Pub Date : 2021-07-01DOI: 10.4103/jclpca.jclpca_43_20
D. Mohapatra, M. Friji, S. Kumar, R. Chittoria, Imrankhan Pathan, K. Shijina
The COVID-19 pandemic has created disruptions worldwide with unprecedented interruption of non-COVID health care. Cleft care services toward children with cleft lip and palate have also been affected worldwide leading to stress among cleft caregivers. The use of remote consultation and therapy finds a definitive application in such situations. We present our method of providing uninterrupted cleft care through remote consultations service during this pandemic.
{"title":"Optimizing cleft care during COVID pandemic","authors":"D. Mohapatra, M. Friji, S. Kumar, R. Chittoria, Imrankhan Pathan, K. Shijina","doi":"10.4103/jclpca.jclpca_43_20","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_43_20","url":null,"abstract":"The COVID-19 pandemic has created disruptions worldwide with unprecedented interruption of non-COVID health care. Cleft care services toward children with cleft lip and palate have also been affected worldwide leading to stress among cleft caregivers. The use of remote consultation and therapy finds a definitive application in such situations. We present our method of providing uninterrupted cleft care through remote consultations service during this pandemic.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"154 - 156"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48487497","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_14_21
R. Sharma
The triangular flap lip repair is one of the two main techniques used for the correction of a cleft lip deformity worldwide. Many surgeons in Indian subcontinent and Europe use the triangle flap technique as their first choice. This CME article describes the details of the triangular flap technique as modified by Dr. C P Sawhney. The rationale of the technique, lip markings, planning of incisions, and the detailed operative steps are described. The merits and demerits of this versatile technique are also discussed.
{"title":"Triangular flap technique for unilateral cleft lip deformity","authors":"R. Sharma","doi":"10.4103/jclpca.jclpca_14_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_14_21","url":null,"abstract":"The triangular flap lip repair is one of the two main techniques used for the correction of a cleft lip deformity worldwide. Many surgeons in Indian subcontinent and Europe use the triangle flap technique as their first choice. This CME article describes the details of the triangular flap technique as modified by Dr. C P Sawhney. The rationale of the technique, lip markings, planning of incisions, and the detailed operative steps are described. The merits and demerits of this versatile technique are also discussed.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"163 - 168"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43108233","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_1_21
A. Markus, S. Reddy, R. Reddy, Monal Karkar
Background: Individuals with cleft lip and palate (CLP) and other craniofacial deformities are often perceived negatively in various social circumstances, resulting in failure to achieve full socio economic potential. Aim of the study: This study aimed to identify social stigmata and their causes associated with CLP and other deformities in an Indian population from a low socio-economic background, ways to reduce such effects and the potential reduction of disability following surgery. Methods: To assess the general awareness of the patients and their families regarding clefts, A GSR Institute: Cleft-Awareness Questionnaire (Reddy SG et al 2018) was used for data collection. 100 consecutive patients treated in GSR Institute for Craniofacial and Facial Plastic Surgery in Hyderabad, Telangana, were invited to join the study Statistical analysis regarding consanguineous marriage, understanding of clefts by parents and members of their community and of their societal conditions and the impact before and after surgery was carried out. Results: Statistical analysis using chi-squared test regarding the frequency of consanguineous marriage revealed no significant difference between the expected and observed frequencies in Telangana whereas there was a significant difference (p<0.001) between the values in India and also for understanding of clefts by parents (p<0.001) and friends/neighbours (p<0.001). On Kruskall-Wallis test and Pearson Chi-Squared Goodness of Fit test, no significance was observed on social conditions and associated problems faced by child before and after surgery respectively. Conclusion: These results confirm the impact of social stigmata in an Indian population with CLP and other craniofacial deformities predominantly related to the lack of education due to low socio-economic background and a heightened sense of superstitions of family, friends/neighbours of the affected individual thereby, causing embarrassment and depression. However, these were alleviated by surgical intervention and adequate speech therapy, thereby, improving social acceptance.
背景：唇腭裂（CLP）和其他颅面畸形患者在各种社会环境中经常被负面看待，导致无法充分发挥社会经济潜力。研究目的：本研究旨在确定低社会经济背景的印度人口中与CLP和其他畸形相关的社会污名及其原因，减少这种影响的方法以及手术后残疾的潜在减少。方法：为了评估患者及其家属对腭裂的总体认识，采用GSR研究所：腭裂意识问卷（Reddy SG et al 2018）进行数据收集。在特伦甘纳海得拉巴的GSR颅面整形外科研究所接受治疗的连续100名患者被邀请参加这项研究。对近亲结婚、父母和社区成员对裂隙的了解、他们的社会状况以及手术前后的影响进行了统计分析。结果：使用卡方检验对近亲结婚频率进行的统计分析显示，特伦甘纳的预期频率和观察到的频率之间没有显著差异，而印度的数值之间以及父母（p＜0.001）和朋友/邻居（p＜001）对破裂的理解之间有显著差异（p＜0.01）Pearson卡方拟合优度检验对儿童手术前和手术后的社会状况和相关问题分别没有观察到显著性。结论：这些结果证实了患有CLP和其他颅面畸形的印度人群中社会污名的影响，主要与由于社会经济背景低以及受影响个体的家人、朋友/邻居的迷信意识增强而缺乏教育有关，从而导致尴尬和抑郁。然而，通过手术干预和适当的言语治疗，这些症状得到了缓解，从而提高了社会接受度。
{"title":"Impact of cleft lip and palate before and after treatment in a low-income population","authors":"A. Markus, S. Reddy, R. Reddy, Monal Karkar","doi":"10.4103/jclpca.jclpca_1_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_1_21","url":null,"abstract":"Background: Individuals with cleft lip and palate (CLP) and other craniofacial deformities are often perceived negatively in various social circumstances, resulting in failure to achieve full socio economic potential. Aim of the study: This study aimed to identify social stigmata and their causes associated with CLP and other deformities in an Indian population from a low socio-economic background, ways to reduce such effects and the potential reduction of disability following surgery. Methods: To assess the general awareness of the patients and their families regarding clefts, A GSR Institute: Cleft-Awareness Questionnaire (Reddy SG et al 2018) was used for data collection. 100 consecutive patients treated in GSR Institute for Craniofacial and Facial Plastic Surgery in Hyderabad, Telangana, were invited to join the study Statistical analysis regarding consanguineous marriage, understanding of clefts by parents and members of their community and of their societal conditions and the impact before and after surgery was carried out. Results: Statistical analysis using chi-squared test regarding the frequency of consanguineous marriage revealed no significant difference between the expected and observed frequencies in Telangana whereas there was a significant difference (p<0.001) between the values in India and also for understanding of clefts by parents (p<0.001) and friends/neighbours (p<0.001). On Kruskall-Wallis test and Pearson Chi-Squared Goodness of Fit test, no significance was observed on social conditions and associated problems faced by child before and after surgery respectively. Conclusion: These results confirm the impact of social stigmata in an Indian population with CLP and other craniofacial deformities predominantly related to the lack of education due to low socio-economic background and a heightened sense of superstitions of family, friends/neighbours of the affected individual thereby, causing embarrassment and depression. However, these were alleviated by surgical intervention and adequate speech therapy, thereby, improving social acceptance.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"127 - 133"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49350906","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_35_20
A. Datarkar, Bhavana Valvi, Suraj Parmar
Aim: The aim of this study was to compare and evaluate the difference between cancellous and corticocancellous bone graft harvested from the anterior iliac crest in the management of unilateral complete cleft alveolus patients. Materials and Methods: A total of 20 patients of unilateral complete cleft alveolus with age ranging from 7 to 15 years were enrolled. Patients were divided into two groups. Group I comprises 10 patients treated with cancellous bone graft and Group II consists of 10 patients treated with corticocancellous bone graft. Trapdoor technique for cancellous and enblock removal for corticocancellous bone graft was done. Both the grafts were evaluated for ease of harvesting and handling and ease, adequacy, and accuracy of graft filling. Results: Harvesting and graft handling was easy in Group I patients, whereas in patients of Group II, it was moderate. In Group I, ease of graft filling was adequate in 90% of patients and acceptable in 10% of patients. In Group II, ease of graft filling was acceptable in 100% of patients. In Group I, the mean time required for bone harvesting was 9.28 ± 2.97 min, whereas in Group II, it was 15.00 ± 1.98 min. Accuracy of graft filling was adequate in both the groups, and no statically significant difference was found between both the groups in terms of accuracy of graft filling. Conclusion: Corticocancellous bone graft is equally good as cancellous bone graft and it can be used successfully as a substitute for cancellous bone graft.
{"title":"Ease, harvesting, and accuracy of cancellous versus corticocancellous bone graft materials used in cleft alveolar bone grafting: A randomized controlled trial","authors":"A. Datarkar, Bhavana Valvi, Suraj Parmar","doi":"10.4103/jclpca.jclpca_35_20","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_35_20","url":null,"abstract":"Aim: The aim of this study was to compare and evaluate the difference between cancellous and corticocancellous bone graft harvested from the anterior iliac crest in the management of unilateral complete cleft alveolus patients. Materials and Methods: A total of 20 patients of unilateral complete cleft alveolus with age ranging from 7 to 15 years were enrolled. Patients were divided into two groups. Group I comprises 10 patients treated with cancellous bone graft and Group II consists of 10 patients treated with corticocancellous bone graft. Trapdoor technique for cancellous and enblock removal for corticocancellous bone graft was done. Both the grafts were evaluated for ease of harvesting and handling and ease, adequacy, and accuracy of graft filling. Results: Harvesting and graft handling was easy in Group I patients, whereas in patients of Group II, it was moderate. In Group I, ease of graft filling was adequate in 90% of patients and acceptable in 10% of patients. In Group II, ease of graft filling was acceptable in 100% of patients. In Group I, the mean time required for bone harvesting was 9.28 ± 2.97 min, whereas in Group II, it was 15.00 ± 1.98 min. Accuracy of graft filling was adequate in both the groups, and no statically significant difference was found between both the groups in terms of accuracy of graft filling. Conclusion: Corticocancellous bone graft is equally good as cancellous bone graft and it can be used successfully as a substitute for cancellous bone graft.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"119 - 126"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46592773","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_17_21
A. Yamada
{"title":"In memory and tribute to Kenneth E. Salyer MD: 1936-2020. A great surgeon with a passion for excellence","authors":"A. Yamada","doi":"10.4103/jclpca.jclpca_17_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_17_21","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"91 - 95"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45008924","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_8_21
I. Dutta, Nilamani Guruaribam, Palin Khundongbam
Background: Cleft lip (CL) and palate have a complex etiology with both genetics and environment playing a role. The risk factors such as folic acid deficiency, maternal age, and maternal smoking have been linked to the development of clefts. Objectives: The objective of this study is to study the different types of CL and palate with respect to age distribution, gender, caste, religion, socioeconomic status, and the clinical factors such as congenital anomalies, blood group, and the relationship with maternal addiction during pregnancy. Materials and Methods: The present study conducted among 260 patients of Manipur with primary CL, palate, and orofacial clefts of any age group. Statistical analysis of the data was performed by the descriptive statistics as mean, standard deviation, percentage/proportions, etc. For the qualitative data, the association between various variables was done by applying one-way Chi-square test at 5% (P = 0.05) level of significance. Results: Female (51.2%) children are more affected with CL and palate. Association of A +ve blood group is statistically significant. 36.2% belongs to lower middle class socioeconomic status. The proportion of consanguineous marriages was higher. 60% of mothers smoke cigarettes or consume tobacco at the time of pregnancy in association with CL and palate. Majority of the cases had left-sided CL and palate and 47.3% were Group III CL and palate. There was significant association of congenital anomalies (38.5%) among CL and palate patients. Conclusion: There is a strong association of maternal smoking or tobacco consumption, maternal alcohol consumption, consanguineous marriages, and A +ve blood group in relation to CL and palate.
{"title":"A cross-sectional study on epidemiology and clinical profile of cleft lip and palate at a tertiary care hospital in Manipur, India","authors":"I. Dutta, Nilamani Guruaribam, Palin Khundongbam","doi":"10.4103/jclpca.jclpca_8_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_8_21","url":null,"abstract":"Background: Cleft lip (CL) and palate have a complex etiology with both genetics and environment playing a role. The risk factors such as folic acid deficiency, maternal age, and maternal smoking have been linked to the development of clefts. Objectives: The objective of this study is to study the different types of CL and palate with respect to age distribution, gender, caste, religion, socioeconomic status, and the clinical factors such as congenital anomalies, blood group, and the relationship with maternal addiction during pregnancy. Materials and Methods: The present study conducted among 260 patients of Manipur with primary CL, palate, and orofacial clefts of any age group. Statistical analysis of the data was performed by the descriptive statistics as mean, standard deviation, percentage/proportions, etc. For the qualitative data, the association between various variables was done by applying one-way Chi-square test at 5% (P = 0.05) level of significance. Results: Female (51.2%) children are more affected with CL and palate. Association of A +ve blood group is statistically significant. 36.2% belongs to lower middle class socioeconomic status. The proportion of consanguineous marriages was higher. 60% of mothers smoke cigarettes or consume tobacco at the time of pregnancy in association with CL and palate. Majority of the cases had left-sided CL and palate and 47.3% were Group III CL and palate. There was significant association of congenital anomalies (38.5%) among CL and palate patients. Conclusion: There is a strong association of maternal smoking or tobacco consumption, maternal alcohol consumption, consanguineous marriages, and A +ve blood group in relation to CL and palate.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"134 - 142"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42589821","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_12_21
P. Narayanan
The unilateral cleft lip deformity includes defects of the lip and also the associated deformities in the nose. The Millard's rotation advancement technique is a versatile one for the repair of these deformities. The principle of the technique is that the raised Cupid's bow point medial to the cleft is brought down level with its noncleft side counterpart by a rotation incision, which extends to the base of the columella and ends with a back cut. The resulting defect beneath the base of the columella is filled with an advancement flap from the cleft side. The advantages of the techniques are many. The most significant one is that it adheres to the basic principles of esthetic surgery, with the main scars being along the relaxed skin tension lines. It is a versatile technique producing optimal results in all types in unilateral cleft lip patients ranging from the microform to the widest of complete clefts. The incision in this technique is so placed that there is easy access to address the associated defects of the nose. Technical refinements have been added to the classical description of the procedure to address the deficiencies in the repair. We describe important refinements introduced at our center by Dr. H. S. Adenwalla. Universally, this technique is still the most popular.
单侧唇裂畸形包括唇部缺陷和鼻部相关畸形。米勒德旋转推进技术是修复这些畸形的通用技术。该技术的原理是，通过旋转切口，将裂口内侧凸起的丘比特弓点与其非裂口侧的对应点降至同一水平，该切口延伸至小柱底部，并以后切结束。由此产生的小柱底部下方的缺损被来自裂侧的前缘皮瓣填充。这些技术有很多优点。最重要的是，它坚持了美容手术的基本原则，主要的疤痕沿着松弛的皮肤张力线。这是一种多功能的技术，在所有类型的单侧唇裂患者中产生最佳结果，从显微形态到最宽的完整唇裂。这种技术的切口位置很好，可以很容易地处理鼻子的相关缺陷。技术改进已添加到程序的经典描述中，以解决修复中的缺陷。我们将介绍H. S. Adenwalla博士在我们中心引入的重要改进。一般来说，这种技术仍然是最流行的。
{"title":"Millard's rotation advancement technique for unilateral cleft lip repair","authors":"P. Narayanan","doi":"10.4103/jclpca.jclpca_12_21","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_12_21","url":null,"abstract":"The unilateral cleft lip deformity includes defects of the lip and also the associated deformities in the nose. The Millard's rotation advancement technique is a versatile one for the repair of these deformities. The principle of the technique is that the raised Cupid's bow point medial to the cleft is brought down level with its noncleft side counterpart by a rotation incision, which extends to the base of the columella and ends with a back cut. The resulting defect beneath the base of the columella is filled with an advancement flap from the cleft side. The advantages of the techniques are many. The most significant one is that it adheres to the basic principles of esthetic surgery, with the main scars being along the relaxed skin tension lines. It is a versatile technique producing optimal results in all types in unilateral cleft lip patients ranging from the microform to the widest of complete clefts. The incision in this technique is so placed that there is easy access to address the associated defects of the nose. Technical refinements have been added to the classical description of the procedure to address the deficiencies in the repair. We describe important refinements introduced at our center by Dr. H. S. Adenwalla. Universally, this technique is still the most popular.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"157 - 162"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48296774","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_39_20
N. Panse, Aditya Narsimhan, Prasad Dadhe
Osteo-odonto-keratoprosthesis (OOKP) is a procedure that is beneficial to patients with end-stage ocular disease, which is not amenable to corneal transplantation. It involves the harvest of tooth lamina and implantation of lamina cortex into the eye. The oroantral fistula (OAF) is one of the most disastrous complications of this procedure. The complication of an OAF during the harvest of a molar for an OOKP procedure can be prevented by applying a sound surgical technique. However, in case an OAF develops, it can be managed by a variety of options depending on the dimensions of the defect. In this report, we present the use of a nasolabial flap along with an upper sulcus flap for coverage of an OAF after undergoing an OOKP procedure. Measures to avoid this disastrous complication have also been discussed.
{"title":"Nasolabial island flap for management of post osteo-odonto-keratoprosthesis oroantral fistula","authors":"N. Panse, Aditya Narsimhan, Prasad Dadhe","doi":"10.4103/jclpca.jclpca_39_20","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_39_20","url":null,"abstract":"Osteo-odonto-keratoprosthesis (OOKP) is a procedure that is beneficial to patients with end-stage ocular disease, which is not amenable to corneal transplantation. It involves the harvest of tooth lamina and implantation of lamina cortex into the eye. The oroantral fistula (OAF) is one of the most disastrous complications of this procedure. The complication of an OAF during the harvest of a molar for an OOKP procedure can be prevented by applying a sound surgical technique. However, in case an OAF develops, it can be managed by a variety of options depending on the dimensions of the defect. In this report, we present the use of a nasolabial flap along with an upper sulcus flap for coverage of an OAF after undergoing an OOKP procedure. Measures to avoid this disastrous complication have also been discussed.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"151 - 153"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45941520","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 : 2021-07-01DOI: 10.4103/jclpca.jclpca_42_20
Deepa Bhaskaran, T. Rajan
Nasal desmopressin spray is used for the management of diabetes insipidus (DI). Difficulties arise during the perioperative period of cleft repair for the management of DI with nasal desmopressin due to decreased nasal absorption and reduced oral intake. Key to successful peri-operative management is strict monitoring of serum electrolytes, serum and urine osmolality, and fluid administration titrating to urine output. Oral and intravenous desmopressin needs to be used in the perioperative period for managing the condition.
{"title":"Cleft lip and palate with diabetes insipidus: Perioperative management","authors":"Deepa Bhaskaran, T. Rajan","doi":"10.4103/jclpca.jclpca_42_20","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_42_20","url":null,"abstract":"Nasal desmopressin spray is used for the management of diabetes insipidus (DI). Difficulties arise during the perioperative period of cleft repair for the management of DI with nasal desmopressin due to decreased nasal absorption and reduced oral intake. Key to successful peri-operative management is strict monitoring of serum electrolytes, serum and urine osmolality, and fluid administration titrating to urine output. Oral and intravenous desmopressin needs to be used in the perioperative period for managing the condition.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"8 1","pages":"149 - 150"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47627741","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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