PIWI-Interacting RNA Sequencing Profiles in Maternal Plasma-Derived Exosomes Reveal Novel Non-Invasive Prenatal Biomarkers for the Diagnosis of Nonsyndromic Cleft Lip and Palate

2020 ◽  
Author(s):  
Shanshan Jia ◽  
Qiang Zhang ◽  
Yu Wang ◽  
Yanfu Wang ◽  
Dan Liu ◽  
...  



2021 ◽  
Vol 16 (2) ◽  
pp. 80-85
Author(s):  
T.V. Gaivoronskaya ◽  
◽  
E.A. Badeeva ◽  
Yu.A. Vasil’ev ◽  
T.I. Murashkina ◽  
...  

The traditional treatment and prophylaxis of congenital facial malformations in children takes into account the results of wellknown instrumental research methods such as photometric facial analysis, orthopantomography, lateral teleradiography of the head, diagnostic models of jaws. Modern removable and non-removable appliances (functional and mechanical) are used in the treatment. At the same time, the functional effect involves relieving the muscle tension in the maxillofacial region and neck using the techniques of myofascial, segment-reflex massage of the cervical-collar zone and the palate, reliesing the tongue-root tension. To assess the effectiveness of restoring the myodynamic balance of the muscles of maxillofacial area, it is necessary to develop modern diagnostic methods. Our clinical experience shows the possibility of determining microsensory changes in the parameters of the head and neck region using non-invasive nano-, micro- and fiber-optic diagnostic and rehabilitation technologies. The developed diagnostic methods are safe for the patient and allow obtaining reliable research results. An interdisciplinary approach will help to improve the rehabilitation of children with congenital facial malformations. Key words: cleft lip and palate, diagnosis, treatment, interdisciplinary approach, children



PLoS ONE ◽  
2015 ◽  
Vol 10 (11) ◽  
pp. e0140211 ◽  
Author(s):  
Marcin Mikulewicz ◽  
Krzysztof Kachniarz ◽  
Katarzyna Chojnacka


2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352



1993 ◽  
Vol 20 (4) ◽  
pp. 733-753 ◽  
Author(s):  
Alvaro A. Figueroa ◽  
John W. Polley ◽  
Mimis Cohen


BDJ ◽  
1998 ◽  
Vol 185 (7) ◽  
pp. 320-321 ◽  
Author(s):  
Biase Di ◽  
A Markus






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