180 predominantly Chinese patients attending the Cleft Lip and Palate Centre, Prince Philip Dental Hospital/University of Hong Kong from July 1977 to December 1999 were reviewed. Results and Conclusion The results indicated 13.4% of patient ears failed the audiometric screening and 23.7% of patient ears yielded abnormal tympanometric results. Patients’ sex, age, and type of cleft pathology were found not to be related to hearing screening results. The prevalence of hearing disorder was in contrast with Western studies that show a much higher rate of audiological problems in children and young adults with cleft lip/palate. Racial factors were considered to be possible reasons for this disparity. Other factors, such as timely medical and surgical intervention, including early cleft palate repair and the insertion of ventilation tubes in cases of middle ear effusion, do not convincingly account for the study findings.

scholarly journals Self-Reports of Psychosocial Functioning among Children and Young Adults with Cleft Lip and Palate

2006 ◽  
Vol 43 (5) ◽  
pp. 598-605 ◽  
Author(s):  
Orlagh Hunt ◽  
Donald Burden ◽  
Peter Hepper ◽  
Mike Stevenson ◽  
Chris Johnston
Keyword(s):  
Young Adults ◽  
Behavioral Problems ◽  
Psychosocial Functioning ◽  
Psychological Functioning ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Self Esteem ◽  
Facial Appearance ◽  
Significant Difference ◽  
Children And Young Adults

Objective: A cross-sectional study was employed to determine the psychosocial effects of cleft lip and/or palate among children and young adults, compared with a control group of children and young adults without cleft lip and palate. Participants: The study comprised 160 children and young adults with cleft lip and/or palate and 113 children and young adults without cleft lip and/or palate. All participants were between 8 and 21 years of age. Outcome measures: Psychological functioning (anxiety, self-esteem, depression, and behavioral problems) was assessed using validated psychological questionnaires. Happiness with facial appearance was rated using a visual analog scale. Social functioning, including experience of teasing/bullying and satisfaction with speech, was assessed using a semistructured interview. Results: Participants with cleft lip and/or palate reported greater behavioral problems (p < .001) and more symptoms of depression (p < .01); they were teased more often (p < .001) and were less happy with their facial appearance (p < .01) and speech (p < .001), compared with controls. There were no significant difference between subjects with cleft lip and/or palate and subjects without cleft lip and/or palate in terms of anxiety (p > .05) or self-esteem (p > .05). Having been teased was a significant predictor of poor psychological functioning, more so than having a cleft lip and/or palate per se (p < .001). Conclusions: Teasing was greater among participants who had cleft lip and/ or palate and it was a significant predictor of poorer psychosocial functioning. Children and young adults with cleft lip and/or palate require psychological assessment, specifically focusing on their experience of teasing, as part of their routine cleft care.

Hearing and otitis media with effusion in young adults with cleft lip and palate

2012 ◽  
Vol 132 (9) ◽  
pp. 959-966 ◽  
Author(s):  
Traci Flynn ◽  
Claes Möller ◽  
Anette Lohmander ◽  
Lennart Magnusson
Keyword(s):  
Young Adults ◽  
Otitis Media ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Otitis Media With Effusion

Online Cleft Educational Videos: Parent Preferences

2020 ◽  
pp. 105566562095721
Author(s):  
Karina Spoyalo ◽  
Rebecca J. M. Courtemanche ◽  
Erika Henkelman
Keyword(s):  
Focus Groups ◽  
Information Needs ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Older Children ◽  
Telephone Interviews ◽  
Parent Preferences ◽  
Parent Needs ◽  
Youtube Videos ◽  
Educational Videos

Objective: Determine what parents of children with cleft lip and palate value in online educational videos and evaluate whether their needs are currently being met. Design: Focus groups and telephone interviews were used to define parent information needs, followed by an evaluation of whether currently available YouTube videos meet these needs. Setting: British Columbia Children’s Hospital multidisciplinary cleft clinic. Participants: Twenty-four parents of children with nonsyndromic cleft lip and palate. Results: Parents desired videos that are accessible, trustworthy, relatable, and positive. Parents preferred a series of short videos addressing relevant topics as their child grows. Currently available YouTube videos only partially met these needs, with underrepresented topics including hearing, dentition, and surgeries for older children. Conclusions: While access and validity of video resources can be improved by directing patients and families to appropriate videos, some parent needs remain unmet.

COMMITTEE ON CONTROL OF INFECTIOUS DISEASES

PEDIATRICS ◽  
1960 ◽  
Vol 26 (2) ◽  
pp. 331-332
Author(s):  
◽  
Lewis L. Coriell ◽  
John H. Dent ◽  
Horace L. Hodes ◽  
C. Henry Kempe ◽  
...  
Keyword(s):  
Young Adults ◽  
Antibody Response ◽  
Preliminary Evidence ◽  
Considerable Proportion ◽  
Inactivated Vaccine ◽  
Older Children ◽  
Poliomyelitis Vaccine ◽  
Epidemic Area ◽  
Children And Young Adults ◽  
Children Under 5

Immunization with formaldehyde-inactivated vaccine is recommended for all children and young adults. The course recommended earlier was two 1-ml intramuscular injections (1 month apart) followed by a third 1-ml injection (after an interval of approximately 7 months). This is probably adequate for older children and adults. Preliminary evidence indicates that a considerable proportion of infants have a less than optimal or relatively short-lived antibody response when immunized in this fashion. Vaccination of infants should be started at about 1½ to 2 months of age. The Committee recommends that children under 5 years of age be given a series of three 1-mi injections (1 month apart) followed by a fourth injection (up to 8 months later) and then a fifth injection (at about 4 yearsof age). In the present state of knowledge, additional injections seem advisable as indicated in Table I. A recall injection should be given before traveling abroad or before entering an epidemic area. Preparations containing inactivated poliovirus vaccine combined with diphtheria and tetanus toxoids and pertussis bacilli are now available. Such quadruple preparations should be given according to the manufacturer's directions, in general adhering to the schedule presently used for DPT (see Table I). For reasons of safety and to avoid possible loss of antigenic potency, it is considered advisable for physicians not to improvise mixtures of combined diphtheria, pertussis, and tetanus antigens and poliomyelitis vaccine. See table in the PDF file There are few contraindications to poliomyelitis vaccination. It may be performed safely at any time of the year, even when poliomyelitis is prevalent.

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