Three-dimensional finite element analysis on stress distribution after different palatoplasty and levator veli palatini muscle reconstruction
ConclusionsThe finite element method was used to establish a model to simulate the surgical procedure, which is effective and reliable. The area with the highest postoperative stress for both methods is the hard soft palate junction area, and the stress of the Furlow reverse double Z method is lower than that of the two-flap method. The anatomical conditions of pharyngeal cavity of Furlow reverse double Z method are better than that of two-flap method in the resting state.Clinical relevanceThis article uses three-dimensional finite element method to simulate the commonly used two-flap method and Furlow reverse double Z met...
Source: Clinical Oral Investigations - March 19, 2024 Category: Dentistry Source Type: research
Oral Structural Dysphagia in Children
Oral causes of dysphagia in infancy may involve the lips, the tongue, or the palate. Whereas ankyloglossia is commonly diagnosed in infants with dysphagia, assessment of the need for surgical intervention may be less straightforward. Tongue size (macroglossia) may be associated with dysphagia as it may cause limitation of movement of the food or milk bolus by the lips or cheeks. Congenital conditions such as cleft lip and palate, micrognathia, or craniofacial microsomia may also be associated with dysphagia. Diagnosis and treatment of these conditions can be improved with the engagement of lactation and feeding experts as ...
Source: Otolaryngologic clinics of North America - March 18, 2024 Category: ENT & OMF Authors: Rose P. Eapen, Amelia F. Drake, Allison Keane Source Type: research
A Single Institution 19 Year Comparison of Furlow and Straight Line Palatoplasty Techniques in Bilateral Cleft Lip and Palate
CONCLUSIONS: This study compares the effect of Furlow and SLR on speech outcomes and fistula rates in patients with BCLP. Our findings suggest that SLR resulted in an almost three times lower rate of velopharyngeal dysfunction requiring surgical intervention in patients with BCLP, while fistula rates remained similar.PMID:38494189 | DOI:10.1177/10556656241239203 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 17, 2024 Category: ENT & OMF Authors: Collean Trotter Dylan G Choi Idean Roohani Sarah Alfeerawi Priyanka Naidu Pasha Shakoori Artur Fahradyan Jessica A Lee William P Magee Mark M Urata Jeffrey A Hammoudeh Source Type: research
Can MRI Replace Nasopharyngoscopy in the Evaluation of Velopharyngeal Insufficiency?
CONCLUSIONS: In patients receiving MRI as part of their preoperative VPI evaluation, the addition of nasopharyngoscopy did not result in a difference in surgical selection or resolution of hypernasality. Routine inclusion of nasopharyngoscopy may not be necessary for the evaluation of velopharyngeal anatomy when MRI is available.PMID:38490221 | DOI:10.1177/10556656241239459 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Jamie L Perry Taylor D Snodgrass Davinder J Singh M'hamed Temkit Thomas J Sitzman Source Type: research
Diagnostic Potential of Complementation of MRI to Prenatal Ultrasound for Detecting Orofacial Clefts in High-Risk Fetuses: A Network Meta-Analysis
CONCLUSIONS: MRI is more accurate than ultrasound in detecting cleft palate. Therefore, MRI should be offered if there is a fetus with a possible or ultrasound diagnosis of cleft palate, especially if the evaluation of cleft palate is deemed unsatisfactory after careful evaluation of the images.PMID:38490217 | DOI:10.1177/10556656241231119 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jing Zhai Shuyan You Zhonghua Liang Haihua Yu Chengfeng Zhu Lu Han Source Type: research
A 10-Year Nationwide Analysis of Risk Factors of Readmission and the Implications of Same-Day Discharge Following Velopharyngeal Insufficiency Correcting Surgery
CONCLUSIONS: Approximately 90% of VPI-correcting procedures are completed inpatient nationwide. Cardiac and/or neuromuscular disease significantly increased the patients' readmission risk when discharged on the same day of surgery. The inpatient setting should remain the best practice as adequate resources are available to mitigate life-threatening complications.PMID:38490218 | DOI:10.1177/10556656241233248 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Idean Roohani Eloise Stanton Collean Trotter Dylan G Choi Sarah Alfeerawi Pasha Shakoori Ishani D Premaratne Aydin Hammoudeh Artur Fahradyan Mark M Urata Source Type: research
Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study
CONCLUSIONS: These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.PMID:38490219 | DOI:10.1177/10556656241239766 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Kari M Lien Richard Kirschner Gregory Allen Kathy Chapman Cleft Outcomes Research NETwork (CORNET) Consortium Source Type: research
Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?
CONCLUSIONS: Post-operative complications are rare after primary cheiloplasty in patients with low or normal hemoglobin levels. The results of this study show that a preoperative hemoglobin of <10 g/dL does not predict perioperative complications in patients undergoing primary cheiloplasty.PMID:38490220 | DOI:10.1177/10556656241239510 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Aryan Shay Megan Gaffey Roger Roe Alexa Robbins Isabella Zaniletti Adam Johnson Larry Hartzell Source Type: research
Diagnostic Potential of Complementation of MRI to Prenatal Ultrasound for Detecting Orofacial Clefts in High-Risk Fetuses: A Network Meta-Analysis
CONCLUSIONS: MRI is more accurate than ultrasound in detecting cleft palate. Therefore, MRI should be offered if there is a fetus with a possible or ultrasound diagnosis of cleft palate, especially if the evaluation of cleft palate is deemed unsatisfactory after careful evaluation of the images.PMID:38490217 | DOI:10.1177/10556656241231119 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jing Zhai Shuyan You Zhonghua Liang Haihua Yu Chengfeng Zhu Lu Han Source Type: research
A 10-Year Nationwide Analysis of Risk Factors of Readmission and the Implications of Same-Day Discharge Following Velopharyngeal Insufficiency Correcting Surgery
CONCLUSIONS: Approximately 90% of VPI-correcting procedures are completed inpatient nationwide. Cardiac and/or neuromuscular disease significantly increased the patients' readmission risk when discharged on the same day of surgery. The inpatient setting should remain the best practice as adequate resources are available to mitigate life-threatening complications.PMID:38490218 | DOI:10.1177/10556656241233248 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Idean Roohani Eloise Stanton Collean Trotter Dylan G Choi Sarah Alfeerawi Pasha Shakoori Ishani D Premaratne Aydin Hammoudeh Artur Fahradyan Mark M Urata Source Type: research
Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study
CONCLUSIONS: These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.PMID:38490219 | DOI:10.1177/10556656241239766 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Kari M Lien Richard Kirschner Gregory Allen Kathy Chapman Cleft Outcomes Research NETwork (CORNET) Consortium Source Type: research
Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?
CONCLUSIONS: Post-operative complications are rare after primary cheiloplasty in patients with low or normal hemoglobin levels. The results of this study show that a preoperative hemoglobin of <10 g/dL does not predict perioperative complications in patients undergoing primary cheiloplasty.PMID:38490220 | DOI:10.1177/10556656241239510 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Aryan Shay Megan Gaffey Roger Roe Alexa Robbins Isabella Zaniletti Adam Johnson Larry Hartzell Source Type: research
Can MRI Replace Nasopharyngoscopy in the Evaluation of Velopharyngeal Insufficiency?
CONCLUSIONS: In patients receiving MRI as part of their preoperative VPI evaluation, the addition of nasopharyngoscopy did not result in a difference in surgical selection or resolution of hypernasality. Routine inclusion of nasopharyngoscopy may not be necessary for the evaluation of velopharyngeal anatomy when MRI is available.PMID:38490221 | DOI:10.1177/10556656241239459 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Jamie L Perry Taylor D Snodgrass Davinder J Singh M'hamed Temkit Thomas J Sitzman Source Type: research
Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study
CONCLUSIONS: These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.PMID:38490219 | DOI:10.1177/10556656241239766 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Jessica L Williams Kari M Lien Richard Kirschner Gregory Allen Kathy Chapman Cleft Outcomes Research NETwork (CORNET) Consortium Source Type: research
A 10-Year Nationwide Analysis of Risk Factors of Readmission and the Implications of Same-Day Discharge Following Velopharyngeal Insufficiency Correcting Surgery
CONCLUSIONS: Approximately 90% of VPI-correcting procedures are completed inpatient nationwide. Cardiac and/or neuromuscular disease significantly increased the patients' readmission risk when discharged on the same day of surgery. The inpatient setting should remain the best practice as adequate resources are available to mitigate life-threatening complications.PMID:38490218 | DOI:10.1177/10556656241233248 (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 15, 2024 Category: ENT & OMF Authors: Idean Roohani Eloise Stanton Collean Trotter Dylan G Choi Sarah Alfeerawi Pasha Shakoori Ishani D Premaratne Aydin Hammoudeh Artur Fahradyan Mark M Urata Source Type: research
