检索结果-南通市图书馆

Advancement of maxillary anterior segment by distraction osteogenesis for severe maxillary retrusion in cleft lip and palate

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2014年第3期127卷 500-505页

作者： Gao Feng Yang Minlie Zhao Zhenmin Sun Xiaomei Yin Ningbei Wang Yongqian Song Tao Li Haidong Wu Di Yin Jiapeng Cao Yimei Tong Haizhou Department of Aesthetic Plastic and Burn Surgery Shandong Provincial Hospital Affiliated to Shandong University Jinan Shangdong 250021 China Department of Plastic and Burn Surgery Wuxi No.3 Peoples Hospital Wuxi Jiangsu 214000 China Plastic Surgery Hospital Chinese Academy of Medical Science Peking Union Medical College Beijing 100144 China

Background Maxillary anterior segmental distraction osteogenesis （MASDO） is a recently used method for correction of severe maxillary retrusion in cleft lip and palate （CLP） *** this article,we evaluated the feasibility of MASDO using rigid external distraction （RED） and rapid orthodontic tooth movement to correct severe maxillary retrusion in CLP *** Fourteen male and five female complete CLP patients between the ages of 18 and 22 years （mean age 19.7 years） at the time of distraction,with severe maxillary retrusion,were treated with the rigid external distraction （RED） device after maxillary anterior *** orthodontic tooth movement was started one week after the *** profile photographic,cephalometric films were obtained preoperatively and after ***-nasion-point A （SNA） and Sella-nasion-point B （SNB） angles were measured to reflect changes in maxillary and mandibular position,and the distance between anterior nasal spine and posterior nasal spine （ANS-PNS） was measured to represent the maxillary dental arch *** The SNA angle increased from an average of 74.6° （range 73.0°-78.0°）,preoperatively,to 83.4° （range 78.6°-88.0°） after the RED was removed （P ＜0.01）.All cases of severe maxillary retrusion were *** patients＇ profiles became harmonious after *** patient had a bimaxillary protrusion deformity and needed further *** regenerate alveolar crest and edentulous space on both segments was almost completely eliminated after rapid orthodontic tooth *** MASDO with the RED system and rapid orthodontic tooth movement is a successful way of correcting severe maxillary retrusion in CLP patients.

关键词： maxillary anterior segmental distraction osteogenesis rapid orthodontic tooth movement maxillary retrusion cleft lip and palate

Combination of congenital cleft lip and palate with congenital diaphragmatic hernia: a severe disease course

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Chinese Medical Journal 2006年第15期119卷 1318-1320页

作者： LI Yang XIONG Wan-lin SHI Bing Department of Oral and Maxillofacial Surgery West China College of Stomatology of Sichuan University Chengdu 610041 China Department of Stomatology Affiliated Hospital of North Sichuan Medical College Nanchong 637000 China

Congenital cleft lip and palate （CLP） is the most ＇common birth defect now in China. The incidence is 1.62%0 according to the data （1988-- 1992） provided by the National Center for Birth Defects Monitoring. It is also one of the congenital anomalies that have excellent prognosis. But severe complications may occur in the cases accompanied some other deformities. Here we report a case of death caused by left-sided posterolateral congenital diaphragmatic hernia （CDH）, type Bochdalek, after the cleft operation.

关键词： cleft lip and palate congenital diaphragmatic hernia

Rhinoplasty in cleft lip and palate

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Case Reports in Clinical Medicine 2023年第11期12卷 439-446页

作者： Enrique Hernandez Vidal Enrique Hernandez Del Moral Omar Hernandez Del Moral Erick Daniel Hernandez Del Moral Juan Daniel Madera Brito Erik Ramos Garcia Crystell Guadalupe Guzmán-Priego Institute of High Specialty in Ear Nose Throat and Surgery of Head and Neck Villahermosa Mexico Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México

Various surgical techniques and approaches have been described to repair cleft nose deformities. It is necessary to consider that since it is a congenital deformity, surgical management must consider the patient’s growth process, as well as the healing itself from the surgery. The present study aims to evaluate an alternative solution to secondary rhinology, aesthetic, and functional alterations to unilateral or bilateral cleft lift palate to minimize deformities and ensure good results. 11 patients were studied between 1995 to 2002, ten male and one female. In 8 cases, the patients had a history of cleft lip and palate on the left side, 2 patients with cleft lift palate on the right, and 1 patient with bilateral cleft lip and palate. 100% of the patients increased their naso-labial angle. This improved their appearance and structure, starting from a preoperative arithmetic mean of 39 degrees to a postoperative arithmetic mean of 96 degrees. Such intervention increased the naso-labial angle by 57 degrees. At the base of the nose, it was possible to improve the inclination of the alar line (line B) in 10 of the cases with a variation of 2 to 3 mm in relation to the perpendicular line A and only one case remained with the same inclination.

关键词： cleft lip and palate Naso-Labial Angle Inclination Appearance

Expectations of Caregivers of Patients with cleft lip and palate Attending the cleft Clinic of KATH for the First Time

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2022年第10期13卷 449-459页

作者： Emile Kouakou Tano Priscilla Felicia Tano Paa Ekow Hoyte-Williams Alexander Oti Acheampong Peter Donkor Solomon Obiri Yeboah Department of Surgery Komfo Anokye Teaching Hospital Kumasi Ghana School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology Kumasi Ghana

Background: cleft lip and palate (CLP) is one of the most prevalent congenital malformations affecting the face worldwide, with high prevalence in Asians, Americans, and Caucasians and low in Africans. Orofacial clefts (OFCs) are among the causes of perinatal death in Ghana. The children often experience difficulties in swallowing, feeding, and speaking. These children often face problems in cognition, education, and communication. Caregivers’ ignorance of treatment, poverty, and noncompliance with follow-up schedules are obstacles to optimal cleft care. Most studies focus on the incidence of cleft, but not much is known about caregivers’ expectations. Methodology: An exploratory qualitative study design was used for this research between October and November 2020. The study site was the Komfo Anokye Teaching Hospital, (KATH), Kumasi, Ghana. The respondents were recruited from the oral health clinic. Included in the study were all CLP caregivers attending the cleft clinic for the first time. Purposive sampling was used to select fifteen caregivers who met the inclusion criteria. Face-to-face interviews with a semi-structured interview guide were used to collect data. The data were analyzed using NVivo software. Three major themes and six sub-themes emerged from the data analysis using thematic analysis. Ethical clearance was obtained for data collection. Results: Most caregivers were expecting their babies to be operated on, and they were certain that the cleft would be repaired at the end of the treatment, but they were unfamiliar with the process and cost of treatment. Less than half of the caregivers reported that they were oblivious to what to expect the first time visiting but had hopes that the healthcare professionals would be able to close the cleft for their babies. Conclusion: The majority of the caregivers expressed fear and disappointment at the diagnosis of their child. Some caregivers were very scared to the level where they had to hide the babies from

关键词： cleft lip and palate Caregivers Congenital Abnormalities Malformation

Upper Airway Changes after Maxillary Distraction Osteogenesis in cleft lip and palate Patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Stomatology 2016年第1期6卷 22-27页

作者： S. Abuzinada A. Alyamani Oral and Maxillofacial Surgery Department King Abdulaziz University Jeddah Saudi Arabia

Purpose: To measure the upper airway changes associated with maxillary distraction osteogenesis in cleft lip and palate patients in the immediate post operative period and 12 months later. Materials and Methods: Seven patients with repaired cleft lip and palate (CLP) presented with severe maxillary hypoplasia. They were examined initially at T1 predistraction phase. Records taken included radiographs (orthopantograms OPG, lateral cephalometric, posteroanterior). Cephalometric analysis was done to evaluate the upper airway. Mean age is 17 years and the reverse overjet > 6 mm. They underwent maxillary Le Fort I distraction using external rigid distracters (RED). Cephalometric analysis to evaluate the upper airway was repeated at the end of the consolidation phase T2 and twelve months after distractor removal T3. Results: The range of maxillary advancement was between 8 - 15 mm (mean 9 mm). The anteroposterior distance of the superior velopharynx (PPS) and middle velopharynx (SPPS) increased at T2. A small amount of reduction in these values was recorded at T3. The inferior velopharynx (MPS) and the oropharynx (IPS, EPS) showed minimum increase in anteroposterior distance in only two patients at T2 and no change at T3. Conclusion: All seven patients showed clinical improvement in the upper airway and an increase in the upper airway values on lateral cephalometric radiographs.

关键词： cleft lip and palate Maxillary Hypoplasia Distraction Osteogenesis Upper Airway

Longitudinal changes in the height and location of bone bridge from autogenous iliac bone graft in patients with cleft lip and palate

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Stomatology 2013年第1期3卷 58-62页

作者： Kotaro Tanimoto Yuki Tanne Keisuke Sumi Naoto Hirose Nobuhiko Kawai Eiji Tanaka Kazuo Tanne Department of Orthodontics Applied Life Sciences Hiroshima University Institute of Biomedical & Health Sciences Hiroshima Japan University of Tokushima Graduate School of Oral Sciences Tokushima Japan

Background: Secondary alveolar bone graft has been widely used for the closure of maxillary bone defects in patients with cleft lip and palate (CLP). However, the log-term stability of grafted bone in detail remains unclear. Purpose: To evaluate the nature of longitudinal changes in the grafted bone from autogenous iliac bone in patients with CLP for more than 2 years after the surgery. Methods and Subjects: The subjects were 124 CLP patients treated with iliac bone graft in Hiroshima University Hospital from 1997 to 2007. The height and location of the bone bridge was evaluated radiographically before and after surgery. Results: 1) Bone graft was performed at a mean age of 12.5 (±4.2) years old. The canines on the cleft side were not erupted at the surgery in 60.0%. All canines erupted except for the congenital missing and impacted ones (11.3%) within 2 years after bone graft;2) The height of the bone bridge was more than 11 mm in 71.8% of all patients 1 month after surgery. In addition, the location of bone bridge in 66.1% of all patients were clinically satisfactory. However, these rates decreased time-dependently owing to bone resorption after the bone graft. Conclusions: In conclusion, it is shown that autogenous bone graft produce a sufficient bone bridge in the jaw cleft area by the long-term evaluation of the changes in height and location of bone bridge, although some amount of time-dependent bone resorption is inevitable.

关键词： Bone Bridge Bone Graft Canine Eruption cleft lip and palate

Global and communicative development skills in preschool children with cleft lip and palate

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Pediatric Investigation 2021年第1期5卷 33-37页

作者： Mayalle Rocha Bonfim Jurado Maria Gabriela Cavalheiro Camila de Castro Correa Melina Evangelista Whitaker Simone Rocha de Vasconcelos Hage Dionisia Aparecida Cusin Lamonica Luciana Paula Maximino Department of Speech-Language Pathology and Audiology Bauru School of DentistryUniversity of Sao PauloBauruSPBrazil Hospital for Rehabilitation of Craniofacial Anomalies University of Sao PauloBauruSPBrazil Plateau University Center of the Federal District UNIPLANBrasiliaDistrito FederalBrazil University of Brasilia UnBBrasiliaDistrito FederalBrazil

Importance:cleft lip and palate(CLP)is globally among the most common childhood *** disorder impacts childhood development,including speech and language,and affects children ***:To analyze child development skills(adaptive fine motor,gross motor,personal-social,and language)in preschool children with isolated CLP compared with children without this ***:The participants included an experimental group of 27 children with isolated CLP and a comparison group of 27 children without CLP aged between 48 and 59 *** groups were evaluated using two instruments:the Denver Developmental Screening Test II(DDST-II)and the Avaliapao do Desenvolvimento da Linguagem(ADL-Language Development Assessment).Data were analyzed by descriptive and inductive analyses,using the Student’s Mest and the Mann-Whitney test,at a significance level of P<***:All children in the comparison group performed within normal standards for their age range in the DDST-II and the *** worst performance in the experimental group was observed in language skills,followed,in declining order,by adaptive fine motor,personal-social,and gross motor as measured by the *** with isolated CLP also performed poorly in receptive,expressive,and global language in the *** statistically significant differences were observed in the experimental group’s scores for the ADL and the ***:Developmental skill levels were below expectations for children of this age with isolated CLP.

关键词： cleft lip and palate Language Child Preschool

Soft tissue facial profile characteristics of unilateral complete cleft lip and palate patients after surgical treatment

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Soft tissue facial profile characteristics of unilateral com...

Assessment of Two Years of Free Surgical Treatment of cleft lip, palate and Alveolar (CLPA) in the Maxillofacial Surgery and Stomatology Department of the Hospital University of Treichville-Abidjan

中华口腔医学会第14次全国口腔医学学术会议（2012年会）

作者： School of Stomatology,Central South University,Kaifu District,Changsha,Hunan Province,China.(410008) LI Wen-jie.

OBJECTIVE: By analyzing and comparing the digital X-ray cephalograms of Class I skeletal pattern adolescent patients with unilateral complete cleft lip and palate adolescent patients after surgical treatment;we study ... 详细信息

关键词： cleft lip and palate Adolescent Soft tissue facial profile

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

Open Journal of Stomatology 2023年第8期13卷 223-232页

作者： Anoumon Marguerite Reine Evelyne Anzouan-Kacou Romaric Evrard Assi Yapo Jean Francois Regis Koffi Behibro Beatrice Tehoua Ettien Franck-Olivier Manoussa Seguy Emmanuel Kouadio Konan Department of Stomatology and Maxillofacial Surgery Treichville University Hospital Abidjan C&ocircte d’Ivoire Department of Surgery and Specialties Faculty of Medical Sciences Felix Houphouet-Boigny University Abidjan C&ocircte d’Ivoire

Introduction: cleft lip, palate and alveolar (CLPA) are congenital malformations of the face due to a defect in the fusion of embryonic buds during the first weeks of embryogenesis. These malformations affect the upper lip, the alveolar bone and the palate. The incidence in Africa ranges from 1/2000 to 1/500 births. Their multidisciplinary management is long and costly. Thus, the help provided by humanitarian organisations during free care campaigns is welcome. Materials and Methods: This is a retrospective descriptive study conducted from August 2014 to July 2016 in the Maxillofacial Surgery and Stomatology Department of the Treichville University Hospital in Abidjan, Côte d’Ivoire. The objective was to describe the epidemiological, clinical and therapeutic aspects of CLPA during a humanitarian campaign for free care. Results: 51 cases of CLPA were operated on. Males were involved in 54.9% of the cases, i.e. a sex ratio of 1.2. The average age of the patients at the time of the operation was 3.44 years with extremes of 3 months and 52 years. Patients with low socioeconomic status represented 84.3% of the cases. cleft lips (31.4%) and cleft palates (33.33%) predominated. For cleft lips, unilateral forms were the most frequent (73.5%) and the left side was most often affected (59.2%). The most common surgical techniques used were MILLARD cheiloplasty for cleft lips (79.36%) and Dorrance pushback for cleft palates (78.05%). The postoperative course was simple in the majority of cases (80.47%). Patients and/or parents were satisfied with the postoperative results in over 90% of cases. Discussion: cleft lip and palate are common. Their management by humanitarian missions through mass campaigns allows us to receive a large number of patients affected by this pathology who are treated with a high satisfaction rate. Conclusion: The characteristics of cleft lip and palate in this study are in many respects identical to those described in the literature, but with some differ

关键词： cleft lip and palate Free Care Humanitarian Surgery