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Biomedical subjects

A E Rintala

Publications and source records attributed to A E Rintala.

35 records · Page 2Linked to original sources

Correlations of hypodontia in children with isolated cleft palate.

A total of 251 children with isolated cleft palate were examined. Orthopantomograms, taken at the age of 6-12 years, were used in the detection of hypodontia of the permanent teeth, excluding the third molars. The findings were: 1. Familial history of clefting has no pronounced effect on the prevalence of hypodontia; 2. The prevalence of hypodontia was significantly higher in children with conical elevation of the lower lip than in those without it (40% to 25%), and increased with increasing extension of the cleft; 3. Cleft palate was associated with conical elevation and/or hypodontia in 56% of the subjects. The same etiological factor or factors seems to be responsible for the formation of the cleft, for conical elevation, and for hypodontia.

Anodontia↗

Surgical closure of palatal fistulae: follow-up of 84 personally treated cases.

In a series of 84 personally operated palatal fistula (83 in cleft patients) over a 5-year-period, anatomic and/or physiologic closure was achieved in 82%. Minor recurrences occurred in 13%, and 4% were (total) failures. The age at operation varied from 2 years 10 months to 55 years. In nine recurrences (11%) definitive closure is still planned but postponed to the postpubertal period. 75% of the patients were operated on by the author once only, 14% twice, while in 11% three or more operations were necessary. The routine operative methods have been the double hinge flap and the bone grafting procedure. Other techniques have been used only rarely, and with specific indications.

Adolescent↗

Secondary reconstructive surgery in burns.

The material presented consist of 143 late sequelae of thermal burns. The majority of the patients were children, and the upper extremities or the face were most frequently involved. As only 41% of the burns had been primarily grafted, scar contracture was the main indication for secondary surgery in 83% of the patients. The importance of early correct evaluation of the burn and active primary treatment is stressed, especially in deep dermal burns (II degree). Release by complete excision or incision with skin grafting was the most frequent method of reconstruction. The treatment of contractures, hypertrophic scars and keloids, as well as various factors influencing the selection of the reconstructive method and time are discussed.

Adolescent↗

Secondary palatal repair by the island flap technique. A follow-up study.

The island flap technique was applied to the secondary repair of 57 cleft patients with persisting open nasality and no velopharyngeal closure. A follow-up investigation showed that closure was achieved in about 50%, and the degree of nasality in spontaneous speech diminished in about 70% of the patients. The general quality of speech was postoperatively good in about 50%, but on the other hand fully normal only occasionally. The island flap secondary repair should probably be reserved for selected patients having a tight, short but mobile velum and relatively slight nasality. Failures of this method can still be improved by a traditional upwards based pharyngeal flap.

Adolescent↗