A case report of palatoplasty for bilateral oblique facial clefts with atypical cleft palate

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.

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Hospitalization, Breast-Milk Feeding, and Growth in Infants with Cleft Palate and Cleft Lip and Palate Born in Denmark

The Cleft Palate-Craniofacial Journal ◽

10.1597/07-007.1 ◽

2008 ◽

Vol 45 (6) ◽

pp. 628-632 ◽

Cited By ~ 22

Author(s):

Lisa H. V. Smedegaard ◽

Dorthe R. N. Marxen ◽

Jette H. V. Moes ◽

Eva N. Glassou ◽

Cand Scientsan

Keyword(s):

Breast Milk ◽

Cleft Palate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

First Year ◽

Health Visitors ◽

Facial Clefts ◽

Growth References ◽

First Year Of Life ◽

Milk Feeding

Objective: To evaluate if the duration of postpartum hospitalization, duration of breast-milk feeding, and growth during the first year of life in infants with cleft lip and palate (CLP) and cleft palate (CP) are comparable to infants without facial clefts. Design: Prospective data collection using a registration chart developed by the authors. Setting: Special health care of infants with CLP/CP born in Denmark. Participants: All mature infants with CLP/CP born in 2003 and 2004 were included. Of 165 infants, 115 participated in the study. Intervention: In Denmark, parents of children with CLP/CP receive counseling. This counseling is managed by specially trained health visitors/nurses and is initiated at birth. The counseling seeks to support parents’ confidence in having an infant with CLP/CP and to initiate a relationship between the infant and the parents. Main Outcome Measures: Duration of postpartum hospitalization, duration of breast-milk feeding, and weight and length at birth, 5 months of age, and 12 months of age. Results: Hospitalization was 4 days and comparable to that of infants without CLP/CP. The infants with CLP/CP received breast milk but for a shorter period compared with infants without CLP/CP. Weights at birth, 5 months of age, and 12 months of age were identical with Danish growth references. Conclusion: The authors find the results satisfactory and believe that the counseling provided by the health visitors/nurses plays a part in the results.

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Cleft Palate Associated with Hairy Polyp: A Case Report

The Cleft Palate-Craniofacial Journal ◽

10.1597/11-231 ◽

2013 ◽

Vol 50 (5) ◽

pp. 610-613 ◽

Cited By ~ 2

Author(s):

Anil Desai ◽

Niranjan Kumar ◽

Madhukar Wajpayee ◽

Himanshu Jatania

Keyword(s):

Case Report ◽

Cleft Palate ◽

Hairy Polyp

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P19.02: Epignathus combined with cleft palate and bifid tongue: a case report

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.12019 ◽

2012 ◽

Vol 40 (S1) ◽

pp. 243-244

Author(s):

J. Shin ◽

S. Choi ◽

H. Ko ◽

I. Park

Keyword(s):

Case Report ◽

Cleft Palate

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Orthodontic Treatment of a Cleft Palate Patient with Surgically Assisted Rapid Maxillary Expansion

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1996_033_0445_otoacp_2.3.co_2 ◽

1996 ◽

Vol 33 (5) ◽

pp. 445-449 ◽

Cited By ~ 5

Author(s):

Takafumi Susami ◽

Takayuki Kuroda ◽

Teruo Amagasa

Keyword(s):

Case Report ◽

Cleft Palate ◽

Orthodontic Treatment ◽

Rapid Maxillary Expansion ◽

Third Molars ◽

Maxillary Expansion ◽

Anterior Maxilla ◽

Posterior Crossbite ◽

Palate Patient ◽

Suture Opening

Some adult cleft palate patients show severe maxillary transverse contraction and posterior crossbite. This case report demonstrates successful surgical-orthodontic treatment of such a patient. Surgically assisted rapid maxillary expansion (SA-RME) was completed prior to comprehensive orthodontic treatment. The osteotomy was performed on both the buccal and lingual aspects of the posterior maxillary alveolus. A Hyrax-type maxillary-expansion appliance was used, and the screw (0.2 mm, one quarter turn) was turned two or three times per day. Comprehensive orthodontic treatment was initiated after extraction of the mandibular first premolars and four third molars. The maxillary lateral incisors were also extracted after active orthodontic treatment. The amount of expansion achieved using SA-RME was greater at the posterior than at the anterior maxilla. Midpalatal suture opening occurred. After orthodontic treatment, occlusal stability was satisfactory. This case demonstrates the effectiveness of SA-RME in adult cleft palate patients with severe posterior crossbite.

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