Tags

Type your tag names separated by a space and hit enter

From birth to maturity: a group of patients who have completed their protocol management. Part III. Bilateral cleft lip-cleft palate.
Plast Reconstr Surg. 2011 Aug; 128(2):475-84.PR

Abstract

BACKGROUND

The optimal management of cleft lip-cleft palate patients presents a formidable challenge to the cleft surgeon. This is especially so in the case of bilateral cleft lip-cleft palate, and the long-term management in a multidisciplinary setting is essential. This study presents the results of the specific management protocol at the Australian Craniofacial Unit for patients with bilateral cleft lip-cleft palate who have completed their protocol treatment under the care of a single surgeon (D.J.D.) during the period 1974 to 2006.

METHODS

A retrospective study of the outcomes in relation to facial growth, speech, hearing, and occlusion is presented of patients with bilateral cleft lip-cleft palate.

RESULTS

Nineteen cases were identified from the departmental database, 12 male patients and seven female patients. Six patients with severe craniofacial deformities who had bilateral cleft lip-cleft palate were excluded. Cephalometric analysis at skeletal maturity identified that a majority of cases had midface hypoplasia requiring midface advancement in 14 cases. Speech and hearing outcomes were worse when compared with other clefting types.

CONCLUSION

Overall, these results demonstrate that facial growth is more affected in bilateral cleft lip-cleft palate patients than in either unilateral cleft lip-cleft palate or isolated cleft palate patients.

CLINICAL QUESTION/LEVEL OF EVIDENCE

Therapeutic, IV.

Authors+Show Affiliations

Australian Craniofacial Unit, Women's and Children's Hospital, North Adelaide, Adelaide, SA, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21788838

Citation

David, David John, et al. "From Birth to Maturity: a Group of Patients Who Have Completed Their Protocol Management. Part III. Bilateral Cleft Lip-cleft Palate." Plastic and Reconstructive Surgery, vol. 128, no. 2, 2011, pp. 475-84.
David DJ, Smith I, Nugent M, et al. From birth to maturity: a group of patients who have completed their protocol management. Part III. Bilateral cleft lip-cleft palate. Plast Reconstr Surg. 2011;128(2):475-84.
David, D. J., Smith, I., Nugent, M., Richards, C., & Anderson, P. J. (2011). From birth to maturity: a group of patients who have completed their protocol management. Part III. Bilateral cleft lip-cleft palate. Plastic and Reconstructive Surgery, 128(2), 475-84. https://doi.org/10.1097/PRS.0b013e31821e6f92
David DJ, et al. From Birth to Maturity: a Group of Patients Who Have Completed Their Protocol Management. Part III. Bilateral Cleft Lip-cleft Palate. Plast Reconstr Surg. 2011;128(2):475-84. PubMed PMID: 21788838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - From birth to maturity: a group of patients who have completed their protocol management. Part III. Bilateral cleft lip-cleft palate. AU - David,David John, AU - Smith,Ian, AU - Nugent,Michael, AU - Richards,Christina, AU - Anderson,Peter John, PY - 2011/7/27/entrez PY - 2011/7/27/pubmed PY - 2011/10/20/medline SP - 475 EP - 84 JF - Plastic and reconstructive surgery JO - Plast. Reconstr. Surg. VL - 128 IS - 2 N2 - BACKGROUND: The optimal management of cleft lip-cleft palate patients presents a formidable challenge to the cleft surgeon. This is especially so in the case of bilateral cleft lip-cleft palate, and the long-term management in a multidisciplinary setting is essential. This study presents the results of the specific management protocol at the Australian Craniofacial Unit for patients with bilateral cleft lip-cleft palate who have completed their protocol treatment under the care of a single surgeon (D.J.D.) during the period 1974 to 2006. METHODS: A retrospective study of the outcomes in relation to facial growth, speech, hearing, and occlusion is presented of patients with bilateral cleft lip-cleft palate. RESULTS: Nineteen cases were identified from the departmental database, 12 male patients and seven female patients. Six patients with severe craniofacial deformities who had bilateral cleft lip-cleft palate were excluded. Cephalometric analysis at skeletal maturity identified that a majority of cases had midface hypoplasia requiring midface advancement in 14 cases. Speech and hearing outcomes were worse when compared with other clefting types. CONCLUSION: Overall, these results demonstrate that facial growth is more affected in bilateral cleft lip-cleft palate patients than in either unilateral cleft lip-cleft palate or isolated cleft palate patients. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/21788838/From_birth_to_maturity:_a_group_of_patients_who_have_completed_their_protocol_management__Part_III__Bilateral_cleft_lip_cleft_palate_ L2 - http://Insights.ovid.com/pubmed?pmid=21788838 DB - PRIME DP - Unbound Medicine ER -