Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_4_22
A. Taiwo, R. Braimah, A. Ibikunle, O. Adigun, S. Lawal, Bruno Ile-Ogendengbe, M. Bala, Adeyemi Olayinka, M. Adeyemi, M. Farouk
Objective: To report the applicability of ambulatory cleft lip repair (CLR) and to review the existing literature. Materials and Methods: This is a retrospective clinical case series study of ambulatory CLR in North-western Nigeria. The study was carried out in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, between January 2012 and December 2018. Relevant clinical data of the subjects obtained include sociodemographics, type of cleft, and complications. Protocol employed includes premedication with diazepam (0.5 mg/kg, IV) slowly, followed by administration of glycopyrrolate (0.005 mg/kg, IV) and diclofenac potassium (1 mg/kg, IV). Then, ketamine (0.1 mg/kg, IV) was infused slowly over a 5-min period to achieve procedural sedation (Ramsey sedation score of 3). The data were analyzed using (SPSS; Chicago, IL, USA) program, version 20. The results were presented in simple descriptive statistics. Results: The age ranged from 2 to 21 years with male preponderance (M: F = 4:1). All participants had unilateral clefts lip with or without alveolus. The left side was twice involved as the right. There were no perioperative complications nor mortality recorded and no patient required conversion to general anesthesia. All patients were successfully discharged home on the same day of the operation. No case of readmission was recorded and subsequent follow-up was uneventful. Conclusions: Parenteral use of ketamine and diazepam for outpatient pediatric cleft lip procedures is safe and of immense benefits in reducing the surgical cleft burden without compromising patients safety.
{"title":"Applicability of Ambulatory Cleft Lip Repair in North-western Nigeria: Case Series and Review of the Existing Literature","authors":"A. Taiwo, R. Braimah, A. Ibikunle, O. Adigun, S. Lawal, Bruno Ile-Ogendengbe, M. Bala, Adeyemi Olayinka, M. Adeyemi, M. Farouk","doi":"10.4103/jclpca.jclpca_4_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_4_22","url":null,"abstract":"Objective: To report the applicability of ambulatory cleft lip repair (CLR) and to review the existing literature. Materials and Methods: This is a retrospective clinical case series study of ambulatory CLR in North-western Nigeria. The study was carried out in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, between January 2012 and December 2018. Relevant clinical data of the subjects obtained include sociodemographics, type of cleft, and complications. Protocol employed includes premedication with diazepam (0.5 mg/kg, IV) slowly, followed by administration of glycopyrrolate (0.005 mg/kg, IV) and diclofenac potassium (1 mg/kg, IV). Then, ketamine (0.1 mg/kg, IV) was infused slowly over a 5-min period to achieve procedural sedation (Ramsey sedation score of 3). The data were analyzed using (SPSS; Chicago, IL, USA) program, version 20. The results were presented in simple descriptive statistics. Results: The age ranged from 2 to 21 years with male preponderance (M: F = 4:1). All participants had unilateral clefts lip with or without alveolus. The left side was twice involved as the right. There were no perioperative complications nor mortality recorded and no patient required conversion to general anesthesia. All patients were successfully discharged home on the same day of the operation. No case of readmission was recorded and subsequent follow-up was uneventful. Conclusions: Parenteral use of ketamine and diazepam for outpatient pediatric cleft lip procedures is safe and of immense benefits in reducing the surgical cleft burden without compromising patients safety.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"156 - 162"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48529649","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}
Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_43_21
Fatima Carrim, P. Hlongwa
Objectives: This study aimed to determine the clinical profile of patients with orofacial clefts (OFC) who presented at a dental hospital in Johannesburg, South Africa, from January 1, 2013, to December 31, 2019. The aim of the study is to use the data collected to conduct an epidemiological survey and create an electronic database of all patients with OFC who presented to the hospital. Materials and Methods: A cross-sectional, retrospective record review of all cases of OFC treated at Johannesburg Cleft clinic from January 1, 2013, to December 31, 2019, was conducted. A structured, pretested record review form was used to obtain demographic and clinical information of patients with OFC. STATA version 15 was used to analyze the data and statistical tests were conducted at a 5% significance level. Results: One hundred and thirty-three records were analyzed. The majority were males (n = 68, 51.13%), while 48.87% (n = 65) were females. Most patients were South Africans 91.73% (n = 122,), and the majority were African blacks (67.67%). A statistically significant difference (P < 0.05) was found in gender and racial distribution of OFC. Majority of the sample presented with clefts of the lip and palate 55.64% (n = 74,), followed by isolated CP 24.81% (n = 33), CL 17.29% (n = 23), and 2.26% (n = 3) presented with a facial cleft. Majority of the clefts were described as unilateral (n = 50, 37.59%) and 30.83% (n = 41) of the clefts were described as bilateral. Isolated cleft of the palate accounted for 24.81% (n = 33), while 4.51% (n = 6) were midline clefts. Facial clefts accounted for 2.26% (n = 3). Of all unilateral clefts (n = 50), those who presented on the left side account for 68% (n = 34), while those who presented on the right side accounted for 32% (n = 16). Conclusions: The dental hospital is providing services to a large number of patients with OFC. The study findings should assist in planning services for these patients.
{"title":"Profile of cleft lip and palate patients at a dental hospital in Johannesburg, South Africa","authors":"Fatima Carrim, P. Hlongwa","doi":"10.4103/jclpca.jclpca_43_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_43_21","url":null,"abstract":"Objectives: This study aimed to determine the clinical profile of patients with orofacial clefts (OFC) who presented at a dental hospital in Johannesburg, South Africa, from January 1, 2013, to December 31, 2019. The aim of the study is to use the data collected to conduct an epidemiological survey and create an electronic database of all patients with OFC who presented to the hospital. Materials and Methods: A cross-sectional, retrospective record review of all cases of OFC treated at Johannesburg Cleft clinic from January 1, 2013, to December 31, 2019, was conducted. A structured, pretested record review form was used to obtain demographic and clinical information of patients with OFC. STATA version 15 was used to analyze the data and statistical tests were conducted at a 5% significance level. Results: One hundred and thirty-three records were analyzed. The majority were males (n = 68, 51.13%), while 48.87% (n = 65) were females. Most patients were South Africans 91.73% (n = 122,), and the majority were African blacks (67.67%). A statistically significant difference (P < 0.05) was found in gender and racial distribution of OFC. Majority of the sample presented with clefts of the lip and palate 55.64% (n = 74,), followed by isolated CP 24.81% (n = 33), CL 17.29% (n = 23), and 2.26% (n = 3) presented with a facial cleft. Majority of the clefts were described as unilateral (n = 50, 37.59%) and 30.83% (n = 41) of the clefts were described as bilateral. Isolated cleft of the palate accounted for 24.81% (n = 33), while 4.51% (n = 6) were midline clefts. Facial clefts accounted for 2.26% (n = 3). Of all unilateral clefts (n = 50), those who presented on the left side account for 68% (n = 34), while those who presented on the right side accounted for 32% (n = 16). Conclusions: The dental hospital is providing services to a large number of patients with OFC. The study findings should assist in planning services for these patients.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"139 - 144"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47511995","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}
Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_14_22
P. Narayanan
{"title":"Indocleftcon 2022 Founders Lecture: In search of the perfect cleft lip nose","authors":"P. Narayanan","doi":"10.4103/jclpca.jclpca_14_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_14_22","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"113 - 119"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48702188","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}
Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_17_22
Mustafa Khader
{"title":"Indocleftcon 2022 Millard Oration: My tryst with challenges and complications in cleft and craniofacial surgery","authors":"Mustafa Khader","doi":"10.4103/jclpca.jclpca_17_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_17_22","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"125 - 138"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44665627","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}
Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_6_22
V. Prasad, Lobsang Chhodon, A. Aravindhan, S. Zaidi
Orofacial anomalies are common of which the most common orofacial deformity is cleft lip and palate (CLP), which affects one out of every 700–1000 infants globally. The management team should provide a thorough diagnosis, treatment plan, and follow-up. A cleft team often includes orthodontists, maxillofacial surgeons, plastic surgeons, pediatric dentists, prosthodontists, speech therapists, audiologists, psychologists, and pediatricians. Prosthetic rehabilitation of the CLP patients starts right from birth to adulthood. It varies from the naso alveolar molding of cleft segments before surgery and expansion of maxillary arch before the secondary alveolar bone grafting to the placement of fixed partial dentures or removable partial dentures for the establishment of better esthetics. A soft-tissue bulb prosthesis can also be given to children with velopharyngeal insufficiency to improve their speech. This article elucidates prosthetic rehabilitation techniques and modalities for patients with CLP.
{"title":"Prosthetic rehabilitation of patients with cleft lip and palate","authors":"V. Prasad, Lobsang Chhodon, A. Aravindhan, S. Zaidi","doi":"10.4103/jclpca.jclpca_6_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_6_22","url":null,"abstract":"Orofacial anomalies are common of which the most common orofacial deformity is cleft lip and palate (CLP), which affects one out of every 700–1000 infants globally. The management team should provide a thorough diagnosis, treatment plan, and follow-up. A cleft team often includes orthodontists, maxillofacial surgeons, plastic surgeons, pediatric dentists, prosthodontists, speech therapists, audiologists, psychologists, and pediatricians. Prosthetic rehabilitation of the CLP patients starts right from birth to adulthood. It varies from the naso alveolar molding of cleft segments before surgery and expansion of maxillary arch before the secondary alveolar bone grafting to the placement of fixed partial dentures or removable partial dentures for the establishment of better esthetics. A soft-tissue bulb prosthesis can also be given to children with velopharyngeal insufficiency to improve their speech. This article elucidates prosthetic rehabilitation techniques and modalities for patients with CLP.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"189 - 196"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47743517","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}
Pub Date : 2022-07-01DOI: 10.4103/jclpca.jclpca_2_22
P. Menon, Vasant Radhakrishnan, P. Narayanan, H. Adenwalla
Objectives: The aim of the study was to assess the influence of the experience of the surgeon on the occurrence of fistulas and breakdowns following palatoplasty. Materials and Methods: A retrospective review on the outcomes of palatoplasty done by a young surgeon in his initial 3 years of operating cleft palate was done. Cleft palate repair was performed using the Pinto's modification of Wardill–Kilner palatoplasty, Veau-Wardill-Kilner V-Y Pushback in both the techniques radical levator muscle dissection was carried out. Data were collected for age, sex, date of birth, syndrome, cleft palate type, type of repair, cleft width, length of soft palate, quality and quantity of muscle, fistula occurrence, and location of fistula. Results: Retrospective analysis was done on the outcomes of palatoplasty performed by a young surgeon in his initial 3 years at Charles pinto center for cleft lip palate and craniofacial on 220 cleft palate children which included all variants and dimensions of cleft palates. Postoperatively, the incidence of palatal fistulas occurred in 12 patients, three patients had bifid uvula, however, out of 12 patients who had fistulas only four needed fistula closure and one required a uvula re-repair; the rest healed well. Conclusion: We believe there is a learning curve in performing cleft palate repair. Our technique and principles followed in palatoplasty appear to have a low or zero fistula rate even in the initial period of learning. Furthermore, effective mentorship and guidance help in reducing errors and providing a better outcome.
{"title":"Learning curve in performing palatoplasty: A retrospective study","authors":"P. Menon, Vasant Radhakrishnan, P. Narayanan, H. Adenwalla","doi":"10.4103/jclpca.jclpca_2_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_2_22","url":null,"abstract":"Objectives: The aim of the study was to assess the influence of the experience of the surgeon on the occurrence of fistulas and breakdowns following palatoplasty. Materials and Methods: A retrospective review on the outcomes of palatoplasty done by a young surgeon in his initial 3 years of operating cleft palate was done. Cleft palate repair was performed using the Pinto's modification of Wardill–Kilner palatoplasty, Veau-Wardill-Kilner V-Y Pushback in both the techniques radical levator muscle dissection was carried out. Data were collected for age, sex, date of birth, syndrome, cleft palate type, type of repair, cleft width, length of soft palate, quality and quantity of muscle, fistula occurrence, and location of fistula. Results: Retrospective analysis was done on the outcomes of palatoplasty performed by a young surgeon in his initial 3 years at Charles pinto center for cleft lip palate and craniofacial on 220 cleft palate children which included all variants and dimensions of cleft palates. Postoperatively, the incidence of palatal fistulas occurred in 12 patients, three patients had bifid uvula, however, out of 12 patients who had fistulas only four needed fistula closure and one required a uvula re-repair; the rest healed well. Conclusion: We believe there is a learning curve in performing cleft palate repair. Our technique and principles followed in palatoplasty appear to have a low or zero fistula rate even in the initial period of learning. Furthermore, effective mentorship and guidance help in reducing errors and providing a better outcome.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"9 1","pages":"151 - 155"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44769404","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}
Pub Date : 2022-06-30DOI: 10.31136/kjclp.2022.25.1.30
So-yeon Park, Jing Liu, J. Cha
{"title":"Orthodontic Treatment with Distraction Osteogenesis for a Skeletal Class III Patient with Unilateral Cleft Lip and Palate: A Case Report","authors":"So-yeon Park, Jing Liu, J. Cha","doi":"10.31136/kjclp.2022.25.1.30","DOIUrl":"https://doi.org/10.31136/kjclp.2022.25.1.30","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76100540","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}
Pub Date : 2022-06-30DOI: 10.31136/kjclp.2022.25.1.14
Young-wook Park
{"title":"A Usability Evaluation for the Development of Speech Therapy Solutions for Speech-Impaired People","authors":"Young-wook Park","doi":"10.31136/kjclp.2022.25.1.14","DOIUrl":"https://doi.org/10.31136/kjclp.2022.25.1.14","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81302549","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}
Pub Date : 2022-06-30DOI: 10.31136/kjclp.2022.25.1.1
Sol Kim, Dae-Seok Hwang
Sol-a Kim, Dae-seok Hwang
金seo，黄大石
{"title":"Congenital Missing of Maxillary Lateral Incisor and Rehabilitation in Unilateral Cleft Lip and Palate Parients","authors":"Sol Kim, Dae-Seok Hwang","doi":"10.31136/kjclp.2022.25.1.1","DOIUrl":"https://doi.org/10.31136/kjclp.2022.25.1.1","url":null,"abstract":"Sol-a Kim, Dae-seok Hwang","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74716199","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}
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