General principles governing record taking in patients with cleft lip and palate

(WHO meetings on International Collaborative Research on Craniofacial Anomalies).One of the most common congenital anomaly we come across is the Cleft Lip and palate where affected children suffer from range of functional as well as aesthetic problems. Cleft lip and palate is a multifunctional disease associated with environmental factors. Management of cleft is a complex procedure and demands co-operation among experts from different fields. Clinical treatment procedure extends from beginning of birth, to achieving skeletal maturity effectively.

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Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - Part 2: Pediatric Dentistry and Orthodontics

Journal of Applied Oral Science ◽

10.1590/s1678-77572012000200024 ◽

2012 ◽

Vol 20 (2) ◽

pp. 268-281 ◽

Cited By ~ 43

Author(s):

José Alberto de Souza Freitas ◽

Daniela Gamba Garib ◽

Marchini Oliveira ◽

Rita de Cássia Moura Carvalho Lauris ◽

Ana Lúcia Pompéia Fraga de Almeida ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Pediatric Dentistry ◽

Craniofacial Anomalies ◽

Rehabilitative Treatment

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Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.20.5.118-125.sar ◽

2015 ◽

Vol 20 (5) ◽

pp. 118-125 ◽

Cited By ~ 5

Author(s):

Daniela Gamba Garib ◽

Julia Petruccelli Rosar ◽

Renata Sathler ◽

Terumi Okada Ozawa

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Lateral Incisor ◽

Craniofacial Anomalies ◽

Nasal Process ◽

Embryonic Origin ◽

Maxillary Lateral Incisor ◽

To Come ◽

Dual Origin ◽

Research Analysis

Introduction:Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations.Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft.Conclusion:Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.

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Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects

Journal of Applied Oral Science ◽

10.1590/s1678-77572012000100003 ◽

2012 ◽

Vol 20 (1) ◽

pp. 9-15 ◽

Cited By ~ 53

Author(s):

José Alberto de Souza Freitas ◽

Lucimara Teixeira das Neves ◽

Ana Lúcia Pompéia Fraga de Almeida ◽

Daniela Gamba Garib ◽

Ivy Kiemle Trindade-Suedam ◽

...

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Craniofacial Anomalies ◽

Rehabilitative Treatment

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Respiratory Polysomnographic Findings in Patients Treated Primarily for Unilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617726538 ◽

2017 ◽

Vol 55 (2) ◽

pp. 287-291 ◽

Cited By ~ 1

Author(s):

Davi Sandes Sobral ◽

Gustavo Juliane Faller ◽

Marcus Vinícius Martins Collares

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Sleep Apnea Syndrome ◽

Mixed Dentition ◽

Apnea Hypopnea Index ◽

Craniofacial Anomalies ◽

Obstructive Sleep ◽

The Mean ◽

Airway Abnormalities ◽

Craniofacial Abnormality

Cleft lip and palate (CLP) is the most common congenital craniofacial abnormality. Obstructive sleep apnea syndrome (OSAS) is a highly prevalent but underdiagnosed disease and is frequently associated with craniofacial anomalies. There are few studies describing the sleep breathing pattern of children with CLP. This study sought to characterize the respiratory profile of 23 children with unilateral cleft lip and palate, aged 7-12 years, who had undergone cleft lip and nasal repair at age 3-4 months and palatoplasty at 12-15 months, with a particular focus on evaluating the presence of OSAS in children with CLP. Polysomnography was performed and findings were analyzed descriptively. We found a mean and median for apnea/hypopnea index (AHI) of 1.11/h (SD = 0.78) and 0.9/h, respectively. The mean obstructive apnea index (OAI) was 0.27/h (SD = 0.38) and the median, 0.1/h. Nearly 30% of patients had an AHI above 1.4 events/h. There was no significant oxyhemoglobin desaturation in the study group. In this group, the prevalence of OSAS was higher than in noncleft populations when compared to the normality values adopted. This sample of patients with unilateral cleft lip and palate exhibited an increased prevalence of OSAS during the mixed dentition stage. Although the results showed that OSAS was mild, we advise closer observation of these patients. Polysomnography is recommended for the assessment of children with airway abnormalities, to individualize the extent of treatment.

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Chronology and Sequence of Eruption of the Permanent Teeth in Patients with Complete Unilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/02-085.1 ◽

2004 ◽

Vol 41 (6) ◽

pp. 642-645 ◽

Cited By ~ 14

Author(s):

Cleide Felíciode Carvalho Carrara ◽

JoséEduardode Oliveira Lima ◽

Carlos Eduardo Carrara ◽

Bernardo Gonzalez Vono

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Sao Paulo ◽

Lateral Incisor ◽

Permanent Teeth ◽

São Paulo ◽

Craniofacial Anomalies ◽

Cross Sectional ◽

Maxillary Lateral Incisor ◽

Mandibular Teeth

Objective To establish the chronology and sequence of eruption of the permanent teeth in subjects with complete unilateral cleft lip and palate. Design Cross-sectional. Data on children presenting complete cleft lip and palate were evaluated. Setting The study was carried out at the Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, Sao Paulo, Brazil. Sample The sample comprised 477 patients with complete unilateral cleft lip and palate, aged 5 to 14 years. Of these patients, 166 were girls and 311 were boys. Results The girls presented, for all maxillary and mandibular teeth, a smaller mean age of eruption than the boys. The maxillary lateral incisor and cuspid adjacent to the cleft presented significantly higher mean ages of eruption than their homologous teeth on the noncleft side.

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Prevalence of Palatal and Alveolar Cysts in Babies with Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/02-139.1 ◽

2004 ◽

Vol 41 (5) ◽

pp. 490-493 ◽

Cited By ~ 8

Author(s):

Karina Mirela Ribeiro Pinto Alves ◽

Virginia Peixoto ◽

Márcia Ribeiro Gomide ◽

Cleide Felíciode Carvalho Carrara ◽

Beatriz Costa

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Sao Paulo ◽

São Paulo ◽

Craniofacial Anomalies ◽

Cross Sectional ◽

Significant Difference ◽

Different Types ◽

Low Prevalence ◽

Posterior Area

Objective To evaluate the prevalence of palatal and alveolar cysts in babies with cleft lip and/or palate. Design Cross-sectional. Setting Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC-USP), Bauru, São Paulo, Brazil. Participants Two hundred ninety-one Caucasian babies divided into four groups according to the type of cleft: cleft lip with or without cleft alveolus (70), complete unilateral cleft lip and palate (112), complete bilateral cleft lip and palate (56), and cleft palate (53). Results A low prevalence of palatal and alveolar cysts was observed among patients with the four different types of clefts, with no statistically significant difference between genders. The maxilla and the anterior area of the mouth were more affected than the mandible and the posterior area. Conclusions The low prevalence of palatal and alveolar cysts in the four groups of babies with clefts included in this study may have been due to the high mean age of the sample.

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Straight line closure of congenital macrostomia

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1697223 ◽

2004 ◽

Vol 37 (02) ◽

pp. 121-123 ◽

Cited By ~ 4

Author(s):

Richard Schwarz ◽

Digvijay Sharma

Keyword(s):

Congenital Anomaly ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Branchial Arch ◽

Skin Closure ◽

Rare Congenital Anomaly ◽

Cosmetic Results ◽

Straight Line

ABSTRACTThe results of patients operated on by Nepal Cleft Lip and Palate Association (NECLAPA) surgeons for congenital macrostomia were prospectively studied between January 2000 and December 2002. There were four males and three females with a median age of 10 years. Three had an associated branchial arch syndrome. In all patients an overlapping repair of orbicularis oris was done. Six patients had a straight line closure with excellent cosmetic results and one a Z-plasty with a more obvious scar. All had a normal appearing commissure. Overlapping orbicularis repair with straight line skin closure for this rare congenital anomaly is recommended.

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Prenatal diagnosis and management of Van der Woude syndrome

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2015-0037 ◽

2016 ◽

Vol 5 (1) ◽

pp. 61-63

Author(s):

Karla Ferreres García ◽

Beatriz Berenguer ◽

Luis Ortiz Quintana ◽

Elena De Tomás Vicente ◽

Ricardo Fernández Pérez-Pacheco ◽

...

Keyword(s):

Cleft Lip ◽

Autosomal Dominant ◽

Cleft Lip And Palate ◽

Ultrasound Examination ◽

Craniofacial Anomalies ◽

Dominant Inheritance ◽

Van Der Woude Syndrome ◽

Lower Lip ◽

Postnatal Diagnosis ◽

Variable Penetrance

Abstract We report the postnatal diagnosis of Van der Woude syndrome (VWS) in a foetus found to have an isolated right cleft lip and palate by ultrasound examination. After prenatal genetic counselling, the parents declined further evaluation by amniocentesis. At delivery, the infant was also found to have labial pits in the lower lip in addition to the cleft lip and palate identified by ultrasound consistent with VWS. Although VWS is rare, its autosomal dominant inheritance and variable penetrance should prompt additional modalities to more thoroughly evaluate the extent of other organ system and more extensive craniofacial anomalies.

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