Cleft Palate-Craniofacial Journal最新文献

{"title":"Graft Outcomes With or Without Use of Cortical Bone Graft for Nasal Floor Reconstruction in Unilateral Cleft Lip and Palate.","authors":"Jean-Charles Doucet, Amr Alsabbagh, Scott Martyna, Ana M Mercado, John Daskalogiannakis, Ronald R Hathaway, Ross E Long, Kathy A Russell","doi":"10.1177/10556656251322619","DOIUrl":"https://doi.org/10.1177/10556656251322619","url":null,"abstract":"<p><p><i>Objective</i>Evaluate the use of cortical bone grafts (CBGs) for nasal floor reconstruction on alveolar bone graft (ABG) outcomes in unilateral cleft lip and palate (UCLP).<i>Design</i>Retrospective cohort study.<i>Setting</i>North-American cleft centers.<i>Subjects</i>Fifty-three children with nonsyndromic UCLP treated with secondary ABG.<i>Methods</i>Center 1 (<i>n</i> = 23) utilized CBG for nasal floor reconstruction, while Centers 2 (<i>n</i> = 10), 3 (<i>n</i> = 10), and 4 (<i>n</i> = 10) did not. Occlusal radiographs, taken 6 to 18 months after ABG, were assessed by 6 calibrated raters using the Standardized Way to Assess Grafts (SWAG) Scale. Weighted kappa statistics measured intra and interrater reliabilities. SWAG scores comparisons in the apical, middle, and coronal thirds of the alveolar cleft were conducted between the centers. The Kruskal-Wallis test was used to determine significant differences, with a <i>P</i>-value of <.05 considered statistically significant.<i>Results</i>Intrarater reliability was very good (κ = 0.858), and interrater reliabilities were good (κ = 0.717). Significant differences were initially found in overall SWAG scores across centers (<i>P</i> = .003), with Center 1 achieving the highest mean overall SWAG score (5.16 ± 0.99) compared to Centers 2, 3, and 4 (4.48 ± 1.37, 4.58 ± 1.44, and 3.72 ± 0.65, respectively). Center 4 exhibited statistically significant lower scores compared to Centers1, 2, and 3, and was excluded from secondary analyses. After exclusion, no significant differences remained among Centers1, 2, and 3 (<i>P</i> = .135) for overall SWAG scores or apical third SWAG scores (where CBG is inserted). No significant differences were observed in the middle (<i>P</i> = .055) or coronal (<i>P</i> = .131) thirds across centers.<i>Conclusions</i>CBG in secondary ABG procedures for CUCLP patients showed outcomes comparable to cancellous-only grafts, with a trend toward improved apical scores in CBG-treated patients.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251322619"},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presurgical Infant Orthopedics Appliance in Complex Craniofacial Deformity Involving Complete Cleft Lip and Palate Patients: A Case Series.","authors":"Adi Basuki, Prasetyanugraheni Kreshanti, Julieta Pancawati, Jasmine Athiyya Wibowo, Roberto L Flores, Kristaninta Bangun","doi":"10.1177/10556656251316753","DOIUrl":"https://doi.org/10.1177/10556656251316753","url":null,"abstract":"<p><p>Tessier facial clefts are rare congenital abnormalities and among the most challenging deformities treated by craniofacial surgeons. Despite various surgical interventions, treatment outcomes remain limited, resulting in a higher burden of care and lower quality of life. PreSurgical Infant Orthopedics (PSIO) has shown benefits in cleft care, but its application to Tessier clefts is underreported. This report assesses the long-term surgical outcomes of 3 patients with Tessier clefts who underwent PSIO. The cleft width and premaxilla reduction were observed in all 3 patients.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251316753"},"PeriodicalIF":1.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Cheiloplasty and Palatoplasty on the Quality of Life of Children With Cleft Lip and Palate.","authors":"Gabriela Bohneberger, Natasha Magro Ernica","doi":"10.1177/10556656251328089","DOIUrl":"https://doi.org/10.1177/10556656251328089","url":null,"abstract":"<p><p><i>Objective</i>To assess the quality of life of parents of patients with cleft lip and/or palate (CL/P) undergoing cheiloplasty or palatoplasty in the pre and/or postoperative periods.<i>Design</i>This is a mixed method study. The sample consisted of parents/guardians of non-syndromic patients with CL/P undergoing treatment in the University Hospital of Western Paraná in Brazil. Data were collected from February 2022 to December 2023 and included demographic information, the Impact on Family Scale (33 items) to assess quality of life, and semi-structured interviews, followed by content analysis.<i>Results</i>Caregivers' (N = 116) quality of life was generally in the middle to high range and similar across pre and postoperative time points. The most frequent topics identified in interviews were financial difficulties, time required for childcare, esthetic concerns, feeding, phonation, and integration of children into social environments with improvements reported after surgeries.<i>Conclusion</i>Quality of life of caregivers was similar across pre and postoperative periods and content analysis highlighted improvements in psychosocial and functional aspects. Early follow-up with specialized services is recommended to improve the quality of life of caregivers of children with CL/P.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251328089"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cephalometric Assessment of Sella Turcica Morphology and Dimensions in Patients with Non-Syndromic Cleft Lip and Palate: A Systematic Review and Meta-Analysis.","authors":"Hamza Parvez Siddiqui, Karthik Sennimalai, Madhanraj Selvaraj, Vilas D Samrit, Abhijeet Jaiswal","doi":"10.1177/10556656251327024","DOIUrl":"https://doi.org/10.1177/10556656251327024","url":null,"abstract":"<p><p>ObjectiveThis review aimed to analyze the size and morphology of the Sella Turcica (ST) in 2-dimensional cephalometric radiographs of individuals with non-syndromic cleft lip and or palate (CLP/CP) compared with non-cleft individuals.MethodsA comprehensive search of multiple electronic databases was conducted without language and date restrictions until October 12, 2024. Studies were included that assessed ST dimensions in lateral cephalograms and compared the patients with non-syndromic CLP or CP and non-cleft individuals. The studies' quality assessment was assessed using the JBI case-control guidelines and the Anatomical Quality Assurance checklist. Quantitative analysis was performed using the random-effects meta-analysis model. The GRADE approach was employed to evaluate the certainty of evidence.ResultsOut of 1087 studies, 10 met the inclusion criteria, and 6 were included in the quantitative analysis. Of all, 7 studies were rated moderate, 2 low, and 1 high quality. Unilateral CLP (UCLP) cohort showed statistically significant smaller dimensions for length (MD = -1.22; 95% CI: -2.21, -0.24), depth (MD = -0.65; 95% CI: -1.41, -0.11), and area (MD = -4.75; 95% CI: -7.22, -2.28) and the odds of ST bridging were more than twice compared to non-cleft control. No significant differences were observed in ST dimensions in bilateral CLP versus non-Cleft and UCLP.ConclusionThe evidence of differences in ST dimensions between non-cleft individuals and patients with UCLP is weak, owing to a greater risk of bias resulting from inadequate reporting of design variability, participant demographics, and measurement methods. Future studies with better methodology and larger sample sizes are needed.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251327024"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Impact of a Cleft Camp in Aotearoa New Zealand on Sociability, Self-Esteem, and Confidence.","authors":"Kenny Ardouin, Nicola Stock, Tika Ormond, Phoebe Macrae","doi":"10.1177/10556656251329297","DOIUrl":"https://doi.org/10.1177/10556656251329297","url":null,"abstract":"<p><p>ObjectiveAlthough camps have been offered previously for cleft and craniofacial conditions, few have been evaluated empirically. This study sought to determine whether a community-led camp peer support event led to improved sociability and self-esteem among camp attendees.DesignA mixed methods study was employed. Standardized measures were administered prior to camp, immediately after camp, and 2 weeks after returning home from camp. Qualitative data were collected using focus groups on the final day of camp.SettingA nationwide 3-day camp in Auckland, New Zealand, organized in partnership between the University of Canterbury and Cleft New Zealand.ParticipantsTwenty-seven people with cleft aged 10 to 18 attended the camp, of whom, 22 participated in the research study.Main Outcome MeasuresThe Rosenburg Self-Esteem Scale, Harter Sociability Scale, and Body Image Life Disengagement Questionnaire were analyzed using descriptive statistics and <i>t</i> tests to compare data across timepoints and to normative data. Focus group data were analyzed using conventional content analysis.ResultsMany camp participants were already well-adjusted prior to camp and therefore did not demonstrate improvements in quantitative measures over time. Contrastingly, those who scored below the norm at baseline demonstrated significant gains in self-esteem and sociability. Focus group data demonstrated that people felt less isolated, more confident, and more knowledgeable about cleft after attending camp.ConclusionsResidential camps for youth with cleft offer a valuable peer support experience and can result in measurable benefits to young people's sociability and self-esteem, alongside qualitatively reported gains. Offering cleft and craniofacial camps as part of a comprehensive youth program is indicated.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251329297"},"PeriodicalIF":1.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Pandemic-Related Social Restrictions on Language and Speech Development in Children with Cleft Lip and/or Palate at 18-24 Months.","authors":"Amy Davies, Lucy Southby, Sharon Baker, Helen Extence, Neil Brierley, Yvonne Wren","doi":"10.1177/10556656251328843","DOIUrl":"https://doi.org/10.1177/10556656251328843","url":null,"abstract":"<p><p><i>Objective</i>Determine if early speech and language development in children born with cleft lip and/or palate (CL/P) was impacted by social restrictions during the COVID-19 pandemic.<i>Design</i>Cohort study using data from The Cleft Collective.<i>Participants</i>Children with CL/P whose first 18-24 months were before the pandemic compared to children whose first 18-24 months were impacted by the pandemic.<i>Measures</i>Primary outcome: parental reported Ages and Stages Questionnaire-Third Edition (ASQ-3). Secondary outcomes: 18- to 24-month speech and language therapy (SLT) assessment location; ability to judge velopharyngeal function for speech; SLT judged-expressive language and consonant inventory size for children with a cleft palate. Analyses adjusted for confounders.<i>Results</i>We found no statistical evidence to suggest a difference in ASQ-3 communication (n = 631; OR_adjusted 0.96; 95% CIs 0.533, 1.742; <i>P</i> = 0.902), SLT judgements of expressive language (n = 175; OR_adjusted 0.66; 95% CIs 0.224, 1.947; <i>P</i> = 0.452), or consonant inventory size at age 18-24 months (n = 186; IRR_adjusted 0.98; 95% CIs 0.775, 1.249; <i>P</i> = 0.896) between pre-pandemic and pandemic impacted groups. There was weak statistical evidence of an association between virtual appointments and SLT being unable to rate features of velopharyngeal function for speech (OR_adjusted 3.54; 95%CIs 0.849, 14.755; <i>P</i> = 0.083).<i>Conclusions</i>No statistical evidence of an association between exposure to pandemic-related social restrictions and early language development or consonant inventory size at age 18-24 months. Small sample sizes, variation in the pandemic impacted groups, and limitations of the measures should be considered when interpreting the findings. Further work is required to further examine the use of virtual appointments for speech assessment.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251328843"},"PeriodicalIF":1.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited Sessions at ACPA's 2025 Annual Meeting.","authors":"","doi":"10.1177/10556656251324460","DOIUrl":"https://doi.org/10.1177/10556656251324460","url":null,"abstract":"","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251324460"},"PeriodicalIF":1.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Review and Meta-Analysis on Altered Brain Structure in Patients Born with Non-Syndromic Cleft Lip and/or Palate.","authors":"N N Homoud, A J Ireland, M Sherriff, Z AlSaffar, A J V Davies, J R Sandy","doi":"10.1177/10556656251327526","DOIUrl":"https://doi.org/10.1177/10556656251327526","url":null,"abstract":"<p><p>ObjectiveTo determine if there is evidence for a relationship between the presence of a non-syndromic cleft lip and/or palate (NSCL/P) and altered brain structure in cleft affected individuals.DesignElectronic database (MEDLINE; EMBASE; Cochrane library) and manual searches were performed and were limited to English language texts published between 1st of January 1969 until 1st of June 2024. Data extraction and risk of bias assessment were carried out independently by two reviewers. A meta-analysis on 9 publications was performed using a random effects model.Main outcome measureComparison of brain structure between patients born with cleft lip and/or palate and unaffected healthy individuals.ResultsThe review identified 11 studies, of which 9 were included in the meta-analysis. The latter comprised 398 individuals with NSCL/P compared to 458 unaffected controls. There was statistical evidence to suggest a reduction in the overall intracranial volume and the total cerebellar volume in the NSCL/P cases compared to the controls (Hedges' <i>g</i> and 95% confidence intervals: -0.36 [95% CI: -0.65, -0.08] and -0.69 [95% CI: -0.84, -0.53], respectively). For the cortical gray matter, straight gyrus, and total cerebral volume, there was no statistical evidence to suggest a difference between the NSCL/P cases and the controls.ConclusionIn individuals with NSCL/P, the overall intracranial volume and the total cerebellar volume were both smaller than in unaffected controls.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251327526"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Virtual Reality Simulator for Cleft Palate Surgery Training: An Assessment of Educational Feasibility and Traction Among Plastic Surgery Residents.","authors":"Leya Groysman, Matteo Laspro, Allison L Diaz, Gregory Dorsainville, Aaron Oliker, Anne Arnold, Liliana Camison, Roberto L Flores","doi":"10.1177/10556656251328789","DOIUrl":"https://doi.org/10.1177/10556656251328789","url":null,"abstract":"<p><p>ObjectiveTo evaluate learners' acceptance of multiuser virtual reality (VR) simulation platform while practicing the Furlow repair technique for cleft palate reconstruction.DesignNonrandomized with pre- and postsurveys.SettingTertiary care institution's Department of Surgery September 2023 through August 2024.ParticipantsTwenty plastic surgery residents from level PGY1 to PGY6 from a single institution.InterventionsMultiuser Meta Quest 2 VR simulation-based workshop with an expert surgeon demonstrating a Furlow cleft palate repair. Feedback included audio and visual.Main outcome measuresLearner confidence in using VR as a tool for surgical education, understanding of the Furlow technique, and opinion regarding the incorporation of VR into surgical and medical education. Satisfaction as measured by the Student Evaluation of Educational Quality questionnaire survey with a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree).Results20 residents participated in this study, of which 65% had previously participated in a cleft palate repair and 40% had used VR. After the simulation, trainees' confidence in using VR as a tool for surgical education, understanding of the Furlow technique, and opinion regarding the incorporation of VR into surgical and medical education significantly increased (<i>P</i> < .05). Trainees found the simulation stimulating (4.85 ± 0.67), interesting (4.45 ± 0.83), clear (4.60 ± 0.82), an effective teaching tool (4.75 ± 0.44) and would recommend it to others (4.90 ± 0.31). Participants reported that they would feel somewhat comfortable repeating the simulation alone (3.95 ± 1.05).ConclusionMultiuser VR-based simulation workshops can significantly increase learners' confidence and skills in the Furlow technique and promote positive opinions regarding VR as an educational tool. Learners considered this platform effective and stimulating and would recommend it as an educational tool.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251328789"},"PeriodicalIF":1.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Risk Factors of Obstructive Sleep Apnea in Patients With Complete Cleft Lip and Palate in the Northeastern Thailand.","authors":"Wanchaloem Theprungsirikul, Aggasit Manosudprasit, Supanigar Ruangsri, Supawan Laohasiriwong, Rajda Chaichit, Amornrut Manosudprasit","doi":"10.1177/10556656251327881","DOIUrl":"https://doi.org/10.1177/10556656251327881","url":null,"abstract":"<p><p>ObjectiveTo evaluate the prevalence of obstructive sleep apnea (OSA) in patients with nonsyndromic unilateral complete cleft lip and palate (UCLP) and to study the associations between contributing factors and OSA.DesignProspective study adopting pediatric sleep questionnaire (PSQ) and portable polysomnography (PSG) in patients at high risk of OSA.SettingTawanchai Cleft Center, Khon Kaen University.PatientsPatients aged 7 to 15 years with nonsyndromic UCLP.Main Outcome MeasureA PSQ score ≥8 was positive for OSA risk. Potential contributing factors included sex, weight for height, Friedman tongue position, tonsil grading, dental occlusion, transverse discrepancy, daytime sleepiness, quality of life, and pharyngeal airway.ResultsThe study population comprised 102 participants (mean age, 9.67 years). Nine (8.8%) patients had a high risk of OSA, based on PSQ results. On PSG, 7 (77.8%) patients had mild OSA and 2 (22.2%) patients had moderate OSA. The mean respiratory event index (REI) was 3.47 ± 1.65 events/h. OSA severity and contributing factors were not correlated. The minimal cross-sectional area and total airway volume showed a moderate negative correlation, with significant alterations observed at the oropharyngeal level. Reduced dimensions correlated with increased OSA severity at the oropharyngeal level, as demonstrated by a moderate negative correlation with REI.ConclusionsOSA risk among patients with UCLP was 8.8%. While this rate may seem moderate relative to that of the general population, it indicates that patients with UCLP have an inherent predisposition to OSA. This highlights the importance of comprehensive management, including PSQ screening, evidence-based counseling, and appropriate specialist referrals.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251327881"},"PeriodicalIF":1.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}