scholarly journals Cleft Lip and Palate Patients: Diagnosis and Treatment

Author(s):  
Letizia Perillo ◽  
Fabrizia d'Apuzzo ◽  
Sara Eslami ◽  
Abdolreza Jamilian

Author(s):  
O.V. Dudnik ◽  
Ad.A. Mamedov ◽  
Y.O. Volkov ◽  
S.A. Parshikova ◽  
L.A. Mazurina ◽  
...  

ne of the priority direction of national medicine at this moment is Informatization (IT-technology). The most promising task is to use information and computer support in a comprehensive system of diagnostic examination of patients with cleft lip and palate for its subsequent integration into a complex of rehabilitation measures, including the participation of specialists in various fields (psychologist, pediatrician, surgeon, orthodontist, speech therapist, etc.). The purpose of the study was to offer a web-application that allows doctors of related specialties to determine the tactics of interdisciplinary diagnosis and treatment. Based on more than 20 years of experience in clinical and scientific observations in the diagnosis and treatment of patients with cleft lip and palate, a web-application “ADI” (Application of Digital Imaging) has been developed. The web-application “ADI” is a system for processing and storing information for rehabilitation of patients with cleft lip and palate by type of pathology and age, which allows doctors to get structured information about the stages of conducting the necessary methods of interdisciplinary diagnosis and treatment. One of the main advantages of creating a web-application ” ADI ” is the ability to quickly exchange information between specialists in various fields of knowledge. This comprehensive information is the basis for combining scientific ideas and sharing the experience of various specialists, thus making it possible to create a unified system of interdisciplinary rehabilitation of children with congenital maxillofacial pathology.



2021 ◽  
pp. 105566562110232
Author(s):  
Yong Jong Park ◽  
Christopher Derderian ◽  
Michael Oppedisano

Complex craniofacial deformities such as complete bilateral cleft lip and palate require interdisciplinary approach for proper diagnosis and treatment. A severe skeletal discrepancy caused by bilateral cleft lip and palate and missing premaxilla was successfully managed with orthodontic preparation and distraction osteogenesis. Conventional prosthodontic treatment combined with orthodontic preparation was proven to be a viable option to manage multiple missing teeth in cleft lip and palate.



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








Author(s):  
Jakob Brief ◽  
Jan Behle ◽  
Angelika Stellzig-Eisenhauer ◽  
Stefan Hassfeld


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