Premaxillary characteristics in complete bilateral cleft lip and palate: A predictor for treatment outcome

El-Kassaby, Marwa Abdelwahab; Abdelrahman, Noha Ibrahim; Abbass, Islam Tarek

doi:10.4103/2231-0746.110064

Cited by 20 publications

(18 citation statements)

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“…The success of speech outcomes corresponds to the patient's preoperative craniofacial morphology. 12,13 Preoperative morphology has primarily been assessed in the orthognathic and dental literature and focused on anterior craniofacial structures. 13 Craniofacial soft tissue structures and their functions have further been a focus of recent studies 14-18 .…”

Section: Introductionmentioning

confidence: 99%

Age-Related Changes Between the Level of Velopharyngeal Closure and the Cervical Spine

Mason

Perry

Riski

et al. 2016

Journal of Craniofacial Surgery

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The primary focus of this study was to assess age related changes in the vertical distance of the estimated level of velopharyngeal closure in relation to a prominent landmark of the cervical spine: the anterior tubercle of cervical vertebrae one (C1). Midsagittal anatomical magnetic resonance images (MRI) were examined across 51 participants with normal head and neck anatomy between 4 and 17 years of age. Results indicate that age is a strong predictor (p = 0.002) of the vertical distance between the level of velopharyngeal closure relative to C1. Specifically, as age increases, the vertical distance between the palatal plane and C1 becomes greater resulting in the level of velopharyngeal closure being located higher above C1 (range 4.88mm to 10.55mm). Results of this study provide insights into the clinical usefulness of using C1 as a surgical landmark for placement of pharyngoplasties in children with repaired cleft palate and persistent hypernasal speech. Clinical implications and future directions are discussed.

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Section: Introductionmentioning

confidence: 99%

Age-Related Changes Between the Level of Velopharyngeal Closure and the Cervical Spine

Mason

Perry

Riski

et al. 2016

Journal of Craniofacial Surgery

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“…However, it is important to note that not all anatomical irregularities and dysmorphology associated with BCLP can be detected clinically such as deviated nasal septum, reduced nasal chamber width and asymmetry of maxilla and mandible. Since these defects can impair feeding, mastication, speech, and dentofacial development, it is important to detect them radiographically (11) .…”

Section: Introductionmentioning

confidence: 99%

“…The general term "BCLP" is usually a misleading description as not all bilateral cases shows the same premaxillary characteristics and general features. Different presentations of the defect affect the response of cases to presurgical orthopedics and primary surgical repair of lip (11) .…”

Section: Introductionmentioning

confidence: 99%

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Comparative Assessment of Maxillofacial Morphology in Patients with Bilateral Cleft Lip and Palate using Cone Beam Computed Tomography

Mostafa

El-Kassaby

El-Fotouh

et al. 2019

Egyptian Dental Journal

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Objective: The purpose of this study was to investigate maxillofacial morphology using CBCT with the ultimate goal of finding whether differences existed in a two suggested subtypes of nonsyndromic bilateral cleft lip and palate (BCLP) patients.Design: This retrospective study included CBCT data of 22 BCLP patients with mean age of 9.6 years. The patients were divided initially according to premaxillary characteristics into two groups and this classification was further confirmed by measurement of sella-nasion-point A angle (SNA), Group (P): This represent BCLP characterized by well-developed (P) prominent pre-maxilla and SNA >80±2, Group(R): This represent BCLP characterized by ill-developed (R) rudimentary pre-maxilla and SNA < 80±2. The relation between maxilla and mandible measured by point A-nasion-B point angle (ANB), angle of septal deviation (ASD) and anterior upper facial height (AUFH) were assessed using On-demand 3D software and was compared among the two groups.Results: Patients within group P showed significantly higher ANB (P value ≤ 0.001). Patients within group R showed significantly higher ASD angle (P value ≤ 0.05), while AUFH showed insignificant difference between the two groups (P value ≥ 0.05). Conclusions:Maxillofacial morphology measurements assessed in this study support that difference exist between the two investigated subtypes of non-syndromic BCLP. KEYWORDS:Bilateral cleft lip and palate, Premaxilla, premaxillary protrusion, CBCT (3468) Yomna Elhoseiny, et al.

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“…How bilateral cleft lip and palate (BCLP) cases responded differently to presurgical orthopedics (PSO) and primary lip repair (LR) based on premaxillary characteristics. The two types of BCLP outlined in this study are different from several aspects, and hence management should be modified according to each case [14]. Greater awareness of the guidelines for SBE prophylaxis is needed.…”

Section: Background Of the Studymentioning

confidence: 99%

Effectiveness of Structured Teaching Program (STP) on Knowledge and Practice of Post-Operative Care among Parents of Children with Cleft Lip and Cleft Palate

Ekata¹,

Sorte²,

Chanu³

2017

Pediatr Ther

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It is a study to assess the effectiveness of structured teaching programme on knowledge and practice of postoperative care among parents of children with cleft lip and cleft palate in a selected hospital, Dehradun, Uttarakhand. Objective:The main objectives of the study was to compare the post-test knowledge of parents on postoperative care of cleft lip and cleft palate in control and experimental group and to assess the post-test practice of parents on post-operative care of cleft lip and cleft palate in control and experimental group.Methodology: Quasi-experimental, two groups pre-test and post-test designs were used in the study. The study was done in selected hospital Dehradun, Uttarakhand. The sample comprised of 60 parents of children with cleft lip and cleft palate who fulfilled inclusion criteria. All the participants who are available at the time of data collection were taken consecutively. Data was collected from participants by conducting interview schedule using structured knowledge questionnaire and observation practice checklist. Result:The result showed that in experimental group the mean post-test knowledge score (18.90 ± 0.95) was higher than the mean post-test knowledge score (10.46 ± 1.52) in control group which was found statistically significant at p<0.05. The mean post-test practice score in experimental group in day 1 was 10.40 ± 1.95 which was higher than the control group 7.00 ± 1.59 and the 't' value was 7.36. Again the mean post-test practice score in experimental group in day 2 was 11.80 ± 1.95 which was higher than the control group 6.66 ± 1.72 and the 't' value was 11.84. On third day the mean post-test practice score in experimental group was 10.76 ± 2.26 which was higher than the control group 6.43 ± 1.45 and the 't' value was 8.80. Hence the score predict that there was significant difference between the mean post-test practice in experimental and control group at p<0.05 level. So there was no evidence to accept the null hypothesis, hence the researcher rejects the null hypothesis and accepted the research hypothesis. Conclusion:It was concluded that structured teaching programme on post-operative care of cleft lip and cleft palate was effective in increasing knowledge and practice of parents.

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Premaxillary characteristics in complete bilateral cleft lip and palate: A predictor for treatment outcome

Cited by 20 publications

References 35 publications

Age-Related Changes Between the Level of Velopharyngeal Closure and the Cervical Spine

Age-Related Changes Between the Level of Velopharyngeal Closure and the Cervical Spine

Comparative Assessment of Maxillofacial Morphology in Patients with Bilateral Cleft Lip and Palate using Cone Beam Computed Tomography

Effectiveness of Structured Teaching Program (STP) on Knowledge and Practice of Post-Operative Care among Parents of Children with Cleft Lip and Cleft Palate

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