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Journal of Cleft Lip Palate and Craniofacial Anomalies最新文献

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Orthognathic Surgical Movement and Relapse in Korean Cleft Lip and Palate Patients 韩国唇腭裂患者的正颌手术运动与复发
Pub Date : 2022-12-31 DOI: 10.31136/kjclp.2022.25.2.39
Jaeman Woo, Jin-Young Choi
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引用次数: 0
Camouflage Treatment of an Adult Patient with Skeletal Class III Malocclusion and Unilateral Cleft Lip and Palate 成人骨骼III类错颌并单侧唇腭裂的伪装治疗1例
Pub Date : 2022-12-31 DOI: 10.31136/kjclp.2022.25.2.67
Sung-Hun Kim
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引用次数: 0
An Acoustic Analysis of Cleft Palate Speech before and after Pharyngoplasty: A Case Report 腭裂咽成形术前后语音的声学分析1例
Pub Date : 2022-12-31 DOI: 10.31136/kjclp.2022.25.2.58
Jihoon Yang
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引用次数: 0
Indocleftcon 2022 Braithwaite Oration: Early Intervention in Cleft Lip and Palate - Perspectives from a Speech Language Pathologist Indocleftcon 2022 Braithwaite演讲:唇腭裂的早期干预——来自言语病理学家的视角
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_16_22
S. Hariharan
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引用次数: 0
Review of two cutaneous closure methods for Tessier 7 repair: Straight-line versus Z-plasty Tessier 7修复的两种皮肤闭合方法综述:直线与Z形成形术
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_11_22
A. Mehra, Hiteswar Sarma
Aim of the Study: The aim of this study is to retrospectively analyze the surgical outcomes of patients who were treated for Tessier 7 cleft deformity, over a period of 10 years and compare the two cutaneous closure methods used for the treatment of the same in our cleft center. Patients and Methods: This is a retrospective audit of all the patients who had undergone Tessier 7 cleft repair from 2010 to 2020 in our center. Relevant details from recorded case histories were extracted and the surgical technique (Straight-line closure or Z-plasty technique) used for the closure of each case was analyzed. The benefits and drawbacks of linear closure and geometric closure methods were also studied. The preoperative, postoperative, and follow-up records and photographs were assessed for the results. Results: Of the 40 patients, 23 patients had skin closure done using Z-plasty technique while 17 patients had the closure done using the straight-line method. The average age at repair was 10.6 months and the follow-up period was unto 1.5 years. Visual Analog Scale and Scar assessment scales revealed Z-plasty skin closure scars were more conspicuous than straight-line closure ones. Lateral migration of the commissure was not an evident finding. Conclusion: Z-plasty or W-plasty can be avoided in repair of transverse facial clefts. Closure of the orbicularis oris muscle is the critical step to provide a counterforce to the contraction of the cutaneous scar and no lateral migration or hypertrophic scarring is present after straight-line cutaneous closure.
研究目的:本研究的目的是回顾性分析10年来治疗Tessier 7型腭裂畸形的患者的手术结果,并比较两种用于治疗该腭裂中心的皮肤闭合方法。患者和方法:对2010年至2020年在我中心行Tessier 7型唇腭裂修补术的患者进行回顾性审计。从记录的病历中提取相关细节,并分析每个病例用于闭合的手术技术(直线闭合或z形成形术)。分析了线性闭合和几何闭合方法的优缺点。评估术前、术后及随访记录和照片的结果。结果:40例患者中,23例采用z -成形术,17例采用直线法。修复时平均年龄为10.6个月,随访时间为1.5年。视觉模拟量表和疤痕评估量表显示,z形成形术的皮肤闭合疤痕比直线闭合疤痕更明显。接合处的侧向移位没有明显的发现。结论:面部横裂可避免z形成形术或w形成形术。口轮匝肌的闭合是为皮肤瘢痕的收缩提供反作用力的关键步骤,直线闭合后不会出现外侧移动或增生性瘢痕。
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引用次数: 0
Patterns of orofacial clefts and associated risk factors in Pakistan: An institutional experience 巴基斯坦口腔颌面裂的模式和相关风险因素:一项机构经验
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_1_22
H. Sadiq, Rafia Ijaz, Ayisha Ayub
Background: Orofacial clefts (OFCs) are one of the most common congenital anomalies worldwide. The purpose of the present study is to identify the incidence of different types of OFCs and the presence of known risk factors among cleft cases in the Pakistani population. Patients and Methods: A retrospective study was conducted at a comprehensive cleft care center, and data were collected from patient files from December 2018 to July 2021. Only cases of cleft lip and/or cleft palate (CL/P) that presented to center were included. SPSS was used for data analysis, and risk factors associated with OFCs were identified. Results: The study included 1269 patients with CL/P. Of the total, 677 (53.3%) patients had cleft lip with cleft palate, 211 (16.6%) had cleft lip only, and 365 (28.7%) had cleft palate only. Bilateral complete cleft lip and palate (n = 276) was most common among the participants followed by midline incomplete cleft palate (n = 215). One hundred and six (8.3%) of the cases were syndromic, and among the remaining nonsyndromic cases, 240 (18.9%) had other associated anomalies. Chi-square tests revealed the following risk factors for CL/P: consanguinity among the parents (P < 0.001), a complication during pregnancy (P < 0.001), medication use during pregnancy (P < 0.001), maternal smoking or exposure to smoking (P = 0.002), history of miscarriage (P = 0.02), and positive family history (P < 0.001). Logistic regression analysis for these factors showed maternal smoking (odds ratio [OR]: 1.99), consanguineous marriage (OR: 1.89), complication during pregnancy (OR: 1.98), and positive history of cleft (OR: 1.9) to be increasing the odds of cleft development. Conclusion: While previous studies have shown many environmental factors to be associated with development of OFCs in the child, the present study provides a quantitative estimate of the risk posed by each individual factor in the Pakistani population.
背景:口腔面裂(OFCs)是世界范围内最常见的先天性畸形之一。本研究的目的是确定巴基斯坦人群中不同类型OFCs的发生率以及已知危险因素的存在。患者和方法:在一家综合性唇裂护理中心进行回顾性研究,从2018年12月至2021年7月的患者档案中收集数据。仅包括出现在中心的唇腭裂(CL/P)病例。SPSS用于数据分析,并确定与OFCs相关的风险因素。结果:本研究纳入1269例CL/P患者。在总数中,677名(53.3%)患者患有唇腭裂,211名(16.6%)患者仅患有唇腭裂;365名(28.7%)患者仅患腭裂。参与者中双侧完全性唇腭裂(n=276)最常见,其次是中线不完全性腭裂(n=215)。116例(8.3%)病例为综合征,在其余非综合征病例中,240例(18.9%)有其他相关异常。卡方检验揭示了以下CL/P的危险因素:父母之间的血亲关系(P<0.001)、妊娠期并发症(P<0.001,这些因素的Logistic回归分析显示,母亲吸烟(比值比[OR]:1.99)、近亲结婚(OR:1.89)、妊娠并发症(OR:1.98)和腭裂阳性病史(OR:1.9)增加了腭裂发生的几率。结论:虽然先前的研究表明许多环境因素与儿童OFCs的发展有关,但本研究对巴基斯坦人口中每个个体因素造成的风险进行了定量估计。
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引用次数: 2
A child with Roberts syndrome presenting severe craniofacial anomaly 罗伯茨综合征患儿出现严重颅面异常
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_32_21
N. Solano, M. Sierralta, S. Ramos, Betsabe Sarcos
Roberts syndrome is a rare congenital anomaly which was described by John Roberts in 1919, also known as pseudothalidomidic or phocomelia. Characterized by skeletal deformities, in particular symmetric reduction of the extremities and craniofacial anomalies such as cleft lip and palate and cranio synostosis presenting more frequently, as well as bilateral symmetric short neck tetraphocomelia or hypomelia and brachydactyly. Its prevalence is unclear. As of now, 150 cases of different racial and ethnic origins have been reported in the literature. The diagnosis of Roberts Syndrome is established by cytogenetic and molecular analysis which show a phenomenon known as premature separation of the centromere or heterochromatin repulsion, constituting the main marker for Roberts syndrome. For any child with limb and craniofacial bone malformations, this syndrome should be considered as a differential diagnosis. The purpose of this study is to present a clinical case of a 2-year-old patient with Roberts Syndrome with a marked craniofacial anomaly.
Roberts综合征是一种罕见的先天性异常,由John Roberts于1919年描述,也称为假沙利度胺或phocomelia。以骨骼畸形为特征,特别是四肢对称性缩小和颅面异常,如唇腭裂和颅骨缝合症,以及双侧对称性短颈四趾畸形或少肢畸形和短指畸形。其流行情况尚不清楚。截至目前,文献中已经报道了150起不同种族和族裔出身的案件。Roberts综合征的诊断是通过细胞遗传学和分子分析确定的,这些分析显示了一种称为着丝粒过早分离或异染色质排斥的现象,这是Roberts综合症的主要标志物。对于任何患有四肢和颅面骨畸形的儿童,应将该综合征视为鉴别诊断。本研究的目的是介绍一例2岁的Roberts综合征患者的临床病例,该患者具有明显的颅面异常。
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引用次数: 0
Cleft Palate: Part I – Historical perspective and anatomical basis 腭裂:第一部分-历史观点和解剖学基础
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_9_22
Neelam Chauhan, Partha Sadhu
Cleft palate is a developmental craniofacial anomaly with multiple aspects. With time, the understanding of its anatomy and its pathophysiology evolved leading to simultaneous improvement in surgical techniques. The timing of its surgical as well as nonsurgical management has great importance in determining the functional outcome. The priorities in its management and the techniques are quite well understood now though some difference of opinion still exists. In these series of articles, we aim to discuss its various aspects in detail, beginning with an emphasis on its history and anatomy.
腭裂是一种具有多个方面的发育性颅面异常。随着时间的推移,对其解剖学和病理生理学的理解不断发展,导致外科技术的同时改进。手术和非手术治疗的时机对决定功能结果具有重要意义。尽管仍存在一些意见分歧,但现在对其管理的优先事项和技术已经有了很好的理解。在这一系列文章中,我们旨在详细讨论它的各个方面,首先强调它的历史和解剖学。
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引用次数: 0
A case of idiopathic hypogonadotropic hypogonadism with dental and orofacial defects: A key to the perception of possible molecular etiology 特发性促性腺功能减退伴牙齿和口腔面部缺陷1例:对可能的分子病因的关键认识
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_7_22
A. Bansal, P. Verma, R. Bhakat, A. Chug, Srinivas Reddy
Isolated deficiency of gonadotropin-releasing hormone is a heterogeneous disorder with wide genetic and clinical overlap. It mainly presents as hypogonadotropic hypogonadism (HH). HH associated with anosmia is known as Kallmann syndrome (KS), while its normosmic variant is called normosmic idiopathic HH. However, it is associated with several nonreproductive features including dental defects. Fibroblast growth factor receptor 1 gene mutation, which is seen in the autosomal dominant form of idiopathic HH (HH 2), has often been linked to the associated dental abnormalities and orofacial defects; however, no literature exists for its association with anosmin-1 (ANOS1) gene mutation which is found in the X-linked form of HH (KS). ANOS1 gene was earlier known as KAL1 (Kallmann syndrome 1) gene, and encodes for the extracellular matrix protein called anosmin. Hence, we report a case of idiopathic HH (KS) so as to delineate the possible role of ANOS1 gene in dental/orofacial development. This can help prioritize gene screening and also provide scope for further genetic studies required to prove such association.
促性腺激素释放激素缺乏是一种异质性疾病,具有广泛的遗传和临床重叠。主要表现为促性腺功能减退症(HH)。与嗅觉缺失相关的HH被称为Kallmann综合征(KS),而其正常型变体被称为正常型特发性HH。然而,它与包括牙齿缺陷在内的一些非生产性特征有关。成纤维细胞生长因子受体1基因突变,见于特发性HH(HH2)的常染色体显性形式,通常与相关的牙齿异常和口腔面部缺陷有关;然而,没有文献表明其与在HH(KS)的X连锁形式中发现的anosmin-1(ANOS1)基因突变有关。ANOS1基因早期被称为KAL1(Kallmann综合征1)基因,编码称为anosmin的细胞外基质蛋白。因此,我们报告了一例特发性HH(KS),以描述ANOS1基因在牙齿/口腔面部发育中的可能作用。这有助于优先进行基因筛选,也为证明这种关联所需的进一步基因研究提供了空间。
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引用次数: 0
IndiCleft – A web-based standardized research tool and resource for cleft anomalies IndiCleft -一个基于网络的腭裂异常标准化研究工具和资源
Pub Date : 2022-07-01 DOI: 10.4103/jclpca.jclpca_5_22
O. Kharbanda, A. Grover, Savita Dawar, Karoon Aggarwal, S. Sharma, M. Singhal, S. Chauhan, H. Singh, M. Kabra, Neeraja Gupta, V. Scaria, M. Rajkhowa, ArtiGarg, Nitika Monga, Ravinder Singh, R. Dhaliwal
Introduction: In India, approximately 35,000 new cleft patients are born every year. Many patients receive suboptimum, improper, little, or no treatment. The cumulative burden of cleft care is up to 1 million cases. The spectrum of problems is varied, the caseload is enormous, and the logistics of treatment delivery are complicated. The Indian Council of Medical Research (ICMR) task force project was launched in 2012 to evaluate the status of cleft care in India and develop strategies to provide comprehensive cleft care through a dynamic multidisciplinary and multidimensional tool. ICMR task force project (2012–14) was conducted in Delhi, and the National Capital Region reported that at least 50% of studied cases had complex and multiple treatment needs. The needs identified were related to surgical, orthodontic, dental, ENT and Speech, rehabilitation of mutilated dentition, and various psychological disturbances among patients with Cleft anomalies. Aim: The aim of this study was to develop and test web-based application to create a system for national data of patients with cleft anomalies and digitize the patient records in a standardized preagreed format. Methods and Results: Corresponding to contemporary digital technologies and evolutionary improvements in data collection, web-based data collection instrument, including text, photographs, X-rays, and audio files, was considered the most appropriate. The experts from varied domains in consultation with ICMR and National Informatics Centre evolved a web-based data collection instrument which is named the “IndiCleft tool.” The tool has been tested and used over the years and is presently being upgraded to dynamic version for a national data and patient care registry. Conclusion: The present article describes the process of the development of a “dynamic” web-based data collection instrument. The IndiCleft tool is the national resource on cleft data in India.
简介:在印度,每年约有35000名新的腭裂患者出生。许多患者接受了次优、不当、很少或根本没有治疗。唇裂护理的累计负担高达100万例。问题种类繁多,案件数量巨大,提供治疗的后勤工作也很复杂。印度医学研究委员会(ICMR)工作组项目于2012年启动,旨在评估印度的腭裂护理状况,并制定战略,通过一个动态的多学科和多层面工具提供全面的腭裂护理。ICMR特别工作组项目(2012-2014)在德里进行,国家首都地区报告称,至少50%的研究病例有复杂和多种治疗需求。确定的需求与手术、正畸、牙科、耳鼻喉科和言语、残齿列的康复以及腭裂患者的各种心理障碍有关。目的:本研究的目的是开发和测试基于网络的应用程序,以创建一个全国性腭裂畸形患者数据系统,并以标准化的预先准备的格式将患者记录数字化。方法和结果:与当代数字技术和数据收集的进化改进相对应,基于网络的数据收集工具,包括文本、照片、X光片和音频文件,被认为是最合适的。来自不同领域的专家与ICMR和国家信息学中心协商,开发了一种基于网络的数据收集工具,称为“IndiCleft工具”。该工具经过多年的测试和使用,目前正在升级为国家数据和患者护理登记处的动态版本。结论:本文描述了“动态”网络数据采集工具的开发过程。IndiCleft工具是印度关于裂隙数据的国家资源。
{"title":"IndiCleft – A web-based standardized research tool and resource for cleft anomalies","authors":"O. Kharbanda, A. Grover, Savita Dawar, Karoon Aggarwal, S. Sharma, M. Singhal, S. Chauhan, H. Singh, M. Kabra, Neeraja Gupta, V. Scaria, M. Rajkhowa, ArtiGarg, Nitika Monga, Ravinder Singh, R. Dhaliwal","doi":"10.4103/jclpca.jclpca_5_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_5_22","url":null,"abstract":"Introduction: In India, approximately 35,000 new cleft patients are born every year. Many patients receive suboptimum, improper, little, or no treatment. The cumulative burden of cleft care is up to 1 million cases. The spectrum of problems is varied, the caseload is enormous, and the logistics of treatment delivery are complicated. The Indian Council of Medical Research (ICMR) task force project was launched in 2012 to evaluate the status of cleft care in India and develop strategies to provide comprehensive cleft care through a dynamic multidisciplinary and multidimensional tool. ICMR task force project (2012–14) was conducted in Delhi, and the National Capital Region reported that at least 50% of studied cases had complex and multiple treatment needs. The needs identified were related to surgical, orthodontic, dental, ENT and Speech, rehabilitation of mutilated dentition, and various psychological disturbances among patients with Cleft anomalies. Aim: The aim of this study was to develop and test web-based application to create a system for national data of patients with cleft anomalies and digitize the patient records in a standardized preagreed format. Methods and Results: Corresponding to contemporary digital technologies and evolutionary improvements in data collection, web-based data collection instrument, including text, photographs, X-rays, and audio files, was considered the most appropriate. The experts from varied domains in consultation with ICMR and National Informatics Centre evolved a web-based data collection instrument which is named the “IndiCleft tool.” The tool has been tested and used over the years and is presently being upgraded to dynamic version for a national data and patient care registry. Conclusion: The present article describes the process of the development of a “dynamic” web-based data collection instrument. The IndiCleft tool is the national resource on cleft data in India.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"163 - 169"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44157337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Journal of Cleft Lip Palate and Craniofacial Anomalies
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