Sociodemographic Factors That Influence the Choice to Pursue Nasoalveolar Molding: One Pediatric Hospital's Experience.
Abstract OBJECTIVE: To identify demographic factors that influence choosing nasoalveolar molding (NAM) in the treatment of cleft lip with or without cleft palate (CL±P), and NAM treatment compliance. DESIGN: This work is a retrospective cohort study. SETTING: Tertiary pediatric hospital. PATIENTS, PARTICIPANTS: One hundred forty-nine patients with a diagnosis of unilateral complete CL±P receiving treatment when NAM was offered (January 1, 2008-July 26, 2016). MAIN OUTCOME MEASURE(S): Demographic variables collected included race, ethnicity, ZIP code, number of caregivers, caregive...
Source: The Cleft Palate-Craniofacial Journal - July 3, 2020 Category: ENT & OMF Authors: Kimia R, Butler PD, Guajardo I, Magee L, Lowe K, Scott M, Wes A, Jackson OA Tags: Cleft Palate Craniofac J Source Type: research

Temporal Trends in New Registrations for the Ontario Cleft Lip and Palate/Craniofacial Dental Program Between 2007 and 2018.
CONCLUSION: Rates in new cleft and acquired oral defects registrations were stable from 2007 to 2018. Rates in newly registered cases of craniofacial anomalies and congenital oral defects increased over the 11-year period. PMID: 32613836 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - July 2, 2020 Category: ENT & OMF Authors: Ho J, Casas M Tags: Cleft Palate Craniofac J Source Type: research

Comparison Between Treacher Collins Syndrome and Pierre Robin Sequence: A Cephalometric Study.
CONCLUSIONS: Treacher Collins syndrome presented a decreased mandible and a more severe vertical growth pattern compared to PRS. PMID: 32613853 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - July 2, 2020 Category: ENT & OMF Authors: Kato RM, Moura PP, Zechi-Ceide RM, Tonello C, Peixoto AP, Garib D Tags: Cleft Palate Craniofac J Source Type: research

Family Impact of Child Oro-Facial Cleft.
CONCLUSIONS: The FIS-SF is a valid and reliable measure for determining the impact that OFC has on family QoL. The impact of OFC on children's families differs according to cleft type. PMID: 32602353 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 30, 2020 Category: ENT & OMF Authors: Agnew CM, Page LAF, Hibbert S, Thomson WM Tags: Cleft Palate Craniofac J Source Type: research

Embryologically Based Classification Specifies Gender Differences in the Prevalence of Orofacial Cleft Subphenotypes.
CONCLUSIONS: Orofacial cleft in females mainly occur in the L-period are mostly S-palatal clefts, and are usually the result of an F-defect. Orofacial cleft in males more commonly occur in the EL-periods, are therefore more often combined PS-palatal clefts, and are more frequent D- and FD-defects. PMID: 32602363 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 30, 2020 Category: ENT & OMF Authors: Pool SMW, der Lek LMV, de Jong K, Vermeij-Keers C, Mouës-Vink CM Tags: Cleft Palate Craniofac J Source Type: research

Distinct Expression of miR-378 in Nonsyndromic Cleft Lip and/or Cleft Palate: A Cogitation of Skewed Sex Ratio in Prevalence.
CONCLUSIONS: Our findings suggest that different expression of miR-378 is consistent with the skewed sex ratio in the prevalence of NSCL/P. PMID: 32580581 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 25, 2020 Category: ENT & OMF Authors: Xu Y, Xie B, Shi J, Li J, Zhou C, Lu W, Xu F, He F Tags: Cleft Palate Craniofac J Source Type: research

Oronasal Fistula Risk After Palate Repair.
CONCLUSIONS: Two-stage surgery, surgeon, and surgeon volume were significant predictors of fistula occurrence in all children, and older age at hard palate repair was protective in those with 2-stage repair. PMID: 32573252 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 23, 2020 Category: ENT & OMF Authors: Pollard SH, Skirko JR, Dance D, Reinemer H, Yamashiro D, Lyon NF, Collingridge DS Tags: Cleft Palate Craniofac J Source Type: research

World Cleft Coalition International Treatment Program Standards.
CONCLUSIONS: Outcomes aimed to provide a working document to define core principles for safe comprehensive cleft care, while balancing various levels of resources, geographic locations, appropriately trained health care professional specialists, and training limitations. The study highlights the process and benefits to a collaborative international working group not only to establish best practice but also to solicit and engage others in discussion of their experiences with building and supporting safe, high-quality, comprehensive, sustainable, worldwide cleft care. PMID: 32573279 [PubMed - as supplied by publisher] (...
Source: The Cleft Palate-Craniofacial Journal - June 23, 2020 Category: ENT & OMF Authors: Kassam SN, Perry JL, Ayala R, Stieber E, Davies G, Hudson N, Hamdan US Tags: Cleft Palate Craniofac J Source Type: research

Expanded Analysis of a Modified Enhanced Recovery Protocol in Cleft Palatoplasty.
CONCLUSIONS: Application of ERAS to palatoplasty patients of advanced age and complexity evidenced consistency with respect to decreased perioperative narcotic administration and shortened LOS. A positive PRVP was found to be an independent predictor of RTS even when ERAS was applied. PMID: 32567352 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 22, 2020 Category: ENT & OMF Authors: Hush SE, Brady C, Soldanska M, Williams JK Tags: Cleft Palate Craniofac J Source Type: research

Optimal Outcomes Reporting (OOR): A New Value-Based Metric for Outcome Reporting Following Cleft Palate Repair.
Abstract OBJECTIVE: Palatoplasty outcome measurements vary widely among institutions. A standardized outcome metric would help provide quality benchmarks. DESIGN: Retrospective review of primary palatoplasty patients from 2007 to 2013. SETTING: Tertiary care children's hospital. MAIN OUTCOME MEASURES: We created a novel conceptual quality metric called "OOR" (Optimal Outcome Reporting). Optimal Outcome Reporting is designed to reflect the percentage of patients with cleft palate who experience the best outcomes: one operation, velar competence by age 5 years, and no unintended palatal fist...
Source: The Cleft Palate-Craniofacial Journal - June 18, 2020 Category: ENT & OMF Authors: Meara JG, Hughes CD, Sanchez K, Catallozzi L, Clark R, Kummer AW Tags: Cleft Palate Craniofac J Source Type: research

Contracted Extravelar Segments of the Levator Veli Palatini Muscle: A Magnetic Resonance Imaging Morphometric Study.
CONCLUSIONS: This study presented high-resolution data of the LVP muscle behavior with the first in vivo 3-D measurements of the contracted LVP muscle, which can be useful for the validation of computational models that aim at describing biomechanical properties of the LVP muscle in future research. The active behavior of the extravelar LVP muscle also provides some insight on optimal LVP muscle geometry to consider during cleft palate repair. PMID: 32551942 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 17, 2020 Category: ENT & OMF Authors: Bae Y, Perta K, Obert K, Kalmar E Tags: Cleft Palate Craniofac J Source Type: research

Factors Influencing Timely Preparation of Alveolar Bone Grafting: A Survey of the ACPA.
CONCLUSION: Within our survey data, there is great variability noted in factors that may potentially impact orthodontic bone graft preparation. The majority of teams felt that a case manager did or would help with this process, however, our study does not support this fact. Significant recall bias concerning the success of bone graft preparation may affect these results. PMID: 32552007 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 17, 2020 Category: ENT & OMF Authors: Jodeh DS, Pringle AJ, Crisp T, Rottgers SA Tags: Cleft Palate Craniofac J Source Type: research

About the One Hemi-Uvula Repair Technique During Palatoplasty.
Abstract This is a response to a letter replying to our paper discussing the significance of the uvula during palatoplasty and our surgical technique of uvula repair. The hemi-uvula repair technique was developed independently in our department. In our publication, we fully cited the 2 studies by Rossell-Perry et al about uvula repair and acknowledged them to be the first to publish the concept of using one hemi-uvula. Upon further study, the mistake of omitting 2 references from the list, although they were cited in the text, was found to have occurred during the transition between publishers of this journal (cor...
Source: The Cleft Palate-Craniofacial Journal - June 17, 2020 Category: ENT & OMF Authors: Elsherbiny A, Mazeed AS, Saied S, Grant JH Tags: Cleft Palate Craniofac J Source Type: research

Prevalence and Clinical Case Series of Syndromic and Nonsyndromic Cleft Lip and Palate in a Saudi Arabian Neonatal Population.
CONCLUSIONS: Prevalence rate of 0.65 per 1000 live births over 4-year period was observed at (95% CI: 0.650 [0.389-1.092]). Cleft lip with or without palate was the commonest clinical presentation. PMID: 32519557 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 10, 2020 Category: ENT & OMF Authors: Alyami B, Ali-Hassan M, Braimah R, Al-Mahri M, Alyami F, Alharieth S Tags: Cleft Palate Craniofac J Source Type: research

Prevalence of Stunting in Syrian Refugee Children With Cleft Lip and/or Cleft Palate in Time of Crisis: A Call for Intervention.
Abstract OBJECTIVE: Our study aims to compare the prevalence of stunted growth in Syrian refugee children with cleft lip and/or palate (CL±CP) to other children with CL±CP of similar socioeconomic status. DESIGN: A retrospective medical chart review. SETTING: Center for Cleft and Craniofacial Surgery at a tertiary care hospital in Lebanon in the period between January 2013 and May 2019. PATIENTS, PARTICIPANTS: One hundred three Syrian refugee children and 70 Lebanese children
Source: The Cleft Palate-Craniofacial Journal - June 5, 2020 Category: ENT & OMF Authors: Chaya BF, Chalhoub R, Jaafar R, Nahhas N, Abu-Sittah G Tags: Cleft Palate Craniofac J Source Type: research

What Is the Burden of Care of Nasoalveolar Molding?
CONCLUSION: Nasoalveolar molding has been indiscriminately associated with burden of care in the literature. Although NAM may not be the ideal treatment option for all patients and families, the physical considerations are limited when accounting for the observed psychosocial advantages. Financial burden appears to be offset, but further research is required. Teams should directly assess the impact of this early intervention on the well-being of caregivers and advance strategies that improve access to care. PMID: 32500737 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 5, 2020 Category: ENT & OMF Authors: Alfonso AR, Ramly EP, Kantar RS, Wang MM, Eisemann BS, Staffenberg DA, Shetye PR, Flores RL Tags: Cleft Palate Craniofac J Source Type: research

Pregnancy Termination in the Case of an Orofacial Cleft: An Investigation of the Concept of Reproductive Autonomy.
CONCLUSION: The recognition of each person's right to reproductive autonomy also entails that clinicians should make sure that prospective parents are provided with up-to-date and relevant clinical information. PMID: 32495649 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 4, 2020 Category: ENT & OMF Authors: Hens K, Hens G Tags: Cleft Palate Craniofac J Source Type: research

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention.
This study used eye tracking to investigate when deformity is perceived. MATERIAL AND METHODS: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants' gaze patterns were analyzed, and participants were asked if each image looked "normal" or "abnormal." RESULTS: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 &...
Source: The Cleft Palate-Craniofacial Journal - June 3, 2020 Category: ENT & OMF Authors: Pressler MP, Geisler EL, Hallac RR, Seaward JR, Kane AA Tags: Cleft Palate Craniofac J Source Type: research

True Median Cleft Lip-15 Years of Review and Prevalence.
CONCLUSION: The prevalence of the true MCL is rare which makes it hard to categorize these clefts, and the surgical protocol needs to be established for the definitive treatment. PMID: 32476501 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - June 1, 2020 Category: ENT & OMF Authors: Hamzan MI, Sulaiman WAW Tags: Cleft Palate Craniofac J Source Type: research

Assessing Performance in Simulated Cleft Palate Repair Using a Novel Video Recording Setup.
CONCLUSIONS: The cleft palate simulator can be practically implemented with video-recording capability to assess performance in cleft palate repair. This technology may be of assistance in assessing surgical competence in cleft palate repair. PMID: 32394745 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - May 14, 2020 Category: ENT & OMF Authors: Podolsky DJ, Fisher DM, Riff KWW, Zuker RM, Drake JM, Forrest CR Tags: Cleft Palate Craniofac J Source Type: research

Home and Clinical Literacy Practices for Children With Cleft Lip and Palate.
Abstract OBJECTIVE: The purpose of this study was to examine experiences and practices related to supporting literacy development and preventing reading difficulties in children with cleft lip and/or palate (CL/P). METHODS: Via online surveys, 67 respondents including 35 parents/guardians of children with CL/P and 32 speech-language pathologists (SLPs) answered questions about home literacy practices, clinical practices, and perceptions of SLPs' role in literacy. RESULTS: The variability in responses highlights both the positive contributions of parents/guardians and SLPs in supporting literacy developme...
Source: The Cleft Palate-Craniofacial Journal - May 13, 2020 Category: ENT & OMF Authors: Porod TK, Gorman BK Tags: Cleft Palate Craniofac J Source Type: research

The Psychosocial Adjustment of Children Born With a Cleft Lip and/or Palate: Cross-Sectional and Longitudinal Analyses.
CONCLUSIONS: Children aged 5 and 10 years of age born with a cleft may experience greater overall psychosocial difficulties than the general population. The domains on the SDQ on which children experience difficulty may be influenced by age and gender. Future research should focus on the specific impact of cleft-related issues, including speech, language, and hearing difficulties, on psychosocial adjustment. PMID: 32383406 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - May 8, 2020 Category: ENT & OMF Authors: Pinckston M, Dalton L, Farrar S, Hotton MT Tags: Cleft Palate Craniofac J Source Type: research

"I smile, but Without Showing My Teeth": The Lived Experience of Cleft, Lip, and Palate in Adults.
CONCLUSIONS: In retrospect, growing up with a unilateral CLP was found to have been an unquestioned part of the adult participants' childhood, a burden that they feared would, to some extent, also be passed to their own children. However, the CLP had not prevented them from achieving goals and satisfaction in life. The occurrence of persisting psychological, functional, and esthetic challenges in adults suggests the need for an individualized, lifelong, and multidisciplinary perspective on CLP follow-up. PMID: 32351124 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 30, 2020 Category: ENT & OMF Authors: Moi AL, Gjengedal H, Lybak K, Vindenes H Tags: Cleft Palate Craniofac J Source Type: research

Should Cleft Surgery Always be Performed During the Matutine Time? Analysis of Early and Late Postoperative Complications in a Cleft Center.
CONCLUSION: The number of complications was not higher in the afternoon scheduled surgeries. Surgeon expertise had a statistically significant correlation with the absence of complications (χ2 = 20.57). PMID: 32314597 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 21, 2020 Category: ENT & OMF Authors: Velez Restrepo D, Sato MH, Cardoso FS, da Silva Freitas R Tags: Cleft Palate Craniofac J Source Type: research

Obstructive Sleep Apnea Secondary to Pharyngeal Narrowing From Horizontal Donor Site Closure During Posterior Pharyngeal Flap Surgery.
Abstract The posterior pharyngeal flap is frequently the surgical intervention of choice for the correction of velopharyngeal insufficiency. Our patient initially presented for a superiorly based, posterior pharyngeal flap to correct for velopharyngeal insufficiency. However, the postoperative recovery was complicated by severe obstructive sleep apnea, which warranted division and subsequent takedown of the flap. Despite flap takedown, our patient's obstructive sleep apnea persisted. The patient's clinical course suggests that donor site closure, and not the actual pharyngeal flap, caused the persistent obstructiv...
Source: The Cleft Palate-Craniofacial Journal - April 15, 2020 Category: ENT & OMF Authors: Prabhu SS, Kiell EP, David LR, Runyan CM Tags: Cleft Palate Craniofac J Source Type: research

Applying the ICF-CY to Specialist Speech-Language Pathologists' Practice With Toddlers With Cleft Palate Speech.
CONCLUSIONS: The current study revealed strengths and challenges in categorizing practice within the ICF-CY for children with CP±L, including collaboration with parents and significant others, specificity around speech, language, and articulation, and the different types of VPI. Therefore, future discussion around how best to use the framework with children with CP±L is needed. PMID: 32292055 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 15, 2020 Category: ENT & OMF Authors: Cronin A, McLeod S, Verdon S Tags: Cleft Palate Craniofac J Source Type: research

Breastfeeding Practices Among Mothers of Children With Orofacial Clefts in an African Cohort.
CONCLUSION: Rate of initiation of breastfeeding for children with orofacial clefts in this African cohort is higher than reported in other populations despite the low level of nutritional counseling of the mothers after delivery. PMID: 32295412 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 15, 2020 Category: ENT & OMF Authors: Adekunle AA, Adamson O, James O, Ogunlewe OM, Butali A, Adeyemo WL Tags: Cleft Palate Craniofac J Source Type: research

#Cleftlip/Palate: What Is the World Talking About?
CONCLUSIONS: Charities dominate the cleft lip/palate "Twitterverse." Most tweets were self-promotional, and over a third of educational tweets were low accuracy. As the cleft social media community continues to grow, we recommend using the hashtag #cleft to reach a wider audience. PMID: 32270703 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 9, 2020 Category: ENT & OMF Authors: Hudson AS, Morzycki AD, Guilfoyle R Tags: Cleft Palate Craniofac J Source Type: research

Proposed Federal Bill to Mandate Insurance Coverage for Children With Congenital Anomalies.
Abstract The Ensuring Lasting Smiles Act was reintroduced in United States Congress in March 2019. If enacted, the bill will substantially limit private insurers' ability to deny coverage for the medically necessary treatment of congenital anomalies, including cleft palate and craniofacial anomalies. Coverage denials are currently a barrier to care for these individuals, especially for patients residing in states lacking coverage mandates. The purpose of this article is to describe the issues underlying the proposed federal legislation and provide a policy discussion to better inform cleft and craniofacial provide...
Source: The Cleft Palate-Craniofacial Journal - April 7, 2020 Category: ENT & OMF Authors: Pfeifauf KD, Snyder-Warwick AD, Patel KB Tags: Cleft Palate Craniofac J Source Type: research

Quantification of Mandibular Morphology in Pierre Robin Sequence to Optimize Mandibular Distraction Osteogenesis.
Abstract BACKGROUND: Mandibular distraction osteogenesis (MDO) is the primary surgical intervention to treat airway obstruction in Pierre Robin sequence (PRS). Current morphologic studies of PRS mandibles do not translate into providing airway management decisions. We compare mandibles of infants with nonsyndromic PRS to controls characterizing morphological variances relevant to distraction. We also examine how morphologic measurements and airway grades correlate with airway management. METHODS: Patients with PRS under 2 months old were age and sex matched to controls. Demographic and perioperative data, and...
Source: The Cleft Palate-Craniofacial Journal - April 7, 2020 Category: ENT & OMF Authors: Volk AS, Davis MJ, Narawane AM, Abu-Ghname A, Dempsey RF, Lambert EM, Tran BH, Wirthlin JO, Buchanan EP Tags: Cleft Palate Craniofac J Source Type: research

Comparison of Microbial Activity Among Infants With or Without Using Presurgical Nasoalveolar Molding Appliance.
Abstract PURPOSE: The aim of the current study is as follows: (1) to study whether wearing the presurgical nasoalveolar molding appliance (PNAM) had facilitated the establishment of Streptococcus mutans and Lactobacillus (LB) and to determine other factors including pH and caries susceptibility associated with wearing the PNAM. METHODS: Saliva samples of 61 infants (4.5 ± 2.06 months old) were collected from the following 3 groups: PNAM (n = 23), healthy (n = 30), and cleft lip and palate (CLP) without any treatment (n = 8). Saliva samples were assessed using selective agar to enumerate total LB and S ...
Source: The Cleft Palate-Craniofacial Journal - April 7, 2020 Category: ENT & OMF Authors: Hassani H, Chen JW, Zhang W, Hamra W Tags: Cleft Palate Craniofac J Source Type: research

Lexical Selectivity of 2-Year-Old Children With and Without Repaired Cleft Palate Based on Parent Report.
CONCLUSIONS: Children with repaired CP±L exhibit similar lexical selectivity relative to word initial sounds compared to noncleft TD and OM peers at 24 months of age, based on parent report. PMID: 32237993 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 2, 2020 Category: ENT & OMF Authors: Baylis A, Vallino LD, Powell J, Zajac DJ Tags: Cleft Palate Craniofac J Source Type: research

Analysis of the Intrinsic Predictors of Oronasal Fistula in Primary Cleft Palate Repair Using Intravelar Veloplasty.
CONCLUSIONS: A larger cleft width tended to increase the occurrence of fistula. Close observation and information about the higher risk of fistula formation should be given to patients with a large cleft width who underwent intravelar veloplasty. PMID: 32233782 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 1, 2020 Category: ENT & OMF Authors: Yi CR, Kang MK, Oh TS Tags: Cleft Palate Craniofac J Source Type: research

Peer Reviewer Recognition 2019.
Authors: PMID: 32157923 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 12, 2020 Category: ENT & OMF Tags: Cleft Palate Craniofac J Source Type: research

Author Disclosures.
Authors: PMID: 32148080 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 11, 2020 Category: ENT & OMF Tags: Cleft Palate Craniofac J Source Type: research

A Surgical and Educational Video of the Inferior Turbinate Mucosal Flap for the Nasal Floor and Intraoral Reconstruction in Unilateral Complete Cleft Lip Repair.
This article demonstrates a modified unilateral complete cleft lip repair using the rotation advancement principle plus multipurpose inferior turbinate mucosal flap. The accompanying videos display the 10 key steps for rationale, design, and proper execution of the inferior turbinate mucosal flap for the nasal floor and intraoral reconstruction. PMID: 32138549 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 6, 2020 Category: ENT & OMF Authors: Denadai R, Chou PY, Jung S, Sato N, Pascasio DCG, Lo LJ Tags: Cleft Palate Craniofac J Source Type: research

Assessment of Treatment Outcome of Presurgical Nasoalveolar Molding in Patients With Cleft Lip and Palate and Its Postsurgical Stability.
CONCLUSIONS: Presurgical nasoalveolar molding considerably reduces the cleft gap and improves arch form making surgical union easier along with improved nasal morphology which can be maintained at 1-year postsurgery by use of a postsurgical external nasal stent. PMID: 32116001 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - March 1, 2020 Category: ENT & OMF Authors: Bhutiani N, Tripathi T, Verma M, Bhandari PS, Rai P Tags: Cleft Palate Craniofac J Source Type: research

The Effectiveness of Palate Re-Repair for Treating Velopharyngeal Insufficiency: A Systematic Review and Meta-Analysis.
CONCLUSIONS: Palate re-repair achieves normal speech resonance in many but not all patients with VPI. Further research is needed to identify the specific examination and imaging findings that predict successful correction of VPI with re-repair. PMID: 32070129 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 19, 2020 Category: ENT & OMF Authors: Kurnik NM, Weidler EM, Lien KM, Cordero KN, Williams JL, Temkit M, Beals SP, Singh DJ, Sitzman TJ Tags: Cleft Palate Craniofac J Source Type: research

Characteristics of Neuropeptide-Containing Innervation, Tissue Remodeling, Growth, and Vascularity in Noses of Patients With Cleft Lip and Palate.
Abstract OBJECTIVE: To detect the appearance and distribution of factors regulating remodeling, innervation, growth, and vascularity of the nasal tissue affected by cleft lip and palate (CLP). DESIGN: Morphological analysis of human tissue. SETTING: Cleft and craniofacial center. PARTICIPANTS: Fifteen patients who underwent CLP rhinoplasty, 7 control patients. INTERVENTIONS: Rhinoplasty. MAIN OUTCOME MEASURES: Immunohistochemistry was performed with protein gene product (PGP) 9.5, transforming growth factor β1 (TGFβ1), vascular endothelial growth factor (VEGF), cluster of differe...
Source: The Cleft Palate-Craniofacial Journal - February 18, 2020 Category: ENT & OMF Authors: Balode E, Pilmane M Tags: Cleft Palate Craniofac J Source Type: research

Oral-Facial-Digital Syndrome Type 1: Further Clinical and Molecular Delineation in 2 New Families.
CONCLUSIONS: These new genetic variants will add to the spectrum of known OFD1 mutations associated with the OFD1 disorder. Our study also confirms the variable phenotypic presentation of OFD1 and its well-recognized association with central nervous system malformations and renal anomalies. Molecular diagnostic confirmation achieved in these families will have positive implications for their medical management. PMID: 32064904 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 17, 2020 Category: ENT & OMF Authors: Faily S, Perveen R, Chandler K, Clayton-Smith J Tags: Cleft Palate Craniofac J Source Type: research

Nepali Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcomes Instrument: VELO-Nepali.
Abstract OBJECTIVE: To translate and validate the velopharyngeal insufficiency (VPI) effects on life outcomes (VELO) instrument into Nepali, and test its internal consistency and validity. DESIGN: Quality-of-life instrument translation and validation. SETTING: Community served by Nepal's craniofacial referral hospital. PARTICIPANTS: Twenty-three postpalatoplasty children with VPI, 19 family guardians of VPI cases, and 29 non-VPI controls. INTERVENTIONS: The VELO instrument was translated to Nepali by 2 independent bilingual translators, reconciled, backward-translated, compared, and modified us...
Source: The Cleft Palate-Craniofacial Journal - February 13, 2020 Category: ENT & OMF Authors: Lindeborg MM, Shakya P, Pradhan B, Rai SK, Gurung KB, Niroula S, Rayamajhi B, Chaudhary H, Gaire B, Mahato N, Rana L, Rokaya P, Shrestha N, Shrestha R, Tamang J, Joshi HD, Gaha P, Khorja DK, Mitnick CD, Rai SM, Shaye DA Tags: Cleft Palate Craniofac J Source Type: research

A Retrospective Mixed Longitudinal Study of Tooth Formation in Children With Clefts.
Abstract OBJECTIVE: To test for systematic age changes in cleft children based on dental age. DESIGN: Retrospective case-control longitudinal study. SETTING: One orthodontic solo practice. PATIENTS: Nonsyndromic, complete cleft lip and palateCLP cases, either unilateral or bilateral (102 children; 370 radiographs), between 4 and 16 years of age. INTERVENTIONS: Children were treated with a team approach, but only orthodontic radiographs were studied. MAIN OUTCOME MEASURE: The principal outcome measure was dental age of the cleft cases compared to a sex-specific sample of phenotypically norm...
Source: The Cleft Palate-Craniofacial Journal - February 13, 2020 Category: ENT & OMF Authors: Kimbrough SB, Parris WG, Williams RA, Harris EF Tags: Cleft Palate Craniofac J Source Type: research

Impact of Completing CLEFT-Q Scales That Ask About Appearance on Children and Young Adults: An International Study.
CONCLUSION: Most participants liked completing the CLEFT-Q, but a small minority reported a negative impact. When used in clinical practice, CLEFT-Q scale scores should be examined as soon as possible after completion in order that the clinical team might identify patients who might require additional support. PMID: 32048868 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 12, 2020 Category: ENT & OMF Authors: Klassen AF, Dalton L, Goodacre TEE, Harman KE, Slator R, Tsangaris E, Courtemanche DJ, Goldstein J, Allen GC, Mahony AO, Riff KWYW Tags: Cleft Palate Craniofac J Source Type: research

Furlow Palatoplasty, Nasopharyngeal Size, and Sleep Oximetry.
CONCLUSIONS: The patients with the smaller nasopharyngeal areas presented identical PRESO and POSSO results when compared to those with larger nasopharyngeal sizes. Future studies should address the possible association between prepalatoplasty and postpalatoplasty TNAs and the occurrence of velopharyngeal deficiency later in life. PMID: 32041415 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 11, 2020 Category: ENT & OMF Authors: Gilbert F, Leclerc JE, DeschĂȘnes M, Julien AS, Grenier-Ouellette I Tags: Cleft Palate Craniofac J Source Type: research

Use of Preoperative Cervical Vascular Imaging in Patients With Velocardiofacial Syndrome and Velopharyngeal Dysfunction in the United Kingdom.
CONCLUSIONS: The results of the national survey showed no consensus on routine use of preoperative vascular imaging. Our retrospective study showed a 30% prevalence of medialized ICAs in our patient cohort. In these patients, the MRA findings influenced the choice of speech surgery. PMID: 32041422 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 11, 2020 Category: ENT & OMF Authors: Fallico N, Timoney N, Atherton D Tags: Cleft Palate Craniofac J Source Type: research

Parental Judgement of Hearing Loss in Infants With Cleft Palate.
CONCLUSIONS: It is helpful to be aware of parental concern and clinicians should consider that parental reports may not be accurately reflected by test results. As cleft type was not found to substantially influence middle ear status or hearing it is not recommended to adapt speech and language advice offered to families according to cleft type. Follow-up studies to increase participant numbers would support a statistical analysis. PMID: 32013560 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 4, 2020 Category: ENT & OMF Authors: McAndrew L Tags: Cleft Palate Craniofac J Source Type: research

Partial Suture Fusion in Nonsyndromic Single-Suture Craniosynostosis.
In this study, we evaluate patients with nonsyndromic single-suture synostosis. We aim to define the incidence of partial versus complete suture fusion and whether a correlation exists between the degree of suture fusion and age. METHODS: Two hundred fifty-four patients with nonsyndromic single-suture synostosis were evaluated. Preoperative computed tomography (CT) scans were rendered in 3-dimensions, all sutures were visualized and assessed for patency or fusion, and length of fusion was measured. Findings were grouped according to suture type (sagittal, coronal, metopic, or lambdoid), the degree of fusion (full,>...
Source: The Cleft Palate-Craniofacial Journal - February 4, 2020 Category: ENT & OMF Authors: Boyajian MK, Al-Samkari H, Nguyen DC, Naidoo S, Woo AS Tags: Cleft Palate Craniofac J Source Type: research

Novel Passage of Dermis-Fat Graft for Augmentation of Vermilion Deficiency Following Cleft Lip Repair.
Abstract Despite timely repair of cleft lip, secondary deformities such as vermilion notching or "whistle deformity" often require further surgical treatment. The use of dermis-fat graft for soft tissue augmentation of the upper lip is an established technique. We propose an innovation on this technique, by which the dermis-fat graft can be placed reliably and with minimal dissection by use of a soft red rubber sheath to protect the Keith needle while delivering the graft through the submucosal pocket in the dry vermilion, thereby avoiding the needle inadvertently catching soft tissue inside the pocket. ...
Source: The Cleft Palate-Craniofacial Journal - January 30, 2020 Category: ENT & OMF Authors: Sasson DC, Turin SY, Gosain AK Tags: Cleft Palate Craniofac J Source Type: research

Patient-Centered Satisfaction After Secondary Correction of the Cleft Lip and Nasal Defect.
CONCLUSIONS: Secondary revision procedures of the cleft lip and nasal defect provide a patient-reported improvement in appearance and a positive psychosocial impact on patient's lives. PMID: 31983238 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - January 27, 2020 Category: ENT & OMF Authors: Rothermel A, Loloi J, Long RE, Samson T Tags: Cleft Palate Craniofac J Source Type: research

Defining Risk of Postoperative Obstructive Sleep Apnea in Patients With 22q11.2DS Undergoing Pharyngeal Flap Surgery for Velopharyngeal Dysfunction Using Polysomnographic Evaluation.
CONCLUSIONS: Patients with 22q11.2DS are medically complex and are at increased risk of OSA at baseline. Wide PPF surgery for severe VPD does not significantly increase risk of OSA. Careful perioperative planning is essential to optimize both speech and sleep outcomes. PMID: 31973553 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - January 24, 2020 Category: ENT & OMF Authors: Lee A, Chang BL, Solot C, Crowley TB, Vemulapalli V, McDonald-McGinn DM, Maguire MA, Mason TBA, Elden L, Cielo CM, Jackson OA Tags: Cleft Palate Craniofac J Source Type: research