scholarly journals Relational development in children with cleft lip and palate: influence of the waiting period prior to the first surgical intervention and parental psychological perceptions of the abnormality

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Bruno Grollemund ◽  
Antoine Guedeney ◽  
Marie-Paule Vazquez ◽  
Arnaud Picard ◽  
Véronique Soupre ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Relational Development ◽  
Waiting Period ◽  
Psychological Perceptions

scholarly journals Surgical management of palatal teratoma (epignathus) with the use of virtual reconstruction and 3D models: a case report and literature review

2021 ◽  
Vol 48 (5) ◽  
pp. 518-523
Author(s):  
Cynthia Minerva Gonzalez-Cantu ◽  
Pablo Juan Moreno-Peña ◽  
Mayela Guadalupe Salazar-Lara ◽  
Pablo Patricio Flores García ◽  
Fernando Félix Montes-Tapia ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Mature Teratoma ◽  
3D Models ◽  
Bloc Resection ◽  
3 Dimensional ◽  
Live Births ◽  
Virtual Reconstruction ◽  
Adjacent Structures

Epignathus is a rare congenital orofacial teratoma that arises from the sphenoid region of the palate or the pharynx. It occurs in approximately 1:35,000 to 1:200,000 live births representing 2% to 9% of all teratomas. We present the case of a newborn of 39.4 weeks of gestation with a tumor that occupied the entire oral cavity. The patient was delivered by cesarean section. Oral resection was managed by pediatric surgery. Plastic surgery used virtual 3-dimensional models to establish the extension, and depth of the tumor. Bloc resection and reconstruction of the epignathus were performed. The mass was diagnosed as a mature teratoma associated with cleft lip and palate, nasoethmoidal meningocele that conditions hypertelorism, and a pseudomacrostoma. Tridimensional technology was applied to plan the surgical intervention. It contributed to a better understanding of the relationships between the tumor and the adjacent structures. This optimized the surgical approach and outcome.

Dental Cast Study of Adult Patients with Untreated Unilateral Cleft Lip or Cleft Lip and Palate in Indonesia Compared with Surgically Treated Patients in the Netherlands

1993 ◽  
Vol 30 (3) ◽  
pp. 313-319 ◽  
Author(s):  
Paul H.M. Spauwen ◽  
Widanto Hardjowasito ◽  
Jan Boersma ◽  
Benny S. Latief
Keyword(s):  
Surgical Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Negative Effects ◽  
Tongue Position ◽  
Cleft Lip Repair ◽  
Palate Repair ◽  
Maxilla And Mandible ◽  
Dental Cast

To determine differences in maxillary and dentoalveolar relationships between untreated and treated patients having unilateral clefts of the lip and alveolus (UCLA) or lip and palate (UCLP), dental cast assessments were done on 70 untreated adult indonesian patients (UCLA-I, UCLP-I) and 67 Dutch patients, surgically treated in infancy (UCLA-D, UCLP-D). The indonesian group consisted of 44 UCLA-I and 26 UCLP-I patients, and the Dutch group of 24 UCLA-D and 43 UCLP-D patients. In the UCLA-I patients, deformities occurred in that part of the dentoalveolar complex that surrounds the cleft. Lip repair in the UCLA-D group more frequently caused deformities in the incisor and buccal areas on the cleft side. In the UCLP-I patients, deformities were present in the incisor and cuspid areas on the cleft side. The buccal segments showed collapse both on the cleft and noncIeft sides. Lip and palate repair in the UCLP-D group caused significantly more deformities in the incisor, cuspid, and buccal areas up to the level of the first molars, both on the cleft and noncleft sides. Surgical treatment seems to cause maxillary and dentoalveolar deformities up to the first molars more frequently, but these are not as pronounced as one would expect: following the practiced surgical regimen, the deformities were usually mild. Negative effects of surgical intervention seem to be antagonized by the restored integrity of the lip and palate leading to orientation of maxillary parts and correction of tongue position, which in turn has a molding effect on the maxilla and mandible.

scholarly journals Study of the stress of parents of patients with cleft lip and palate in a surgical process

2013 ◽  
Vol 30 (4) ◽  
pp. 517-524 ◽  
Author(s):  
Maria de Lourdes Merighi Tabaquim ◽  
Matilde Aparecida Motta Marquesini
Keyword(s):  
Intervention Program ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Sao Paulo ◽  
São Paulo ◽  
The People ◽  
Stress Levels ◽  
Before And After ◽  
The City

Family with children affected by genetic factors or teratogenics involving functional, aesthetic and psychological sequels such as cleft lip and palate are vulnerable to several stress levels and need corrective and rehabilitation interventions. This study aimed to investigate the stress levels of fathers and mothers before and after surgical intervention in children with cleft lip and palate. The participants were 14 parents of children diagnosed with Cleft Incisive Transforamen Unilateral and Bilateral Incisive Transforamen of both genders, 21-53 participants of the surgical intervention program at the Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo in the city of Bauru, State of São Paulo. The results have allowed us to conclude that the people responsible for patients, patients and parents of the patients with cleft palatal lip, in surgical situation, present higher levels of stress in the period of pre-surgery, with modified quality in the autonomic aspects of the organism, besides bodily significantly unsatisfactory reactions.

Medieval Example of Cleft Lip and Palate from St. Gregory's Priory, Canterbury

1994 ◽  
Vol 31 (6) ◽  
pp. 466-472 ◽  
Author(s):  
Trevor Anderson
Keyword(s):  
Cleft Palate ◽  
Twelfth Century ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Fourth Century ◽  
Seventh Century ◽  
Anglo Saxon ◽  
Archaeological Material ◽  
The Individual

An archaeologically retrieved skeleton from medieval Canterbury possibly of the late eleventh or twelfth century, displays clear evidence of cleft lip and palate. A case of cleft palate dating from the seventh century, is known from an Anglo-Saxon cemetery at Burwell. This is the first evidence for both cleft lip and palate in British archaeological material. The individual had survived into adulthood. Apart from an odontome, there was no osseous evidence of any other abnormalities. Artistic evidence of cleft lip dates to the fourth century b.c. and surgical intervention (a.d. 390) is known from China.

scholarly journals An Alternative Impression Technique for Fabrication of Feeding Appliance for an Infant with Cleft Palate: A Clinical Report

2020 ◽  
Vol 3 (2) ◽  
pp. 115-119
Author(s):  
S Dhital ◽  
S R.B. Mathema ◽  
B Maskey
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Clinical Report ◽  
Alternative Technique ◽  
Impression Material ◽  
Crucial Step ◽  
Orofacial Region ◽  
Selection Of

Cleft lip and palate is the most common congenital defect of the orofacial region, which results in difficulty in feeding, deglutition, and speech. Before the surgical intervention, a feeding appliance is used to restore the palatal cleft and aid in feeding an infant. The impression procedure during the fabrication of a feeding appliance is a crucial step and selection of impression tray and impression material is a challenging task. This article attempts to briefly describe an alternative technique for making impressions in infants with cleft palate.

scholarly journals The impact of having a baby with cleft lip and palate on parents and on parent-baby relationship: the first French prospective multicentre study

2020 ◽  
Author(s):  
BRUNO GROLLEMUND ◽  
Caroline Dissaux ◽  
Pascale Gavelle ◽  
Carla Perez Martinez ◽  
Jimmy Mullaert ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Social Withdrawal ◽  
Post Partum ◽  
Significant Proportion ◽  
Depression Scale ◽  
Stress Index ◽  
Relational Development ◽  
The Impact

Abstract Background : The objective of this prospective, multidisciplinary and multicenter study was to explore the effect of a cleft lip, associated or not with a cleft palate, on parents, on parent-infant relationship, and on the baby’s relational development. It also highlighted how the type of cleft and the timing of the surgery could impact this effect. Method : 158 infants, with Cleft lip with or without Palate, and their parents participated in this multicenter prospective cohort. Clinical evaluations were performed at 4 and 12 months postpartum. The impact on the parents and on the parent-infant relationship was evaluated by the Parenting Stress Index (PSI), the Edinburgh Post-partum Depression Scale (EPDS) and the Impact-on-Family Scale (IOFS). The relational development of the infant was assessed using the Alarm Distress Baby Scale (ADBB). The main criteria used to compare the infants were the severity of cleft and the time of surgery. Results The timing of surgery, the type of malformation or the care structure had no effect on social withdrawal behaviors of the child at 4 and 12 months postpartum (ADBB). Furthermore, early intervention significantly decreased maternal stress assessed with the PSI at 4 months. Parents for whom it had been possible to give a prenatal diagnosis were much better prepared to accept the waiting time between birth and the first surgical intervention (IOFS). Higher postpartum depression scores (EPDS) were found for both parents compared to the general population. Conclusion : A joint assessment of the mental health of both infants and parents is required in the follow-up of cleft lip and palate. Even if most families are remarkably resilient faced with this major cause of stress, a significant proportion of them could require help to deal with the situation, especially during this first year of follow-up. An assessment of the child’s social withdrawal behaviour and of the parental stress and depression appears useful, in order to adapt care to infant and parent’s needs. Trial Registration: ClinicalTrials.gov Identifier: NCT00993993. Registered 10/14/2009 < https://clinicaltrials.gov/ct2/show/NCT00993993?term=grollemund&draw=2&rank=1.

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