Tags

Type your tag names separated by a space and hit enter

Cleft lip and palate treatment of 530 children over a decade in a single centre.
Int J Pediatr Otorhinolaryngol. 2009 Jul; 73(7):993-7.IJ

Abstract

OBJECTIVE

We sought to evaluate the process of care and the outcomes of cleft lip and palate operations carried by a multidisciplinary team at a centre of craniofacial anomalies with a high patients' volume.

METHODS

A retrospective review of all cleft lips and/or palates cases treated in the centre from 1995 to 2007 was performed. Direct and long term complication rates, clinical, audiologic, speech intelligibility and dental arch assessments were analyzed.

RESULTS

A total of 530 children have been operated this period in the centre (64 isolated cleft lip closures). A detailed presentation of the outcomes is performed in relation to the various types of cleft lip and palates. The majority of parents (70%) reported very good or excellent results 2-5 years after the lip closure with the Millard technique, although those with bilateral clefts were significantly less satisfied (P<0.002). Forty-two percent of children with cleft palate and otitis media with effusion were self-improved 2-8 months after palate reconstruction and 83.3% of children treated with the two flaps palatoplasty technique had a rather high or very high intelligibility score. Muscles' retropositioning had a significant effect on intelligibility (P=0.04).

CONCLUSIONS

Children with cleft lips and palates have a variety of conditions and functional limitations even after the surgical correction of their problem that need to be evaluated and treated by several specialists. The treatment protocol utilized by the multidisciplinary team of our centre is efficient with a relative low percentage of complications and unfavorable results.

Authors+Show Affiliations

Center of Craniofacial Anomalies, Department of Otolaryngology, Head and Neck Surgery, Aghia Sophia Children Hospital of Athens, Greece. giannisvlastos@yahoo.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19443049

Citation

Vlastos, I M., et al. "Cleft Lip and Palate Treatment of 530 Children Over a Decade in a Single Centre." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 7, 2009, pp. 993-7.
Vlastos IM, Koudoumnakis E, Houlakis M, et al. Cleft lip and palate treatment of 530 children over a decade in a single centre. Int J Pediatr Otorhinolaryngol. 2009;73(7):993-7.
Vlastos, I. M., Koudoumnakis, E., Houlakis, M., Nasika, M., Griva, M., & Stylogianni, E. (2009). Cleft lip and palate treatment of 530 children over a decade in a single centre. International Journal of Pediatric Otorhinolaryngology, 73(7), 993-7. https://doi.org/10.1016/j.ijporl.2009.03.027
Vlastos IM, et al. Cleft Lip and Palate Treatment of 530 Children Over a Decade in a Single Centre. Int J Pediatr Otorhinolaryngol. 2009;73(7):993-7. PubMed PMID: 19443049.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cleft lip and palate treatment of 530 children over a decade in a single centre. AU - Vlastos,I M, AU - Koudoumnakis,E, AU - Houlakis,M, AU - Nasika,M, AU - Griva,M, AU - Stylogianni,E, Y1 - 2009/05/13/ PY - 2009/01/22/received PY - 2009/03/26/revised PY - 2009/03/28/accepted PY - 2009/5/16/entrez PY - 2009/5/16/pubmed PY - 2009/8/29/medline SP - 993 EP - 7 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 73 IS - 7 N2 - OBJECTIVE: We sought to evaluate the process of care and the outcomes of cleft lip and palate operations carried by a multidisciplinary team at a centre of craniofacial anomalies with a high patients' volume. METHODS: A retrospective review of all cleft lips and/or palates cases treated in the centre from 1995 to 2007 was performed. Direct and long term complication rates, clinical, audiologic, speech intelligibility and dental arch assessments were analyzed. RESULTS: A total of 530 children have been operated this period in the centre (64 isolated cleft lip closures). A detailed presentation of the outcomes is performed in relation to the various types of cleft lip and palates. The majority of parents (70%) reported very good or excellent results 2-5 years after the lip closure with the Millard technique, although those with bilateral clefts were significantly less satisfied (P<0.002). Forty-two percent of children with cleft palate and otitis media with effusion were self-improved 2-8 months after palate reconstruction and 83.3% of children treated with the two flaps palatoplasty technique had a rather high or very high intelligibility score. Muscles' retropositioning had a significant effect on intelligibility (P=0.04). CONCLUSIONS: Children with cleft lips and palates have a variety of conditions and functional limitations even after the surgical correction of their problem that need to be evaluated and treated by several specialists. The treatment protocol utilized by the multidisciplinary team of our centre is efficient with a relative low percentage of complications and unfavorable results. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/19443049/Cleft_lip_and_palate_treatment_of_530_children_over_a_decade_in_a_single_centre_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(09)00173-6 DB - PRIME DP - Unbound Medicine ER -