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Journal of Cleft Lip Palate and Craniofacial Anomalies最新文献

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Building an ecosystem of safe surgery and anesthesia through cleft care 通过腭裂护理建立安全手术和麻醉的生态系统
Pub Date : 2021-07-01 DOI: 10.4103/jclpca.jclpca_16_21
S. Schaefer, E. Stieber
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引用次数: 0
The war on another shore 另一边的战争
Pub Date : 2021-07-01 DOI: 10.4103/jclpca.jclpca_18_21
D. Upadhyaya
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引用次数: 0
Development of craniofacial surgery at postgraduate department of plastic surgery, King George's medical university, lucknow 勒克瑙乔治国王医科大学整形外科研究生部颅面外科的发展
Pub Date : 2021-07-01 DOI: 10.4103/jclpca.jclpca_13_21
A. Singh, H. Vardhan
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引用次数: 0
The use of hyaluronic acid in individuals with cleft lip and palate: Literature review 透明质酸在唇腭裂患者中的应用:文献综述
Pub Date : 2021-06-08 DOI: 10.4103/jclpca.jclpca_2_21
K. Molena, L. Pinto, G. Dalben
Since the Resolution 198/2019 of Brazilian Dental Council, which regulates orofacial harmonization as a dental specialty, and the advent of various uses of facial fillers, such as hyaluronic acid (HA), it is possible to perform both esthetic and functional corrections in individuals. Individuals with cleft lip and palate (CLP) present lip irregularities even after orofacial rehabilitation with an interdisciplinary team with several corrective surgeries, interfering with the esthetics, which can cause problems in self-esteem and social insertion. Thus, facial filling is an innovation that, together with dentistry, contributes to the individual's esthetics and well-being. Considering the patient safety and health, more research is progressively being conducted to make such procedures less invasive. This work conducted a literature review on the use of HA as a facial filler to correct lip scars in patients with CLP. By a literature and transverse search in Scientific Electronic Library Online and PubMed databases using specific descriptors, the studies that met the inclusion criteria were selected, from 1990 to 2020. It can be concluded that the use of HA as a facial filling material in the correction of lip scars from reparative surgeries related to CLP has been shown to be effective both for correction of facial asymmetry and to improve the quality of life of patients who used the procedure.
由于巴西牙科委员会第198/2019号决议将口腔面部协调作为一项牙科专业进行了监管,并且出现了透明质酸(HA)等面部填充物的各种用途,因此可以对个人进行美学和功能矫正。唇腭裂(CLP)患者即使在接受了几次矫正手术的跨学科团队的口腔面部康复后,也会出现嘴唇不规则的情况,干扰美观,这可能会导致自尊和社会融入方面的问题。因此,面部填充是一项创新,与牙科一起,有助于个人的美学和健康。考虑到患者的安全和健康,正在逐步进行更多的研究,以降低此类手术的侵入性。这项工作对使用HA作为面部填充物来矫正CLP患者唇瘢痕进行了文献综述。通过使用特定描述符在科学电子图书馆在线和PubMed数据库中进行文献和横向搜索,选择了1990年至2020年符合纳入标准的研究。可以得出的结论是,使用HA作为面部填充材料来矫正CLP相关修复手术中的唇疤痕,已被证明对矫正面部不对称和提高使用该手术的患者的生活质量都是有效的。
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引用次数: 2
Management of median cleft lip 中位唇裂的治疗
Pub Date : 2021-01-01 DOI: 10.4103/jclpca.jclpca_34_20
K. Harish, SManu Prasad, PAravind Nair, N. Anushree
Median cleft or midline cleft is a congenital vertical cleft through the center of the upper lip. Median facial anomalies are broadly divided into those with a deficiency of tissue and those with normal or excessive amount of tissue. The main objective of concern during surgery is both functional and esthetics.
正中裂或中线裂是一种通过上唇中心的先天性垂直性唇裂。中位面部异常大致分为组织缺乏型和组织正常或过多型。手术中关注的主要目标是功能和美学。
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引用次数: 0
Case report on congenital syngnathia: Surgery and a 4-year follow-up 先天性声带畸形1例:手术及4年随访
Pub Date : 2021-01-01 DOI: 10.4103/jclpca.jclpca_24_20
Parit Ladani, Niyati Balse, B. Jayakar, H. Sailer
Syngnathia is an extremely rare craniofacial malformation affecting the upper and lower jaws, in particular, and adjacent bony and soft tissues, to lesser or greater extent. Fusion of jaws leads to complications such as compromised airway and breathing, feeding difficulty, and poor growth. An early multidisciplinary intervention, surgery at the appropriate time, and meticulous postoperative monitoring are most imperative in its management. We describe a case of a 6-month-old child with congenital syngnathia that was managed successfully. Four-year follow-up revealed satisfactory outcomes and the need for corrective jaw surgeries after growth completion for improved function and esthetics. Anesthesia considerations, feeding, surgical management, postoperative care, and follow-up as well as growth regulation have been discussed in detail.
合颚畸形是一种极为罕见的颅面畸形,在较小或较大程度上影响上下颌,尤其是邻近的骨和软组织。颌骨融合会导致并发症,如气道和呼吸受损、进食困难和生长不良。早期的多学科干预、在适当的时间进行手术和细致的术后监测是其管理的当务之急。我们描述了一个6个月大的儿童先天性同颌畸形的病例,该病例得到了成功的治疗。四年的随访显示,结果令人满意,生长完成后需要进行颌骨矫正手术,以改善功能和美观。详细讨论了麻醉注意事项、喂养、手术管理、术后护理、随访以及生长调节。
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引用次数: 0
Tribute to a smilemaker and an amazing storyteller 向一个微笑制造者和一个了不起的故事讲述者致敬
Pub Date : 2021-01-01 DOI: 10.4103/jclpca.jclpca_44_20
K. Agrawal
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引用次数: 0
Tessier cleft type 5 craniofacial anomaly – A rare oblique facial cleft Tessier 5型颅面异常-一种罕见的斜面沟
Pub Date : 2021-01-01 DOI: 10.4103/jclpca.jclpca_17_20
Z. John, S. Shrivastav, Nitin Bhola
One of the rarest types of craniofacial malformations is Tessier cleft type 5. These are oblique facial clefts with bony defect representing an alveolar cleft in the premolar region. This extends to the lateral surface of the maxilla up to the infraorbital rim and orbital floor. The cleft begins in the upper lip, just medial to the commissure, and extends up to the eyelid. They may also show deficient maxillary growth on the side of the cleft, clinically represented as constriction in the maxilla and occlusal cant. It becomes very challenging to treat such cases and requires a team approach. The goals of such cases include surgical repair of the lower eyelid and outer canthus, expansion of the arch and alignment, Bone grafting for the alveolar cleft, zygomatic region, and orbital rim to restore the continuity. The following is a case report of Tessier type 5 facial cleft describing the clinical features, diagnosis, and treatment approach for the case.
其中一种最罕见的颅面畸形是Tessier 5型裂。这些是斜面裂,骨缺损代表前磨牙区域的牙槽裂。这延伸到上颌骨的外侧表面一直到眶下边缘和眶底。裂口从上唇开始,就在连合的中间,一直延伸到眼睑。他们也可能表现出腭裂一侧的上颌生长不足,临床上表现为上颌和咬合侧的收缩。治疗这类病例变得非常具有挑战性,需要团队合作。这些病例的目的包括手术修复下眼睑和外眦,扩大弓和对齐,植骨修复牙槽裂,颧区和眶缘以恢复连续性。以下是一例Tessier 5型唇裂的病例报告,描述了该病例的临床特征、诊断和治疗方法。
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引用次数: 0
A comparative assessment of secondary surgeries between nasoalveolar molding-treated and non nasoalveolar molding-treated patients with unilateral cleft lip and palate 单侧唇腭裂鼻牙槽成型与非鼻牙槽成型患者二次手术的比较分析
Pub Date : 2021-01-01 DOI: 10.4103/jclpca.jclpca_36_20
T. Nayak, B. Krishnamurthy, R. Parmar, P. Shetty
Introduction: Secondary surgeries are a commonly documented element of cleft treatment. It adds to the surgical and economic burden of care. Nasoalveolar molding (NAM) is one of the techniques which has gained popularity as it has proven to reduce the pre surgical severity. NAM has also been proposed to reduce the need for future secondary surgeries. In this retrospective study, we aimed to compare the incidence of secondary surgeries in NAM treated and non-NAM-treated patients with unilateral cleft lip and palate (UCLP). Methods: In this retrospective study, all consecutively treated NAM and non-NAM patients with UCLP who had undergone primary surgeries in 2011–2013 were considered. Only those patients who had a complete clinical and surgical record at 5 years of age were included for this study. Thirty-eight patients in NAM group and 48 patients in non-NAM group were compared. All patients had received the same protocol with the exception of NAM. The cleft severity index was used to check the preoperative cleft severity. The type of lip defect was described for all patients who had received the secondary surgery. Results: Pre NAM clefts were found to be more severe than the non-NAM group. However, after the NAM therapy, the cleft severity was less than the non-NAM group. Non-NAM group had a statistically higher number of lip revision surgeries with a broader variety of defects than the NAM group. There was no statistically significant difference for the Fistula closures. Conclusion: NAM reduced the cleft severity at the pre surgical stage. At 5 years of follow-up, NAM-treated patients had a lower surgical burden of care in comparison to the non-NAM-treated patients.
简介:二次手术是腭裂治疗中常见的一种方法。它增加了手术和护理的经济负担。鼻肺泡成型(NAM)是一种已获得普及的技术,因为它已被证明可以减少术前的严重程度。不结盟运动也被提议减少对未来二次手术的需要。在这项回顾性研究中,我们旨在比较NAM治疗和非NAM治疗的单侧唇腭裂(UCLP)患者的二次手术发生率。方法:本回顾性研究纳入2011-2013年所有接受过原发性手术且连续治疗的非不结盟运动和非不结盟运动的UCLP患者。只有那些在5岁时有完整临床和手术记录的患者被纳入本研究。不结盟运动组38例,非不结盟运动组48例。除不干症外,所有患者均接受相同的治疗方案。采用唇裂严重程度指数检查术前唇裂严重程度。所有接受二次手术的患者都描述了唇部缺损的类型。结果:不结盟运动前唇裂较未结盟运动组更为严重。然而,NAM治疗后,唇裂严重程度低于非NAM组。非NAM组的唇部修复手术数量比NAM组多,缺陷种类也比NAM组多。瘘管闭合的差异无统计学意义。结论:NAM减轻了术前唇裂的严重程度。在5年的随访中,与未接受nam治疗的患者相比,接受nam治疗的患者的手术护理负担较低。
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引用次数: 0
Erratum: Modifications in the mouth gag 勘误表:口腔堵塞的修改
Pub Date : 2021-01-01 DOI: 10.4103/2348-2125.168357
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引用次数: 0
期刊
Journal of Cleft Lip Palate and Craniofacial Anomalies
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