scholarly journals Comparison of the Interrupted and Continuous Suture Techniques for the Closure of Oral and Nasal Mucosal Layers in Cleft Palate Surgery

Cureus ◽  
2021 ◽  
Author(s):  
Owais Ahmed ◽  
Yusra Afzal ◽  
Mirza Shehab A Beg ◽  
Aimen S Siddiqui ◽  
Farkhandah M Iqbal
Keyword(s):  
Cleft Palate ◽  
Suture Techniques ◽  
Continuous Suture

scholarly journals INTERFERÊNCIA DA NUTRIÇÃO NA RESISTÊNCIA MECÂNICA DO CÓLON E COMPARAÇÃO ENTRE DUAS TÉCNICAS DE SUTURA PARA A SÍNTESE DE COLOTOMIA EM RATOS

2002 ◽  
Vol 7 (2) ◽  
Author(s):  
A. B. DIAMANTINO ◽  
S. C. RAHAL ◽  
T. P. GRILLO
Keyword(s):  
Control Diet ◽  
Diet Group ◽  
Suture Techniques ◽  
Average Weight ◽  
Continuous Suture ◽  
Bursting Strength ◽  
Nutritional Conditions ◽  
Suture Group ◽  
Descending Colon ◽  
Unbalanced Diet

Trinta ratos, linhagem Wistar, fêmeas, com peso inicial médio de 150 gramas, foram divididos em seis grupos de cinco animais, sendo o grupo I - dieta controle (ração comercial), grupo II - dieta controle + colotomia e síntese com sutura contínua simples; grupo III - dieta controle + colotomia e síntese com sutura tipo Cushing, grupo IV - dieta não balanceada, grupo V - dieta não balanceada + colotomia e síntese com sutura contínua simples, grupo VI - dieta não balanceada + colotomia e síntese com sutura tipo Cushing. A colotomia foi executada no cólon descendente e no quinto dia do pós-operatório os animais foram sacrificados para estudo da tensão de ruptura, pelo método de explosão, nos cólons transverso e descendente. A média do ganho de peso com a dieta não balanceada foi aproximadamente a metade da controle. Não houve diferença estatística entre os tipos de sutura, nem entre o estado nutricional e técnicas de sutura. Em geral, os valores da tensão de ruptura no cólon transverso intacto e no cólon descendente dos animais operados (dieta controle e não balanceada), foram inferiores ao dos não operados com dieta controle. O epíplon dos ratos dos grupos V e VI apresentou-se menos volumoso e adelgaçado, o que promoveu aderências graves de outros órgãos sobre a região da colotomia. Essas adesões podem ter interferido na avaliação da tensão de ruptura do cólon descendente. Foi possível concluir que o método de força de explosão não permitiu estabelecer diferenças entre os padrões de sutura utilizados e o grau de nutrição. Nutrition interference on mechanic resistance of colon and comparison of two suture techniques for colotomy closure in rats Abstract Thirty female Wistar rats with initial average weight of 150 g, were divided in six experimental groups as follows: group 1 - control diet (commercial rat food); group II - control diet and colostomy with simple continuous suture; group III - control diet and colostomy with Cushing’s pattern suture; group IV - unbalanced diet; group V - unbalanced diet and colostomy with simple continuous suture; group VI - unbalanced diet and colostomy with Cushing’s pattern suture. Colostomy was carried out in descending colon. At the fifth day after surgery, the animals underwent euthanasia in order to measure the bursting strength of the transverse and descending colon. The gain of weight in the unbalanced diet was almost half of the control diet. here were no statistic differences between the sutures patterns, neither in regard to the nutritional conditions and suture techniques. Generally, the bursting strength values measured in both colons of the animals under either control and unbalanced diets, that underwent surgery, were lower than the ones found for rats under control diet that did not underwent surgery. The omentum of the rats from groups V and VI was less voluminous and thin causing serious adhesions to other organs at the colostomy area. These adherences might have interfered in the evaluation of the bursting strength in the descending colon. According to the results found, it was possible to conclude that evaluation of the bursting strength did not allow to establish differences between the suture patterns and the nutritional conditions of the experimental animals.

scholarly journals Comparison of Clinical Outcomes Seprate and semi continus sewing methods during and after Heart valves Surgery

2020 ◽  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Heart Valve ◽  
Heart Valves ◽  
Suture Techniques ◽  
Continuous Suture ◽  
Replacement Surgery ◽  
Interrupted Suture ◽  
Significant Difference ◽  
Valve Leakage

Background and Aims: Various therapies and surgeries are applied in heart valve surgery, including interrupted and semi-continuous suture techniques. Therefore, this study aimed to compare the clinical implications of two methods of interrupted and semi-continuous suture techniques during and after mitral or aortic valve replacement surgery among patients referred to Department of Surgery, School of Medicine, Birjand University of Medical Sciences. Materials and Methods: In this study, the required information of patients was collected through the checklist based on the objectives of the study. The subjects had undergone aortic or mitral valve replacement for heart valve replacement suturing with continuous or interrupted suturing techniques. The patientschr('39') records were examined to investigate the complications, and in case that the required information was not registered, the patient or his relatives were also contacted so that the patient could be examined and referred to the hospital by the patientchr('39')s surgeon. Results: The mean age scores of patients undergoing surgery in the continuous and interrupted suture groups were obtained as 53.06±13.48 and 52.86±12.97 years, respectively. It was revealed that there was a large distribution of heart valve leakage, arrhythmia, heart attack, valve infection, involved valve type, and aortic and mitral valve size in the two groups; however, there was no significant difference (P>0.05). Conclusion: Based on the results of this study, the rate of cardiac function and complications caused by the two techniques of continuous and interrupted suturing were not significantly different from each other; therefore, these two methods were not superior to each other due to the mentioned cases.

Classroom Teacher and Speech Clinician Severity Ratings of Different Speech Disorders

1975 ◽  
Vol 6 (3) ◽  
pp. 119-124 ◽  
Author(s):  
Robert T. Wertz ◽  
Michael D. Mead
Keyword(s):  
Public School ◽  
Cleft Palate ◽  
Classroom Teacher ◽  
First Grade ◽  
Speech Disorders ◽  
Third Grade ◽  
Second Grade ◽  
Classroom Teachers

Typical examples of four different speech disorders—voice, cleft palate, articulation, and stuttering—were ranked for severity by kindergarten, first-grade, second-grade, and third-grade teachers and by public school speech clinicians. Results indicated that classroom teachers, as a group, moderately agreed with speech clinicians regarding the severity of different speech disorders, and classroom teachers displayed significantly more agreement among themselves than did the speech clinicians.

Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon
Keyword(s):  
Young Children ◽  
Cleft Palate ◽  
Case History ◽  
Significant Others ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Speech Language Pathologists ◽  
Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

Compensatory Tongue-Palate-Posterior Pharyngeal Wall Relationships in Cleft Palate

1965 ◽  
Vol 30 (2) ◽  
pp. 166-173 ◽  
Author(s):  
Alta R. Brooks ◽  
Ralph L. Shelton ◽  
Karl A. Youngstrom
Keyword(s):  
Cleft Palate ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall

Errata

1966 ◽  
Vol 31 (2) ◽  
pp. 208-208
Keyword(s):  
Cleft Palate ◽  
Pressure Ratio ◽  
Ration Group

In the February 1966 issue of this journal, two errors occurred in Joan C. Pitzner’s and Hughlett L. Morris’s article “Articulation Skills and Adequacy of Breath Pressure Ratios of Children with Cleft Palate.” On page 29, the heading “Reality” should be “Reliability,” and on page 30, the heading “Pressure-Ration Group One” should be “Pressure-Ratio Group One.”

Special Considerations for Evaluation and Treatment of Spanish-Speaking Patients with Cleft Palate

2016 ◽  
Vol 1 (5) ◽  
pp. 41-49
Author(s):  
Ellen Moore
Keyword(s):  
Cleft Palate ◽  
The United States ◽  
Culturally Competent ◽  
Speech Language Pathology ◽  
Spanish Speaking ◽  
Appropriate Treatment ◽  
Oral Pressure ◽  
Language Pathology ◽  
History Of ◽  
Spanish Speaking Population

As the Spanish-speaking population in the United States continues to grow, there is increasing need for culturally competent and linguistically appropriate treatment across the field of speech-language pathology. This paper reviews information relevant to the evaluation and treatment of Spanish-speaking and Spanish-English bilingual children with a history of cleft palate. The phonetics and phonology of Spanish are reviewed and contrasted with English, with a focus on oral pressure consonants. Cultural factors and bilingualism are discussed briefly. Finally, practical strategies for evaluation and treatment are presented. Information is presented for monolingual and bilingual speech-language pathologists, both in the community and on cleft palate teams.

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