Correlation between surgical protocols for palatoplasty and midfacial growth in cleft lip and palate patients: A long-term, single centre study

Shetty, Vikram; Sreekumar, Chandni; Patteta, Nanda Kishore; Bahl, Devyani; Sailer, Hermann F.

doi:10.1016/j.jcms.2021.06.008

Cited by 7 publications

(6 citation statements)

References 37 publications

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“…A veloplastia intravelar está associada a tempos operatórios mais curtos. Research, Society and Development, v. 12, n. 11, e46121143668, 2023 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v12i11.43668 7 Shetty, et al, 2021 Correlation between surgical protocols for palatoplasty and midfacial growth in cleft lip and palate patients: A long-term, single centre stud.…”

Section: Horswell MD Et Al 2019mentioning

confidence: 99%

“…Diante dessa tese, Furlow idealizou A plastia em Z de dupla oposição que compreende dois retalhos com formas triangulares, sendo um composto por músculo e mucosa e outro somente por mucosa, reposicionando e sobrepondo o músculo palatino (Horswell et al, 2020). Em consoante, Bardach elaborou uma técnica que pode ser combinada com outros tipos de reparos cirúrgicos, sendo amplamente utilizada para fissura onde a largura do defeito é superior a 11 mm (Shetty et al, 2021).…”

Section: Introductionunclassified

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Avaliação das técnicas de Palatoplastia em pacientes fissurados: Uma revisão integrativa

Silva,

Lopes,

Reis

2023

RSD

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A fenda palatina é um defeito de causa multifatorial que acontece ainda na vida intrauterina, pois não há completa fusão dos processos maxilares. Dessa forma, a palatoplastia visa o reparo da fissura e dispõe de técnicas que atuam para a melhoria da qualidade de vida do paciente. Objetivo: Avaliar as técnicas utilizadas na cirurgia de palatoplastia, destacando a que apresenta melhores resultados quanto ao manejo e pós-operatório. Metodologia: Estudo de revisão integrativa da literatura, realizando busca em bases de dados Scielo e Pubmed no período de janeiro a outubro de 2023. Os artigos selecionados tiveram corte temporal de 2004 a 2023, e dos 545 artigos encontrados, 25 foram utilizados. Resultados: Os autores relataram a prevalência das fissuras e sua classificação. Além disso, quanto as técnicas, abordaram resultados semelhantes nas taxas de sucesso pós-operatório e manejo, ademais, chegaram à conclusão de que existem técnicas que aumentam a incidência de fistula e da nasalância. Discussão: Houve debate dos autores quanto a predileção das fissuras palatinas. Houve discordância quanto a preferência da cirurgia em um estágio e a de dois estágios. A técnica de Furlow e Bardach apresentaram resultados semelhantes e demostraram melhores taxas de sucesso. Conclusão: Portanto, conclui-se que a escolha da técnica cirúrgica quanto ao manejo, fica a escolha do profissional. Já na efetividade do tratamento, as técnicas de Furlow e Bardach demostraram serem mais eficazes.

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Section: Horswell MD Et Al 2019mentioning

confidence: 99%

Section: Introductionunclassified

Avaliação das técnicas de Palatoplastia em pacientes fissurados: Uma revisão integrativa

Silva,

Lopes,

Reis

2023

RSD

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“…Some guidelines have been put forth to optimize safety, ensure adequacy of repair, and improve function while limiting morbidity to the patient with the cleft deformity [ 4 , 5 ]. Surgical procedures should be well planned to reduce exposure to anaesthesia from multiple surgeries [ 3 , 6 , 7 ]. Deciding on a method of cleft lip or palate repair is based on the surgeon’s experience, individual patient cleft type peculiarity and evidence based superior outcomes associated with a surgical method.…”

Section: Introductionmentioning

confidence: 99%

Trends of cleft surgeries and predictors of late primary surgery among children with cleft lip and palate at the University College Hospital, Nigeria: A retrospective cohort study

et al. 2023

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Background Cleft of the lip and palate is the most common craniofacial birth defect with a worldwide incidence of one in 700 live births. Early surgical repairs are aimed at improving appearance, speech, hearing, psychosocial development and avoiding impediments to social integration. Many interventions including the Smile Train partner model have been introduced to identify and perform prompt surgical procedures for the affected babies. However, little is known about the trends of the incidence and surgical procedures performed at our hospital. Nothing is also known about the relationship between the clinical characteristics of the patients and the timing of primary repairs. Objective To determine the trends in cleft surgeries, patterns of cleft surgeries and identify factors related to late primary repair at the University College Hospital, UCH, Ibadan, Nigeria. Methods A retrospective cohort study and trends analysis of babies managed for cleft lip and palate from January 2007 to January 2019 at the UCH, Ibadan was conducted. The demographic and clinical characteristics were extracted from the Smile Train enabled cleft database of the hospital. The annual trends in rate of cleft surgeries (number of cleft surgeries per 100,000 live births) was represented graphically. Chi square test, Student’s t-test and Mann Whitney U were utilised to assess the association between categorical and continuous variables and delay in cleft surgery (≥12 months for lip repair, ≥18months for palatal repair). Kaplan-Meier graphs with log-rank test was used to examine the association between sociodemographic variables and the outcome (late surgery). Univariable and multivariable Cox proportional hazard regression was conducted to obtain the hazard or predictors of delayed cleft lip surgery. Stata version 17 (Statacorp, USA) statistical software was utilised for analysis. Results There were 314 cleft surgeries performed over the thirteen-year period of study. The male to female ratio was 1.2:1. The mean age of the patients was 58.08 ± 99.65 months. The median age and weight of the patients were 11 (IQR:5–65) months and 8 (IQR: 5.5–16) kg respectively. Over half (n = 184, 58.6%) of the cleft surgeries were for primary repairs of the lip and a third (n = 94, 29.9%) were surgeries for primary repairs of the palate. Millard’s rotation advancement flap was the commonest lip repair technique with Fishers repair introduced within two years into the end of the study. Bardachs two flap palatoplasty has replaced Von Langenbeck palatoplasty as the commonest method of palatal repair. The prevalence of late primary cleft lip repair was about a third of the patients having primary cleft lip surgery while the prevalence of late palatal repair was more than two thirds of those who received primary palatoplasty. Compared with children who had bilateral cleft lip, children with unilateral cleft lip had a significantly increased risk of late primary repair (Adj HR: 22.4, 955 CI: 2.59–193.70, P-value = 0.005). Conclusion There has been a change from Von Langenbeck palatoplasty to Bardachs two-flap palatoplasty. Intra-velar veloplasty and Fisher’s method of lip repair were introduced in later years. There was a higher risk of late primary repair in children with unilateral cleft lip.

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“…This core concept, that palatal trauma has an inhibitory impact on maxillofacial growth, is clear [ 8 ]. Previous studies proved that palatal trauma had an adverse impact on maxillary growth [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…In this study, we mimicked different types and degrees of palatal trauma on a young rat model, including soft and hard tissue trauma [ 8 , 13 ], and ADM was also applied to cover the wound. Our experimental comparative study aimed to determine the influence of different degrees of palatal trauma on maxillofacial growth and assess whether usage of ADM can help rescue the inhibited growth during palatal wound healing.…”

Section: Introductionmentioning

confidence: 99%

Observation of Palatal Wound Healing Process Following Various Degrees of Mucoperiosteal and Bone Trauma in a Young Rat Model

Liu

Zhang

Sakran

et al. 2022

Biology

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The accidental injury or surgery on soft and hard palatal tissue has an adverse impact on normal maxillary morphology. To design a single-factor experiment that excludes other interfering factors on maxillary growth, a young rat model was established to simulate the various degrees of palatal trauma. Eight maxillary parameters were measured to evaluate the impact of palatal trauma on maxillary growth. Furthermore, the acellular dermal matrix (ADM) was applied to cure the palatal trauma and alleviate the adverse impact of bone denudation on the maxillary growth. Micro-CT scanning and histology analyses were used. One-way ANOVA with least significant difference (LSD) post-test was used to evaluate the statistical significance. The palatal trauma mainly disturbed the transverse development of the maxilla. ADM promotes mucosa healing, but there is still an inhibitory effect on maxillofacial growth.

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Correlation between surgical protocols for palatoplasty and midfacial growth in cleft lip and palate patients: A long-term, single centre study

Cited by 7 publications

References 37 publications

Avaliação das técnicas de Palatoplastia em pacientes fissurados: Uma revisão integrativa

Avaliação das técnicas de Palatoplastia em pacientes fissurados: Uma revisão integrativa

Trends of cleft surgeries and predictors of late primary surgery among children with cleft lip and palate at the University College Hospital, Nigeria: A retrospective cohort study

Observation of Palatal Wound Healing Process Following Various Degrees of Mucoperiosteal and Bone Trauma in a Young Rat Model

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