scholarly journals Evaluation of the post-labioplasty result according to the comprehensive assessment performed by Indonesian Cleft Center team

2015 ◽  
Vol 27 (1) ◽  
Author(s):  
Siti Nur Nabihah Zainul Abidin ◽  
Ida Ayu Astuti ◽  
Asri Arumsari
Keyword(s):  
Reconstructive Surgery ◽  
Surgical Approach ◽  
Cleft Lip ◽  
Comprehensive Assessment ◽  
Clinical Severity ◽  
Fistula Closure ◽  
Complicated Structure ◽  
Secondary Surgery ◽  
Performance Result ◽  
Lip Defect

Introduction: Labioplasty is a surgical approach to reconstructs and repairs the cleft lip defect. The main purpose of this study is to observe the performance result of labioplasty through out the period of January till December 2007 according to the comprehensive assessment performed by Indonesian Cleft Center Team. Other purpose is to determine the least and the most complicated structure to be reconstructed in labioplasty. Apart from that, types of secondary reconstructive surgery, how many patients require and implement this secondary surgery are determined in this study. Methods: The method used for this study was descriptive retrospective which in the sample are post-labioplasty patients that came for assessment. With astounding years of experience, Indonesian Cleft Center Team is expected able to handle every case judiciously regarding its clinical severity. Results: Result shows that the performance result of labioplasty does not necessarily coincided with the severity of the cases. The most complicated structure to be reconstructed in labioplasty is Cupid’s bow whilst the least complicated are the thickness of vermilion and avoidance to create cicatrix. Conclusion: Type of secondary reconstructive indicated for the patient to repair the remaining deformities are secondary lip repair, rhinoplasty, fistula closure and bone graft. The amount of patient that is indicated for it is in total 25 patients and only 1 patient implemented the surgery.

Greater Palatal Cleft Width Predicts an Increased Risk for Unfavorable Outcomes in Cleft Palate Repair

2021 ◽  
pp. 105566562110295
Author(s):  
Åsa C. Okhiria ◽  
Fatemeh Jabbari ◽  
Malin M. Hakelius ◽  
Monica M. Blom Johansson ◽  
Daniel J. Nowinski
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
University Hospital ◽  
Velopharyngeal Insufficiency ◽  
Secondary Surgery ◽  
Increased Risk ◽  
Cleft Palate Repair ◽  
The Impact ◽  
Nasal Emission

Objective: To investigate the impact of cleft width and cleft type on the need for secondary surgery and velopharyngeal competence from a longitudinal perspective. Design: Retrospective, longitudinal study. Setting: A single multidisciplinary craniofacial team at a university hospital. Patients: Consecutive patients with unilateral or bilateral cleft lip and palate and cleft palate only (n = 313) born from 1984 to 2002, treated with 2-stage palatal surgery, were reviewed. A total of 213 patients were included. Main Outcome Measures: The impact of initial cleft width and cleft type on secondary surgery. Assessment of hypernasality, audible nasal emission, and glottal articulation from routine follow-ups from 3 to 16 years of age. The assessments were compared with reassessments of 10% of the recordings. Results: Cleft width, but not cleft type, predicted the need for secondary surgery, either due to palatal dehiscence or velopharyngeal insufficiency. The distribution of cleft width between the scale steps on a 4-point scale for hypernasality and audible nasal emission differed significantly at 5 years of age but not at any other age. Presence of glottal articulation differed significantly at 3 and 5 years of age. No differences between cleft types were seen at any age for any speech variable. Conclusions: Cleft width emerged as a predictor of the need for secondary surgery as well as more deviance in speech variables related to velopharyngeal competence during the preschool years. Cleft type was not related to the need for secondary surgery nor speech outcome at any age.

Multidisciplinary Approach for Reestablishing Function and Aesthetic of Unilateral Cleft Lip Defect: A Case Report

2020 ◽  
pp. 105566562094656
Author(s):  
Catarina Borges da Fonseca Cumerlato ◽  
Cinthia Studzinski dos Santos ◽  
Mateus Bertolini Fernandes dos Santos ◽  
César Dalmolin Bergoli ◽  
Noéli Boscato
Keyword(s):  
Cleft Lip ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Partial Denture ◽  
Functional Activities ◽  
Fixed Partial Denture ◽  
Aesthetic Appearance ◽  
The Aesthetic ◽  
Lip Defect

Cleft lip and/or cleft palate defects often result in a functional deficiency in the patient’s chewing, speech ability, and aesthetic appearance, usually demanding multidisciplinary effort for addressing the aesthetic and functional patient’s requirements. This clinical report describes the planned oral rehabilitation of a 46-year-old woman with unilateral cleft lip defect based on the patient’s peculiarities and age. Due to limitations concerning bone grafts and implant procedures, as well as orthodontic treatment, the prosthodontic rehabilitation using the metal-ceramic fixed partial denture was chosen. The treatment adequately reestablished the aesthetic and functional activities, positively impacting the patient’s quality of life.

Orthodontic-Surgical Approach for Treating Skeletal Class III Malocclusion With Severe Maxillary Deficiency in Isolated Cleft Palate

2018 ◽  
Vol 56 (3) ◽  
pp. 400-407 ◽  
Author(s):  
Kohei Nakatsugawa ◽  
Hiroshi Kurosaka ◽  
Kiyomi Mihara ◽  
Susumu Tanaka ◽  
Tomonao Aikawa ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Class Iii ◽  
Maxillary Expansion ◽  
Rapid Palatal Expansion ◽  
Isolated Cleft Palate ◽  
Maxillary Deficiency

Orthodontic treatment in patients with orofacial cleft such as cleft lip and palate or isolated cleft palate is challenging, especially when the patients exhibit severe maxillary growth retardation. To correct this deficiency, maxillary expansion and protraction can be performed in the first phase of orthodontic treatment. However, in some cases, the malocclusion cannot be corrected by these procedures, and thus, skeletal discrepancy remains when the patients are adolescents. These remaining problems occasionally require various orthognathic treatments according to the degree of the discrepancy. Here, we describe one case of a female with isolated cleft palate and hand malformation who exhibited severe maxillary deficiency until her adolescence and was treated with multiple orthognathic surgeries, including surgically assisted maxillary expansion (surgically assisted rapid palatal expansion), LeFort I osteotomy, and bilateral sagittal split osteotomy in order to correct severe skeletal discrepancy and malocclusion. The treatment resulted in balanced facial appearance and mutually protected occlusion with good stability. The purpose of this case report is to show the orthodontic treatment outcome of 1 patient who exhibited isolated cleft palate and subsequent severe skeletal deformities and malocclusion which was treated by an orthodontic-surgical approach.

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