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Results for “CLEFT LIP”

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At least 415 records · Page 23Linked to original sources
PubMed1997

Relationship between lower-lip fistulae and cleft lip and/or palate in Von der Woude syndrome.

OBJECTIVE: This study was conducted to evaluate the relationship between fistulae of the lower lip and cleft lip and/or palate in patients with Van der Woude syndrome. METHODS: The medical records of 11,000 patients with cleft lip and/or palate registered at the Cleft Lip-Palate Research and Rehabilitation Hospital, University of São Paulo, Bauru were reviewed. Of these patients, 133 (1.2%) presented with Van der Woude syndrome. RESULTS: Of the 133 patients, 88 (66.2%) exhibited full clefts, 22 (16.5%) only cleft lip, and 23 (17.3%) only cleft palate. The lower-lip fistulae observed in these 133 patients were bilateral symmetric in 66 (49.7%), bilateral asymmetric in 42 (31.6%), microform in 19 (14.3%), median in 5 (3.8%), and unilateral in 1 (0.7%). CONCLUSION: This population sample appears to exhibit the previously published tendency for bilateral, unilateral, or mixed-type congenital fistulae to be associated with cleft lip with or without cleft palate, while so-called microforms or conic elevations are almost exclusively associated with cleft palate.

Child↗
PubMed1979

[Changes after presurgical orthopedic treatment in children with unilateral cleft lip and cleft palate].

The study analyses the changes occurring in the maxillary arches of 30 infants with complete unilateral clefts of the lip and palate following presurgical maxillary orthopaedic treatment. 15 similar cases not receiving such treatment were used as controls together with 30 normal subjects. Photocopies of models of the arches at birth and 4 months were analyzed by computer and the area of palatel tissue measured using stereophotogrammetry. In the presurgical cases, the palatal cleft was significantly narrowed due to the transverse and antero-posterior dimensions of the arches increasing less than in the controls. The narrowing of the cleft was particularly marked in the alveolar region because the presurgical treatment minimised the antero-lateral (outward) rotation of the lesser segment which otherwise would have occurred. Somewhat surprisingly, the study showed that presurgical treatment tended to inhibit growth of palatal tissue and it was concluded therefore that the narrowing of the defect was due mainly to the growth pattern of the maxillary arch being modified by the appliances.

Child↗
PubMed1982

The case of early bone grafting in cleft lip and cleft palate.

To date there are conflicting reports in the literature as to the efficacy of early maxillary orthopedic procedures and primary osteoplasty in newborns with complete clefts of the lip, alveolus, and palate. Ross accounts for the disagreement by stating that the critical variable may be the surgical procedure utilized in closing the palate, not necessarily the placement of the graft. Friede has also postulated that perhaps it is principally a difference in the graft techniques. Cephalometric evaluation of our sample at 13 years 11 months of age compared with a like sample wherein the primary osteoplasty had not been done showed the two samples to be clinically the same. We feel that in utilizing our sequence of procedures and carefully monitoring facial growth of these children we do not adversely influence facial growth and, in fact, present a more favorable maxillary segment alignment and teeth in better overall occlusion than if we had not done these procedures. From our results, we conclude that there should be no condemnation of the principle of this treatment because of individual failings and failures. Although differences in techniques can and do influence results, the concept of maxillary orthopedics and primary osteoplasty need not be thrust aside even if some techniques are found wanting.

Age Factors↗