• Title/Summary/Keyword: Palate surgery

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CHARACTERISTICS OF OROPHARYNGEAL AIR PRESSURE, AIRFLOW IN CLEFT PALATE PATIENTS (구개열 환자에서의 구강인두압력 및 공기유량에 관한 음성학적 특징)

  • Baek, Jin-A
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.13-20
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    • 2006
  • The articulation disorders associated with velopharyngeal insufficiency (VPI) in cleft palate patients are interested to clinicians particularly. The purpose of this study was to investigate mainly the oropharyngeal air pressure and overall air flow in cleft palate patients. The pressure-measuring catheter was positioned at the midportion of the oropharyngeal cavity with a facial mask. Test words were composed of 9 meaningless polysyllabic words and 17 meaningful words. Aerophone II and Nasometer II were used to measure peak air pressure, mean air pressure, maximum flow rate, volume, phonatory flow rate, nasalance. The data shows that airflow of the cleft palate patient group were higher than those of the control group. Intraoral air pressure of the cleft palate patient group was lower than those of the control group. The first vowel formant and first Bandwidths of the cleft palate patient group were higher than those of the control group.

Congenital Palatal Fistula with Submucous Cleft Palate (점막하 구개열이 동반된 선천성 비구개누공)

  • Kim, Sukwha;Min, Kyung Hee;Yun, Byung Min
    • Archives of Plastic Surgery
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    • v.36 no.3
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    • pp.333-335
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    • 2009
  • Congenital palatal fistulas are rare, and few cases have been reported. Most reported cases present with a submucous cleft palate. In terms of etiology, whether the fistula is congenital or acquired has been debated. Moreover, there is not a generally accepted surgical procedure for repair of palatal fistulas. We present a case of a congenital palatal fistula with a submucous cleft palate that was successfully treated with a Furlow double - opposing Z - plasty. We discuss palatal fistulas with a review of the literature.

A Case of Vascular Leiomyoma Presenting as a Soft Mass of the Hard Palate (경구개 연성종물로 발현된 혈관평활근종 1예)

  • Yoon, Tae-Mi;Jung, Ki-Hong;Yang, Hyung-Chae;Lee, Joon-Kyoo
    • Korean Journal of Head & Neck Oncology
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    • v.26 no.2
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    • pp.250-252
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    • 2010
  • Vascular leiomyomas are benign tumors of smooth muscle origin arising from the muscularis layer of blood vessel walls. They can occur anywhere in the body where smooth muscle is found and usually occur in the lower extremity as a slow-growing, firm, occasionally painful mass. However they are rare in the head and neck and very rare in hard palate. Here we report a case of a vascular leiomyoma presenting as a soft mass of the hard palate and review the literatures.

Treatment of Otitis Media in Cleft Palate (구개열 환자에 있어 중이염의 치료)

  • Pang, Kang-Mi;Ji, Young-Min;Kim, Seong-Min;Myoung, Hoon;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pil-Hoon;Kim, Myung-Jin;Hwang, Soon-Jung
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.2
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    • pp.89-96
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    • 2007
  • Otitis media with effusion is known to be very common among children with cleft palate and is the common cause of acquired hearing loss in childhood. The purpose of the present study was to examine the anatomic variances, incidence and treatment of middle ear disease in children with cleft palate. In Korea, before 4-year-old age, the prevalence of otitis media was as high as 91.7%. Common treatments for otitis media were conservative or surgical treatment. The medical treatment options include the use of decongestants, antihistamines, antibiotics and mucolytics. Surgical treatment options include grommet insertion, myringotomy. Unlike the case for children without clefts, cleft patient has a higher incidence of recurrence, so surgical treatment between the age of 3 month and 6 month was recommended. The effect of palatoplasty on middle ear disease has remained controversial. Early and periodic evaluation on the symptomatic infection or significant of hearing loss was recommended.

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CLINICAL STUDY OF CLEFT LIP AND CLEFT PALATE FOR 5 YEARS (최근 5년간 시행한 구순열 및 구개열에 대한 고찰)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Su-Gwan;Kim, Su-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.3
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    • pp.260-264
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    • 1997
  • The congenital deformities of cleft lip and cleft palate have been known to afflict man since prehistoric time. Efforts to correct these abnormities have evolved over the centuries as scientific knowledge has advanced. Although there is no agreement as to when the surgery should be performed, most surgeons adhere to "rule of 10" : the infant must be 10 week old weigh 10 Ibs, have a hemoglobin value 10gm/dl and have a white blood cell count no greater than 10 $thousands/mm^3$. Consensus favors performing initial palatal surgery in the child when he is between 18 and 24 months old. The timing of cleft alveolus surgery is usually between 10 and 11 years old. In the period from 1992 to 1996, 38 patients with cleft lip and cleft palate treated at the department of oral and maxillofacial surgery, Chosun university, dental hospital were analysed clinically. The obtained results were as follows. 1. The ratio of male to female was 1.92 : 1 (25/23) 2. The ratio of cleft lip, cleft palate and cleft lip & palate was 1.5 : 1 : 2.5 (12/8/18) 3. The ratio of unilateral to bilateral cleft lip was 5 : 1 (25/5) 4. The ratio of left to right side in unilateral cleft lip was 1.5 : 1 (15/10)

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A case of Primary Hard Palate Adenocarcinoma Metastasizing to Cervical Lymph Nodes 9 Years after Resection of Primary Lesion (원발병소의 외과적 절제 9년 후 경부 림프절에 전이된 경구개 선암종 1예)

  • Lee Hyung-Seok;Jeon Sung-Ha;Hong Dong-Kyun;Cho Seok-Hyun;Tae Kyung
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.44-48
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    • 2004
  • Primary malignancies of hard palate are rare, espicially adenocarcinoma of minor salivary gland in hard palate. The clinical stage of the tumor and its histologic grade at the time of treatment were significant predictors of survival. A 33-year-old woman was diagnosed with stage II, polymorphous low-grade adenocarcinoma of the hard palate and treated with surgery. We thougt that she would have excellent prognosis. After that, there was no definite evidence of recurrence during 3 months. Since then, the patient herself decided to discontunue follow-up. 9 years after that she came to the hospital due to both submandibular mass without any sign of local recurrence. CT scan and biopsy of the mass revealed multiple cervical metastatic adenocarcinoma without distant metastasis and the histologic findings were similar to that of the primary hard palate adenocarcinoma. So, we present this case with the review of literature.

Cleft lip and palate surgery during COVID-19 pandemic in Indonesia: a 36-month experience at the Bandung Cleft Lip and Palate Center

  • Ali Sundoro;Dany Hilmanto;Hardisiswo Soedjana;Ronny Lesmana;Kevin Leonard Suryadinata
    • Archives of Craniofacial Surgery
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    • v.24 no.3
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    • pp.111-116
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    • 2023
  • Background: In Indonesia, the prevalence of cleft lip and palate increased from 0.08% to 0.12% between 2013 and 2018. Children with cleft deformities typically undergo staged surgery. However, the coronavirus disease 2019 (COVID-19) pandemic has had negative impacts on the healthcare sector, including the suspension of elective procedures; this has raised concerns about the safety of performing surgery and the functional consequences of delaying treatment, the latter of which is associated with poor prognosis. The purpose of this study was to report the characteristics of clefts treated by the Bandung Cleft Lip and Palate Center team during the pandemic period. Methods: This brief comparative study based on a chart review was conducted at the Bandung Cleft Lip and Palate Center. We statistically evaluated data from all patients treated between September 2018 and August 2021. Frequency analysis was performed to analyze the average number of each procedure by age before and during the COVID-19 pandemic. Results: Data from 18-month periods before (n= 460) and during (n= 423) the pandemic were compared. Cheiloplasty procedures were examined (pre-pandemic, n= 230; pandemic, n= 248); before the pandemic, 86.1% were performed according to the treatment protocol (patient < 1 year old), and this proportion non-significantly dropped to 80.6% during the pandemic (p= 0.904). Palatoplasty procedures were also compared (pre-pandemic, n= 160; pandemic, n= 139); the treatment protocol (patient 0.5-2 years old) was followed for 65.5% of procedures before the pandemic and 75.5% during the pandemic (p= 0.509). Additionally, 70 (mean age, 7.94 years) revision and other procedures were performed before the pandemic and 36 (mean age, 8.52 years) during the pandemic. Conclusion: The cleft procedures performed at the Bandung Cleft Lip and Palate Center did not significantly change during the COVID-19 pandemic.