Orofacial clefts: treatment based on a multidisciplinary approach

Abstract

Objective: The present study aims to expose through a literature review the cleft lip and/or cleft palate (CL/CP) and its treatment in a multidisciplinary approach. Methodology: This literature review was conducted by the leading health databases: Pubmed (https://www.ncbi.nlm.nih.gov/pubmed). The keywords for the textual search were: Cleft Lip; Cleft Palate; Dental Staff; Classification; Embryology. The inclusion criteria were: literature on the subject under study, literature of the last years, english language, laboratory and clinical studies and systematic review. Literature Review: Fissures can be defined by a space at the junction between two bones, usually where there would be a suture. Orofacial clefts are part of the congenital facial anomalies resulted from the non-junction of the embryonic facial processes. These changes occur due to an alteration in the migratory velocity of the neural crest cells, in charge of the phenomenon of fusion of the facial prominences between the 6th and 9thweek of embryonic life. Conclusion: The treatment of patients with orofacial clefts requires the approach of a multidisciplinary team that involves physicians in the area of plastic surgery, otorhinolaryngology, pediatrics, geneticists, dentists, prosthetics, nurses and speech pathologists, focusing on patient prevention, recovery and rehabilitation. However, further studies are needed for a better understanding of the subject and the steps that should be applied for each particular case.Descriptors: Cleft Lip; Cleft Palate; Dental Staff; Classification; Embryology.ReferencesShaw WC, Brattström V, Mølsted K, Prahl-Andersen B, Roberts CT, Semb G. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 5: discussion and conclusions. 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Вплив Біохічних Показників Крові На Післяопераційний Перебіг У Дітей З Однобічною Вродженою Сполученою Розщілиною Верхньої Губи Та Піднебіння

“…Вивчали вплив біохімічних показників крові, сечі та слини на післяопераційний перебіг у дітей з однобічною вродженою сполучною розщілиною верхньої губи та піднебіння після проведення хейлопластики. До проведення оперативного втручання ми виявляли вміст сіалових кислот в сироватці крові [2][3][4][5]. На наш погляд ці показники відображають стан сполучної тканини у організмі дитини, і в наслідок цього готовність організму дитини до оперативного втручання, а також прогнозування можливих ускладнень у післяопераційному періоді після хейлопластики у дітей з однобічною вродженою сполучною розщілиною верхньої губи та піднебіння.…”