Comparison of Oxygen Saturation during Impression Taking before and after Presurgical Orthopedic Therapy in Babies with Cleft Lip and Palate

Yilmaz, Rahime Burcu Nur; Çakan, Derya Germeç; Noyan, Adnan

doi:10.1597/15-132

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…Digital impressions register the oral structures to a clinically sufficient level, limit the need for retakes, and increase the ease of registering the missing data without repeating the entire impression procedures. Conventional impressions may lead to a decrease in oxygen saturation levels of around 5% and generally require the presence of an airway management team [ 6 ]. The ability to avoid the risk of respiratory obstruction with digital impressions makes it less stressful for the clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…Taking the impressions for a newborn with CLP has been recommended to be conducted by trained orthodontists and with access to clinicians who can provide emergency assistance whenever it is needed in case of a respiratory emergency [ 4 , 5 ]. Additional challenges that have been documented encompass reduced levels of oxygen saturation during procedures [ 6 ], difficulties in obtaining precise impressions due to premaxilla mobility, and the poor registration of buccal extensions caused by a lack of orbicularis sphincter function [ 7 ]. Moreover, lack of cooperation of patients and limited mouth opening often result in a challenging impression-acquiring procedure, particularly in neonates and infants with cleft lip and palate [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinician- and Patient-Centred Outcomes of Digital Impressions in Infants with Cleft Lip and Palate: A Systematic Review

Unnikrishnan,

Etemad Shahidi,

Bakr

et al. 2024

Children

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This systematic review examines the effectiveness of digital impressions in infants with cleft lip and palate (CLP), focusing on accuracy, operator preferences, and parents’ perceptions. The PICO-formulated focused questions assessed the accuracy and operator preference of digital impressions compared to conventional impressions in infants with cleft lip and palate, while also exploring parents’ perceptions as patient-centred outcomes. Electronic and manual searches were conducted in five databases including PubMed, Scopus, Web of Science, Embase, and Cochrane Library; to acquire grey literature, Google Scholar was also consulted. Both experimental and observational studies that used digital impressions in the clinical care of infants with CLP were included. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess the quality of the included studies. Out of 503 records, 12 studies met the inclusion criteria. The accuracy assessment included surface discrepancy and intra-arch measurements. Surface discrepancy studies showed variations in the premaxillary segments, while intra-arch measurements revealed no significant differences. Operators preferred digital impressions, citing reduced stress and streamlined workflows. Parents expressed a clear preference for digital over conventional impressions. The conclusions drawn were substantiated by weak evidence due to the limited number and the high risk of bias of the included studies. Challenges remain here, warranting continued research to enhance accuracy and assess parents’ preferences, ensuring optimal outcomes for infants with CLP.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinician- and Patient-Centred Outcomes of Digital Impressions in Infants with Cleft Lip and Palate: A Systematic Review

Unnikrishnan,

Etemad Shahidi,

Bakr

et al. 2024

Children

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“…In this study, cyanosis was observed in 16.7% of infants with the finger technique and none with the tray technique. Yilmaz et al 27 stated that oxygen saturation (SpO 2 ) monitoring should be the main focus during the impression process. A notable change in SpO 2 value (5% and greater) at any stage during the impression procedure requires safeguard protocols such as continuous supplemental oxygen delivery to prevent permanent damage to vital organs.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the novel impression tray “cleftray” for infants with cleft lip and palate: a randomized controlled clinical trial

Kalaskar¹,

Bhaje²,

Balasubramanian³

et al. 2021

JKAOMS

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Objectives Cleft lip and palate (CLP) is one of the most common congenital deformities with worldwide prevalence. It causes a range of issues for infants that mainly involve difficulty in feeding due to abnormal oronasal communication. For this purpose, feeding plates are provided to infants to act as an artificial palate to aid in feeding. The most crucial procedure in fabrication of a feeding plate is creation of the impression using the traditional finger technique or impression trays. This preliminary research aims to compare the effectiveness of novel impression trays with that of the traditional finger technique for recording impressions of infants with CLP. Materials and Methods This randomized controlled trial was conducted among 30 infants who were divided into two groups based on the method of obtaining impressions Group I, finger technique; Group II, specialized acrylic tray (cleftray). Results Use of cleftray required less impression time, a reduced amount of material, no incidence of cyanosis/choking in infants, and lower anxiety among doctors compared to the traditional method. Additionally, there was no distortion of cleft impressions, recorded maxillary tuberosity, or other fine details. Therefore, the novel impression tray (cleftray) exhibited superior outcomes in all the parameters compared to the finger technique. Conclusion Within the limitations of this study, we conclude that impression trays are superior to the traditional finger, spoon, or ice cream stick methods of creating impressions of CLP. However, it is necessary to conduct more clinical trials on a larger population based on other parameters to compare the effectiveness of the two techniques to draw definitive conclusions.

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Evaluation of Airway Volume in Cleft Lip and Palate Following Nasoalveolar Molding

Astani¹,

Yılmaz

Nevzatoğlu

et al. 2018

Journal of Craniofacial Surgery

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Patients with cleft lip and palate (CLP) have commonly reduced nasal airways and are more prone to snoring, mouth breathing and hypopnea during sleep. Therefore, the morphometric evaluation of pharyngeal airway in patients with CLP is crucial. The purpose of this study is to evaluate the pharyngeal airway volumes of patients with CLP who underwent nasoalveolar molding (NAM) and to compare them with a well-matched control group without NAM. The study consisted of 40 patients with CLP divided into 2 main groups (26 with NAM; 14 without NAM) and 4 subgroups (15 unilateral CLP [UCLP] with NAM, mean age: 10.13 ± 1.30 years; 11 bilateral CLP [BCLP] with NAM, mean age: 10.55 ± 1.51 years; 7 UCLP without NAM, mean age: 9.86 ± 1.68 years; 7 BCLP without NAM, mean age: 10.28 ± 1.89 years). Nasopharyngeal, oropharyngeal, and total airway volumes of all the patients were calculated 3-dimensionally with cone-beam computed tomography. There were statistically significant differences in nasopharyngeal volume (P < 0.05) of NAM group compared to control group; however, volumetric differences in oropharyngeal and total pharyngeal airway were not significant (P > 0.05). The amount of nasopharyngeal, oropharyngeal, and total pharyngeal airway size in the BCLP with NAM group was significantly larger compared to BCLP without NAM group (P < 0.05). However, UCLP did not show any significant difference in NAM group (P > 0.05). This study implies that NAM can effectively enlarge the nasopharyngeal airway size in patient with CLP. In addition, the pharyngeal airway volume enlargement is more apparent in BCLP than UCLP individuals.

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Comparison of Oxygen Saturation during Impression Taking before and after Presurgical Orthopedic Therapy in Babies with Cleft Lip and Palate

Cited by 6 publications

References 28 publications

Clinician- and Patient-Centred Outcomes of Digital Impressions in Infants with Cleft Lip and Palate: A Systematic Review

Clinician- and Patient-Centred Outcomes of Digital Impressions in Infants with Cleft Lip and Palate: A Systematic Review

Effectiveness of the novel impression tray “cleftray” for infants with cleft lip and palate: a randomized controlled clinical trial

Evaluation of Airway Volume in Cleft Lip and Palate Following Nasoalveolar Molding

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