A New Approach to Classify Cleft Lip and Palate

Ortiz-Posadas, M. R.; Vega‐Alvarado, Leticia; Maya-Behar, J.

doi:10.1597/1545-1569(2001)038<0545:anatcc>2.0.co;2

Cited by 21 publications

(12 citation statements)

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“…The surgeon must account for the diverse characteristics associated with the severity of cleft lip and palate deformities (2). To precisely describe the types, exact location and extent of the deformities, surgeons and nonmedical clerks need a classification system that is easy to understand and document, and that transcends language barriers and is applicable to computer data analysis (1).…”

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confidence: 99%

A revised classification of the cleft lip and palate

Khan

Ullah

Naz

et al. 2013

Canadian Journal of Plastic Surgery

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Background Submucous cleft palate is characterized by muscular diastasis of the velum in the presence of intact mucosa with variable combinations of bifid uvula and hard palatal defect. Submucous cleft palate is indicated as a separate entity in most previous classifications but it has never been properly classified on an anatomical basis. Objectives To revise the Smith-modified Kernahan ‘Y’ classification of cleft lip and palate deformities, and to describe the different anatomical subtypes of submucous cleft palate. Methods The present study was conducted in Hayatabad Medical Complex, Abasin Hospital and Aman Hospital Peshawar, Pakistan, from November 2010 to December 2011. All patients who presented to the outpatient departments with cleft lip and palate, with the exception of previously operated cases, were included. All cases were described according to the Smith-modified Kernahan ‘Y’ classification and the authors' revised Smith-modified Kernahan ‘Y’ classification. All of the data were organized and analyzed using SPSS version 17 (IBM Corporation, USA). Results A total of 163 cases of cleft lip and palate deformities were studied, of which 59.5% were male and 40.5% were female. Smith modification of the Kernahan ‘Y’ classification completely described the cleft deformities in 93.9% of patients. However, while the Kernahan ‘Y’ classification represented the submucous cleft palate, it did not describe its different anatomical subtypes in 6.13% of patients. The revised Smith-modified Kernahan ‘Y’ classification completely described the cleft deformities of the entire study population, including the different submucous cleft palate patients. Discussion The Smith alphanumeric modification of the Kernahan ‘Y’ classification of cleft lip and palate came into existence after a long search and a series of modifications over the past century. This classification system describes the cleft region, site of the cleft, degree of the cleft, rare and asymmetrical clefts, and are computer database friendly. However, this classification did not describe the different anatomical subtypes of submucous cleft palate that have variable relationships with velopharyngeal insufficiency. Conclusion The revised Smith-modified Kernahan ‘Y’ classification described in the present study can describe all types of cleft lip and palate deformities in addition to the different types of submucous cleft palate deformities.

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confidence: 99%

A revised classification of the cleft lip and palate

Khan

Ullah

Naz

et al. 2013

Canadian Journal of Plastic Surgery

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“…Ortiz-Posadas et al 14 have published a very good description of the cleft anatomy; however, it is too extensive and difficult to remember. Fisher et al 15 used the nostril width ratio and the columellar angle as discriminatory measures of the primary unilateral cleft lip nasal deformity.…”

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Upper Double-Rotation Advancement Method for Unilateral Cleft Lip Repair of Severe Forms

Rossell-Perry¹,

Gavino-Gutierrez²

2011

Journal of Craniofacial Surgery

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“…Avec un bon contrôle de la croissance, on pérennise le résultat des interventions chirurgicales et on obtient un équilibre optimum des maxillaires. La comparaison des l'état initial et de l'état final permet d'évaluer l'efficacité du traitement [1][2][3][4][5][6].…”

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“…Le cartilage alaire constitue le cartilage le plus affecté ; il est déplacé dans les trois plans de l'espace, de façon proportionnelle à la taille de la fente. On distingue trois degrés selon l'importance de la fente [4]. Dans le degré léger, on observe un déplacement horizontal vers le bas et en dehors de la pointe et de l'aile du nez du côté de la fente.…”

Section: éTape Initiale : éTude Et Traitement Orthopédie Pré-chirurgiunclassified

“…Par la suite, avec le traitement orthodontique, il complète le traitement des autres spécialistes du groupe multidisciplinaire participant à la prise en charge de ces patients. Pour les étapes tardives (patients n'ayant pas bénéficié d'une prise en charge précoce), il contribue à la réhabilitation et cherche à obtenir un état stable à long terme du patient et l'amène à un état de santé physique et mental optimal [1][2][3][4][5][6].…”

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Traitement orthodontique dans les fentes labio-palatines au Mexique

Beljour

Domínguez

Ramírez

et al. 2012

Med Buccale Chir Buccale

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Résumé -Les patients ayant une fente labio-palatine (FLP) présentent diverses anomalies maxillo-faciales, associées à un faible potentiel de croissance et de développement des structures. En fonction de leurs manifestations phénotypiques, les FLP sont classées en formes modérées ou sévères. Pendant toutes les étapes de la croissance, les patients doivent être intégrés dans un programme individualisé de contrôle et de stimulation. Abstract -Orthodontic care and treatment in cleft lip and palate patients. The cleft lip and palate patients present alterations accompanied by a low growth and development potential of the maxillofacial structures. Depending on the phenotypic manifestations, they can be mild or severe. That is why these patients need an integrated and individualized program of control and stimulation during the growing stage. On the other hand, it is well known that the secondary problems resulted by surgical procedures may increase these alterations, making the orthodontics therapy being a great importance to obtain the correct balance, harmony and satisfactory results. This article presents the general orthopedics and orthodontics indicated to achieve optimal results in different stages during development and evolution of the multidisciplinary treatment.L'orthodontiste joue un rôle fondamental dans le traitement intégré des patients ayant des malformations craniomaxillo-faciales. Il contribue très tôt à la réhabilitation des patients ayant une fente labio-palatine (FLP) ou une autre anomalie dento-faciale. Il stimule la croissance et le déve-loppement des structures formant cette région, en utilisant des appareils orthopédiques fonctionnels. Par la suite, avec le traitement orthodontique, il complète le traitement des autres spécialistes du groupe multidisciplinaire participant à la prise en charge de ces patients. Pour les étapes tardives (patients n'ayant pas bénéficié d'une prise en charge

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A New Approach to Classify Cleft Lip and Palate

Cited by 21 publications

References 5 publications

A revised classification of the cleft lip and palate

A revised classification of the cleft lip and palate

Upper Double-Rotation Advancement Method for Unilateral Cleft Lip Repair of Severe Forms

Traitement orthodontique dans les fentes labio-palatines au Mexique

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