A New Classification for Cleft Lip and Cleft Palate

Kernahan, Desmond A.; Stark, Richard B.

doi:10.1097/00006534-195811000-00001

Cited by 206 publications

(78 citation statements)

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“…Three complementary approaches were taken in order to identify optimal goals and design parameters for a digital method of pictographic notation for CL/P: (1) evaluation of existing coding schema and other notational systems to identify what level of phenotypic detail needed to be captured; (2) an expert focus group to explore the utility of striped-Y diagrams to cleft teams; and (3) review of two clinical database systems where translation of the striped-Y diagram was attempted with limited success.…”

Section: Methodsmentioning

confidence: 99%

“…To more accurately record the phenotypic presentation for a child with CL/P, clinicians would depict the cleft type using a method of pictographic notation [1]. Several methods of pictographic notation have been proposed, but the most popular form was the "striped-Y logo" introduced in 1971 as a graphical representation of the Kernahan & Stark system of classification [2,3]. Several variants were subsequently described ( Figure 1).…”

Section: Introductionmentioning

confidence: 99%

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Striped-Y redux: Redesigning pictographic notational systems for the digital age

Allori¹

2017

Dent Oral Craniofac Res

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Background: Before the advent of electronic medical records, pictographic notational tools were commonly used to succinctly describe clinical phenotypes in paper charts. Over the past 30 years, these methods have been largely abandoned in favor of alphanumerical notational systems, which are more conducive to data entry in clinical and administrative databases. However, such coding systems are incredibly complex, not easily readable or interpretable, and are often limited in their ability to capture phenotypic variation. The purpose of this study was to re-assess the value of pictographic notation for one specific use case -cleft lip/palate (CL/P) -and to propose a novel adaptation of this analog tool for digital data entry.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Striped-Y redux: Redesigning pictographic notational systems for the digital age

Allori¹

2017

Dent Oral Craniofac Res

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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].…”

Section: Objectifsunclassified

“…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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“…The Nature ofAlveolar Clefts Kernahan & Stark (1958) classified these defects as those involving the primary palate, secondary palate or a combination of both. Clefts of the primary palate must have occurred within the first four and a half weeks of prenatal life; clefts of the secondary palate arise from seven weeks onward.…”

mentioning

confidence: 99%