• Title/Summary/Keyword: Craniofacial cleft

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A STUDY ON THE CRANIOFACIAL GROWTH OF CLEFT LIP AND PALATE INDIVIDUALS BY MEANS OF CEPHALOMETRIC ROENTGENOGRAM (두부방사선계측사진(頭部放射線計測寫眞)에 의(依)한 순(脣), 구개열자(口蓋裂者)의 악안면(顎顔面) 성장(成長)에 관(關)한 연구(硏究))

  • Hyun, Seong-Wook;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.165-176
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    • 1982
  • A cephalometric radiographic cross sectional comparative study was undertaken to investigate craniofacial growth in cleft lip and palate individuals. The material for this study consisted of 43 subjects with operated cleft lip and palate.(29 males, 14 females). The range of age was from 6 years to 12 years. The roentgenocephalometric values of cleft individuals were compared with values of normal individuals reported by Lee. The following conclusions were obtained; 1) The pattern of cranial base of the cleft subjects was almost the same as that previously reported for the normal individuals. 2) Anterio-posterior length of the mandible did not show any significant difference but in the cleft subjects, that of the males was larger than that of the females. 3) The maxilla of the cleft subjects was very retruded and showed very concave profile. 4) Gonial angle of the cleft subjects was very high, especially in the female clefts. 5) The height of ramus was very poor in the cleft subjects. 6) The facial length was almost the same, but the facial depth of the cleft subjects was smaller than that of the normal individuals. 7) Maxillary and mandibular incisors were severely retroclined. 8) The range of values in the cleft subjects was very variable and the female clefts showed more distured growth than the male clefts.

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Primary Cleft Lip Repair Using the "Delaire" Technique (Delaire 방법을 이용한 구순열의 교정)

  • Kim, Yong-Ha;Lee, Hyun-Tae
    • Archives of Craniofacial Surgery
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    • v.12 no.2
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    • pp.75-80
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    • 2011
  • Deformities related with cleft lip are not only limited to the cleft site but also extended to all around the nasolabial region. Facial development is composed of several complex processes as the formation, migration, coalescence and interaction of separate fields. When there is a cleft event, it means there are general problems of those processes. As a result facial elements should have displacement, deformation and functional hypotrophy. These also affect the mucocutaneous structures, which result in the typical deformities of cleft lip. Traditional surgical methods are not sufficient of the correction of functional impairments in the cleft lip. Accordingly, there are relatively high possibilities of occurring secondary deformities. The Delaire's method focuses on repair of functional impairment of the cleft. Consequently, it can maintain the initial good surgical result and avoid the unnecessary incision scar. And this method can minimize secondary nasal deformities which can reduce the risk of additional nasal correction. Therefore authors introduce this advantageous the Delaire technique cheliolplasty which it can be widely used for the cleft lip correction in Korea.

Speech Evaluation Based on the Type of Cleft Palate (구개열의 유형에 따른 발음 비교)

  • Kim, Seok-Kwun;Kim, Min-Su;Heo, Jung;Kwon, Yong-Seok;Lee, Keun-Cheol;Jeong, Boon-Seon;Lee, Min Hyuk
    • Archives of Craniofacial Surgery
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    • v.9 no.2
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    • pp.72-76
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    • 2008
  • Purpose: Authors evaluated results of palatoplasty by speech analysis in bilateral, unilateral complete, and unilateral incomplete and submucous cleft palate patients. Methods: The speech outcomes were studied in 15 bilateral, 28 unilateral complete, and 46 unilateral incomplete and submucous cleft palate patients who underwent push-back palatoplasties from January 1998 to July 2004. The patients were divided into 2 groups as 3 to 6, 7 to 10-year-old and compared with 20 normal children(control groups were divided into 10 children on each side). Nasal emission test, hypernasality test, and articulation test were done by speech evaluation table which was composed of 39 different words. Results: In all speech evaluation tests, the group of bilateral cleft palate patients got the worst score. And 7 to 10-year-old groups got better score when compared to the same type cleft palate. Conclusion: Bilateral cleft palate patients have many more speech problems than other patients. In cleft palate patients, the speech problem was improved with ages, postoperatively. And the speech therapy can improve the operative outcomes.

Anatomic landmark approach to reconstruction of asymmetric midline cleft lip due to Pai syndrome

  • Sobol, Danielle L.;Massenburg, Benjamin B.;Tse, Raymond W.
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.483-486
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    • 2020
  • Midline clefts of the upper lip are rare, and it is therefore important that surgeons have access to a methodical approach for when these presentations are encountered. We adapted principles of the anatomic subunit approximation for unilateral cleft lip, to the repair of midline clefts. The overt use of anatomic landmarks to define the repair results in a design that inherently adjusts to varying degrees of clefts and can accommodate asymmetries. The "measure twice, cut once" style is an advantage to new surgeons and to surgeons who seldom encounter this presentation. We describe the details of surgical repair in the context of a patient with Pai syndrome and associated nasal hamartomas that resulted in nasolabial asymmetry. This is the first report of surgical outcome following treatment of Pai syndrome and includes early and 5-year follow-up. The system of repair that we describe is applicable to both symmetric and asymmetric midline clefts.

Facial Morphology and Growth in Unilateral Cleft Lip and Palate Patients (편측성(片側性) 순렬(脣裂) 및 구개렬환자(口蓋裂患者)의 안면형태(顔面形態)와 성장(成長)에 관(關)한 연구(硏究))

  • Yang, Won Sik
    • The korean journal of orthodontics
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    • v.14 no.1
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    • pp.7-13
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    • 1984
  • A roentgeno cephalometric comparative study was undertaken to reveal significant differences of craniofacial morphology and growth between unilateral cleft lip and palate and normal individuals. The material for this study consisted 32 subjects with repaired unilateral cleft lip and palate (27 male, 5 female) and 44 normal subjects (22 male, 22 female). The analysis was performed by Coben's method and the measurements were compared by Student's t-test. The following conclusions were obtained. 1. In the UCLP subjects there is definite decrease in midfacial growth, so they showed concave profile. 2. The ramus inclination angle and AR-GO of UCLP subjects are larger than normal subjects. 3. The craniofacial height of UCLP subjects is smaller than normal subjects, especially in midface. 4. The lower part of craniofacial height of UCLP subjects is larger than normal subjects.

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