The Cleft palate journal最新文献

A case report of a daughter and mother with the oral-facial digital syndrome, type I, is presented. The features were variable between the two cases. The daughter had a previously unreported feature, ridging of the metopic suture. Hand-wrist radiographs of both the patient and mother demonstrated a normal trabeculation pattern, contradicting the suggestion of Anneren et al (1984) that irregular mineralization of the hands is pathognomonic for the OFD I syndrome.

Culture impacts both professional practice and patient health behaviors. This paper introduces the concept of culture and examines how it may be of importance to health professionals engaged in craniofacial care. The taking of a cultural history is presented as a way of assessing cultural differences. This paper is the first in a series of interrelated papers that define cultural perspectives toward health and craniofacial care in United States subpopulations.

African Americans represent the second largest ethnic group in the United States. Even though there are mixtures of other races and cultures, their primary ancestry is African. Because of their heritage and cultural practices in the United States, the acceptance of the diagnosis and treatment of craniofacial anomalies is different from that of other groups. Positive aspects of the culture that augment the treatment of disorders include the strength of the family and a strong religious belief system. Factors that may impede the effectiveness of clinical intervention are economics and accessibility to medical care.

Passavant's ridge was studied by means of videofluoroscopy and nasopharyngoscopy in 80 patients with hypernasal speech. In patients with Passavant's ridge an improvement of the sphincter function was found to be associated with an enlargement of the ridge. It was also observed that the ridge could disappear if complete velopharyngeal closure was achieved without surgical intervention of the ridge area. The results indicate that Passavant's ridge is of compensatory origin.

This paper presents a brief overview of some cultural, ecologic, and demographic influences on the treatment and maltreatment of infants and children with congenital anomalies. Based on research on the selective neglect of infants leading to death in parts of the developing world, it is suggested that such practices be viewed as "ethno-eugenic" survivalist strategies altogether distinct from malicious child abuse and neglect in the modern, industrialized world. Caution with respect to heroic (and not so heroic) medical interventions and "child saving" in the contexts of both developing and modern societies is stressed.

The purpose of this study was to create craniofacial growth disturbances via synostoses of sutures of the cranial base, as well as of other various selected sutures of the anterior cranial and posterior facial structures. Twelve sutures, single or in combination, were obliterated by means of autogenous bone transplantation in twenty-five baby baboons (Papio ursinus). The data obtained from the sacrificed animals were qualitatively analyzed. The results indicated that synostosis of any of the selected sutures does lead to craniofacial growth disturbances. Furthermore, no specific synostosed suture could be identified that might cause a specific type of craniofacial dysostosis, although unilateral facial deformities always occurred after unilateral suture synostosis.

The treatment of birth defects and other disabilities is influenced by cultural beliefs of the individual, family and society. The recent influx of Asian/Pacific immigrants and refugees has challenged professionals to provide appropriate services to individuals with cleft palate and their families from these populations. The issues of folk and religious beliefs are complex, and the variations among them are often intertwined. Their comprehension is important because studies have reported a higher incidence of cleft lip and/or palate among Asian/Pacific populations. Successful communication with Asian individuals requires recognition and consideration of cultural diversity and differing interactional styles.