Cleft Palate-Craniofacial Journal最新文献

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Current Ear and Hearing Care Practices for Infants and Toddlers with Cleft Palate in the United States. 美国腭裂婴幼儿的耳科和听力护理现状。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-11-01 Epub Date: 2024-10-08 DOI: 10.1177/10556656241283535
Ursula M Findlen, Anna Meehan, Gregory Allen, Deborah S F Kacmarynski, Jonathan Grischkan, Emily C Nightengale, Lauren C Alexander, Sarah Hatch Pollard, Adriane L Baylis
{"title":"Current Ear and Hearing Care Practices for Infants and Toddlers with Cleft Palate in the United States.","authors":"Ursula M Findlen, Anna Meehan, Gregory Allen, Deborah S F Kacmarynski, Jonathan Grischkan, Emily C Nightengale, Lauren C Alexander, Sarah Hatch Pollard, Adriane L Baylis","doi":"10.1177/10556656241283535","DOIUrl":"10.1177/10556656241283535","url":null,"abstract":"<p><p>ObjectiveTo examine ear and hearing clinical practices across American Cleft Palate-Craniofacial Association (ACPA) approved teams in the United States.DesignMulti-site prospective, observational, longitudinal study.SettingSeventeen Cleft Palate Teams in the United States.Patients, ParticipantsChildren with cleft palate, with or without cleft lip (CP ± L), born between 2015 and 2022, evaluated by 18 months (n = 1246).InterventionsNone.Main Outcome Measure(s)Standard of care otolaryngology and audiology appointments evaluated in the context of whether otolaryngology and audiology services were provided as embedded care within the team visit or as ancillary services.ResultsOver 71% of infants passed newborn hearing screening (NBHS). By age 18 months, only 40% of infants received audiologic follow-up while 93.6% of children received otolaryngology care. Follow-up was significantly better for infants served by teams with embedded providers versus those who refer families for ancillary services; the odds of seeing an audiologist by 18 months were three times as high among participants seen by teams with embedded audiology (OR = 3.25; CI = 2.0, 5.2) while those seen by teams with embedded otolaryngologists had more than double the odds of seeing an otolaryngologist by 18 months (OR = 2.2; CI = 1.5, 3.2).ConclusionsThere is considerable variability across ACPA-approved centers in the US regarding the timing and completion of otolaryngology and audiologic follow-up for children with CP ± L. This study highlights the importance of following established standards of care and the impact that team composition and access to clinical services can have on equity of care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1910-1918"},"PeriodicalIF":1.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394648","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}
引用次数: 0
Development of a Core Outcome Set for the Audit of Cleft Care in Malaysia. 发展的核心成果集的审计唇裂护理在马来西亚。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-11-01 Epub Date: 2025-02-27 DOI: 10.1177/10556656241285808
Al Imran Shahrul, Nik Mukhriz Nik Mustapha, Mas Suryalis Ahmad, O P Kharbanda, Aida Nur Ashikin Abd Rahman
{"title":"Development of a Core Outcome Set for the Audit of Cleft Care in Malaysia.","authors":"Al Imran Shahrul, Nik Mukhriz Nik Mustapha, Mas Suryalis Ahmad, O P Kharbanda, Aida Nur Ashikin Abd Rahman","doi":"10.1177/10556656241285808","DOIUrl":"10.1177/10556656241285808","url":null,"abstract":"<p><p>ObjectiveTo develop a core outcome set for the audit of cleft care in Malaysia.DesignTo generate a core outcome set for patients dealing with cleft lip and/or palate within Malaysia, a combination of scholarly research reviews and consensus-driven methodologies, such as questionnaires and collaborative discussions, were utilized to guide the development process.SettingMulticenter study. Feedback obtains via face-to-face and online interaction.ParticipantsCleft Clinicians, Cleft Lip and Palate Association of Malaysia members, hospitals, and government bodies personal.Main Outcome MeasureParticipants provide their feedback and suggestions of each outcome measure.ResultsThrough a deliberative process, agreement was established on a uniform set of outcome measures selected from an initial list of 108 potential outcomes. These agreed-upon measures were classified into 12 primary domains: demographic, cleft detail, pregnancy, general pediatric, otolaryngology/audiology, speech, surgical, orthodontics, pediatric dentistry, radiology, photographs, and study models.ConclusionA specialized core outcome set has been successfully developed for patients with cleft lip and/or palate, aiming to facilitate its implementation within the Malaysian healthcare system.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1842-1851"},"PeriodicalIF":1.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525108","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}
引用次数: 0
AI-based Cleft Lip and Palate Surgical Information is Preferred by Both Plastic Surgeons and Patients: Comment. 基于人工智能的唇腭裂手术信息受到整形外科医生和患者的青睐:评论。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-11-01 Epub Date: 2024-08-16 DOI: 10.1177/10556656241277435
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"AI-based Cleft Lip and Palate Surgical Information is Preferred by Both Plastic Surgeons and Patients: Comment.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1177/10556656241277435","DOIUrl":"10.1177/10556656241277435","url":null,"abstract":"","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1992"},"PeriodicalIF":1.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989214","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}
引用次数: 0
Postoperative Feeding in Cleft Surgery: A Systematic Review. 裂隙手术的术后喂养:系统回顾
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-11-01 Epub Date: 2024-09-09 DOI: 10.1177/10556656241283186
Patricia Fuentes, Soroush Farsi, Jose A Garcia, Wassim Najjar, Adam Johnson, Usama Hamdan
{"title":"Postoperative Feeding in Cleft Surgery: A Systematic Review.","authors":"Patricia Fuentes, Soroush Farsi, Jose A Garcia, Wassim Najjar, Adam Johnson, Usama Hamdan","doi":"10.1177/10556656241283186","DOIUrl":"10.1177/10556656241283186","url":null,"abstract":"<p><p>IntroductionPostoperative feeding is crucial for the recovery of children after cleft surgery. The literature outlines diverse feeding methods with varying recommendations on the duration of non-nipple feeding postsurgery. This study aims to explore reported postoperative feeding modalities for infants undergoing primary cleft lip/palate repair, concentrating on their influence on feeding improvement and complication reduction.MethodsPubMed, Cochrane, and Web of Science databases were queried for original English articles without any date restrictions. This review was conducted in accordance with the 2020 PRISMA. The MINORS criteria was used to assess quality of studies.ResultsOf 696 abstracts, 9 full-text articles were included, consisting of 459 children with cleft lip (n = 221) & cleft lip/palate (n = 238). Feeding modalities included bottle, breastfeeding, spoon, syringe, and nasogastric tube. Two studies found a significant increase in weight with breastfeeding compared to spoon or cup. Two studies found partial wound dehiscence using spoons, and two studies reported dehiscence using bottles. Post-palatoplasty, two studies showed a decrease in hospital stay in infants breastfed (2.1 & 5.8 days) vs spoon-fed (6 days). Analgesia was reduced in the breastfed group vs spoon/nasogastric tube.ConclusionThis review highlights the importance of postoperative feeding in the recovery of infants with cleft lip/palate. Evidence suggests that breastfeeding may offer advantages in terms of weight gain and reduced hospital stay, while potentially minimizing the need for postoperative analgesia. The limited number of studies and variability in their outcomes underscore the need for further research to establish evidence-based guidelines for postoperative feeding.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1901-1909"},"PeriodicalIF":1.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156460","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}
引用次数: 0
Impact of Vomer Flap on Nutritional Status in Infants With Cleft Lip and Palate: A Multicenter Retrospective Cohort Study. 腭瓣对唇腭裂婴儿营养状况的影响:一项多中心回顾性队列研究。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-09 DOI: 10.1177/10556656251385010
Sofia Bachini, Robin Delnoij, Edith Visser, Chantal Moues-Vink, Corstiaan C Breugem
{"title":"Impact of Vomer Flap on Nutritional Status in Infants With Cleft Lip and Palate: A Multicenter Retrospective Cohort Study.","authors":"Sofia Bachini, Robin Delnoij, Edith Visser, Chantal Moues-Vink, Corstiaan C Breugem","doi":"10.1177/10556656251385010","DOIUrl":"https://doi.org/10.1177/10556656251385010","url":null,"abstract":"<p><p><i>Objective</i>To determine the effect of early hard palate closure by means of a Vomer flap (VF) on the nutritional status of children with cleft lip and palate.<i>Design</i>Multicenter retrospective cohort study.<i>Setting</i>Three referral centers for oral clefts.<i>Patients, Participants</i>Nonsyndromic children with UCLP or BCLP.<i>Interventions:</i> Early hard palate closure with a VF at cheiloplasty around 3 months versus isolated cheiloplasty, both followed by palatoplasty around 9 to 10 months.<i>Main Outcome Measure(s)</i>Anthropometric measures (weight and height) and related weight-for-age and height-for-age Z-scores at the time of cheiloplasty and palatoplasty.<i>Results</i>Between 2012 and 2024, 122 children with UCLP or BCLP underwent cleft repair surgery. Median age at cheiloplasty was 111 (99-126) days and 304 (284-342) at palatoplasty. In 60% of them (n = 73), a VF was performed simultaneously with cheiloplasty. Weight increase between cheiloplasty and palatoplasty was slightly more for the VF group compared to the control group by 0.24 kg (SE = 0.15, <i>P</i> = .13). No height difference was measured between the groups (<i>P</i> = .80). Z-score variation between cheiloplasty and palatoplasty was significantly different for all study groups, indicating a strong normalization of the growth curve after cheiloplasty (<i>P</i> < .001).<i>Conclusions</i>Early hard palate closure using a VF may favor growth in children with cleft lip and palate. The deviation from the normative growth curve of infants decreases significantly between cheiloplasty and palatoplasty, regardless of whether a VF was performed.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251385010"},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259732","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}
引用次数: 0
Analysis of Research Trends in Cleft Lip and Palate: A Topic Modeling Study. 唇腭裂研究趋势分析:主题建模研究。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-09 DOI: 10.1177/10556656251384747
Ruşen Erdem, Burkay Moroğlu, Nurbanu Moroğlu, Yavuz Selim Genç, Ahmet Yıldırım
{"title":"Analysis of Research Trends in Cleft Lip and Palate: A Topic Modeling Study.","authors":"Ruşen Erdem, Burkay Moroğlu, Nurbanu Moroğlu, Yavuz Selim Genç, Ahmet Yıldırım","doi":"10.1177/10556656251384747","DOIUrl":"https://doi.org/10.1177/10556656251384747","url":null,"abstract":"<p><p>ObjectiveThe objective of this study was to systematically analyze the cleft lip and/or palate (CL/P) literature published between 2000 and 2025 to identify dominant research themes, temporal trends, and potential gaps by applying a natural language processing-based topic modeling approach.DesignWe analyzed articles retrieved from the Scopus database and identified thematic clusters using the BERTopic algorithm, which integrates BERT embeddings, Uniform Manifold Approximation and Projection dimensionality reduction, and Hierarchical Density-Based Spatial Clustering of Applications with Noise clustering.SettingThis study exclusively examined articles related to CL/P.Patients/ParticipantsThis study involved no patients or participants.InterventionsNot applicable as this is a BERTopic-based analysis.Main Outcome MeasuresOutcomes included identifying dominant research topics, trend analysis, distribution across countries and journals, and classifying topics as \"hot\" or \"cold\" based on temporal trends.ResultsWe identified 29 thematic clusters. The most common topics included \"Velopharyngeal Dysfunction and Fistula Repair,\" \"Nonsyndromic Cleft Lip and Palate and Genetic Associations,\" and \"Unilateral Cleft Lip and Palate and Maxillofacial Asymmetry.\" \"Quality of Life and Psychosocial Impact in Children,\" \"Surgical Repair Approaches,\" and \"Presurgical Nasoalveolar Molding Techniques\" emerged as \"hot topics.\" The United States led in publication volume, while certain topics dominated in specific countries. The <i>Cleft Palate-Craniofacial Journal</i> published the most articles.ConclusionsThis study provides a comprehensive thematic map of CL/P research, highlighting strengths and underexplored areas. BERTopic offers an efficient, scalable method for analyzing large-scale scientific literature and identifying future research priorities.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251384747"},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259740","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}
引用次数: 0
Three-Dimensional Pharyngeal Airway Changes After Anterior Maxillary Distraction and Conventional Maxillary Distraction in Patients With Unilateral Cleft Lip and Palate. 单侧唇腭裂患者上颌前撑开与常规上颌撑开后三维咽气道的改变。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-09 DOI: 10.1177/10556656251384709
Harini Asokan, Sanjeev Verma, Vinay Kumar, Raj Kumar Verma, Satinder Pal Singh
{"title":"Three-Dimensional Pharyngeal Airway Changes After Anterior Maxillary Distraction and Conventional Maxillary Distraction in Patients With Unilateral Cleft Lip and Palate.","authors":"Harini Asokan, Sanjeev Verma, Vinay Kumar, Raj Kumar Verma, Satinder Pal Singh","doi":"10.1177/10556656251384709","DOIUrl":"https://doi.org/10.1177/10556656251384709","url":null,"abstract":"<p><p>ObjectiveTo compare pharyngeal airway changes after anterior maxillary distraction and conventional maxillary distraction in patients with unilateral cleft lip and palate (UCLP).DesignRetrospective study.SettingTertiary care medical center for cleft care.PatientsA total of 20 patients with UCLP and hypoplastic maxilla were selected.InterventionGroup 1 (n = 10): Anterior Maxillary Distraction, Group 2 (n = 10): Conventional maxillary distraction.Outcome MeasuresThe primary outcomes assessed on pre- and postsurgical cone beam computed tomography were changes in the nasopharyngeal, oropharyngeal, and total pharyngeal airway area and volume, as well as the minimal axial area. These 2 distraction techniques were compared for their impact on upper airway dimensions.ResultsIn Group 1, the nasopharyngeal area increased significantly by 43.60 mm<sup>2</sup>, and the oropharyngeal area decreased by 40.80 mm<sup>2</sup>. There were no significant changes in the volume and area of all the other pharyngeal parameters. In Group 2, the nasopharyngeal area and volume increased by 202.70 mm<sup>2</sup> and 5.0 cm<sup>3</sup>, respectively, the oropharyngeal area and volume increased by 176.20 mm<sup>2</sup> and 7.9 cm<sup>3</sup>, respectively, the total pharyngeal area and volume increased by 380.50 mm<sup>2</sup> and 14.0 cm<sup>3</sup>, respectively, and the minimal axial area increased by 133.50 mm<sup>2</sup>.ConclusionAnterior maxillary distraction had a negligible impact on the pharyngeal airway compared to conventional distraction. The choice between these 2 interventions should also take into consideration associated comorbidities related to pharyngeal airway and speech.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251384709"},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259688","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}
引用次数: 0
Novel Quantification of the Levator Veli Palatini for Cleft Palate Repair via Intraoperative MRI. 术中MRI对腭裂修复中提腭Veli的定量分析。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-03 DOI: 10.1177/10556656251382525
Leticia Lenkiu, Tiffany Lee, Adrian Osias, Hannah Brown, William Cobb, Robert Mann, Jamie Perry, Rajendra Sawh-Martinez
{"title":"Novel Quantification of the Levator Veli Palatini for Cleft Palate Repair via Intraoperative MRI.","authors":"Leticia Lenkiu, Tiffany Lee, Adrian Osias, Hannah Brown, William Cobb, Robert Mann, Jamie Perry, Rajendra Sawh-Martinez","doi":"10.1177/10556656251382525","DOIUrl":"https://doi.org/10.1177/10556656251382525","url":null,"abstract":"<p><p>We present the novel use of intraoperative magnetic resonance imaging (MRI) to evaluate cleft palate morphology and levator veli palatini (LVP) anatomy immediately before and after palatoplasty. A 4-year-old with Robin Sequence and a large palatal fistula underwent secondary repair with intraoperative imaging. Pre- and postoperative MRIs revealed increased LVP length (57.25-64.6 mm), thickness (4.25-7.2 mm), and velar length (10.46-29.0 mm), demonstrating improved muscular cohesion. Application of intraoperative MRI offers objective, real-time assessment of velopharyngeal structures, providing the potential to refine anatomical understanding and guide surgical decision-making for complex cases.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251382525"},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226067","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}
引用次数: 0
Mastering the Art of Symmetry: Long-Term Outcomes and Management in Patients with Tessier No. 7 Cleft. 掌握对称的艺术:Tessier 7号唇裂患者的长期结果和管理。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-03 DOI: 10.1177/10556656251380547
Valeria Mejia, Raina K Patel, Erin Wolfe, Melanie Bakovic, Asli Pekcan, Sophia Garnica, Alyssa Valenti, William P Magee, Mark M Urata, Jeffrey A Hammoudeh
{"title":"Mastering the Art of Symmetry: Long-Term Outcomes and Management in Patients with Tessier No. 7 Cleft.","authors":"Valeria Mejia, Raina K Patel, Erin Wolfe, Melanie Bakovic, Asli Pekcan, Sophia Garnica, Alyssa Valenti, William P Magee, Mark M Urata, Jeffrey A Hammoudeh","doi":"10.1177/10556656251380547","DOIUrl":"https://doi.org/10.1177/10556656251380547","url":null,"abstract":"<p><p>ObjectiveAchieving facial symmetry in patients with Tessier no. 7 cleft undergoing oral commissure reconstruction remains a challenge, with variable aesthetic and functional outcomes. Due to the rarity of this condition, data on long-term treatment effectiveness is limited. This study evaluates postoperative facial symmetry using facial anthropometric analysis in patients who underwent commissuroplasty over a 19 year period.DesignRetrospective cohort study.SettingSingle-institution craniofacial center.PatientsPatients who underwent commissuroplasty for Tessier no. 7 cleft between 2005 and 2024.InterventionMyomucosal advancement flap commissuroplasty technique.Main Outcome MeasuresFacial symmetry was assessed using 5 2-dimensional measurements: stomion-to-chelion (st_ch), chelion-to-ala (ch_al), chelion-to-exocanthion (ch_ex), chelion-to-pogonion (ch_pg), and commissure angle (co_ang). A symmetry ratio of 1.0 indicated ideal symmetry. Major revisions included secondary surgery for asymmetry or scar revision.ResultsThirty-two patients were included; 24 had unilateral (76% right-sided) and 8 had bilateral clefts. Median age at surgery was 8.1 months; 48% were female. Additional Tessier clefts were present in 25% of patients, and 25% had syndromic diagnoses. Major revisions were required in 28.6% of cases. Symmetry significantly improved in 4 of 5 facial regions, though commissure angle showed no significant change. Symmetry ratios remained stable over a median follow-up of 3.3 years.ConclusionCommissuroplasty improves facial symmetry across most parameters in patients with Tessier no. 7 cleft, with durable long-term outcomes. Limited improvement in commissure angulation highlights the need for continued refinement of surgical techniques.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251380547"},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226146","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}
引用次数: 0
The Impact of Human Milk on Tympanostomy Tube, Hearing, and Speech Sequelae in Children With Cleft Palate. 人乳对腭裂儿童鼓膜造瘘管、听力和言语后遗症的影响。
IF 1.3 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-10-03 DOI: 10.1177/10556656251380545
Hannah Piston, Noel Jabbour, Matthew D Ford, Jesse A Goldstein, Joseph E Losee, Amber D Shaffer
{"title":"The Impact of Human Milk on Tympanostomy Tube, Hearing, and Speech Sequelae in Children With Cleft Palate.","authors":"Hannah Piston, Noel Jabbour, Matthew D Ford, Jesse A Goldstein, Joseph E Losee, Amber D Shaffer","doi":"10.1177/10556656251380545","DOIUrl":"https://doi.org/10.1177/10556656251380545","url":null,"abstract":"<p><p>ObjectiveTo determine whether human milk feeding in children with cleft palate (CP ± L) reduces tympanostomy tubes and improves hearing, speech, and language outcomes.DesignRetrospective cohort study.SettingTertiary children's hospital at a Cleft Craniofacial Specialty Clinic.Patients, Participants319 children with CP ± L who were born between April 2005 and April 2015 were included.InterventionsImpacts on otological, hearing, and speech/language outcomes were analyzed in children fed human milk for any duration, ≥3 months, and ≥6 months.Main Outcome Measure(s)Tympanostomy tube placement history, hearing status before and after tube placement, and speech/language development at 2 and 5 years of age.ResultsChildren with CP ± L fed human milk for ≥3 months (143/319, 44.8%) had decreased odds of abnormal hearing tests (odds ratio [OR]: 0.174, 95% confidence interval [CI]: 0.0266-0.845) or tympanograms (OR: 0.059, 95% CI: 0.008-0.936) before tube placement and decreased odds of bilateral effusion at tube placement (OR: 0.236, 95% CI: 0.089-0.628), even when accounting for Robin sequence and insurance type. There was no significant association between human milk feeding and hearing after tube placement. However, language delays (OR: 0.279, 95% CI: 0.084-0.930) and speech sound production disorder (OR: 0.488, 95% CI: 0.246-0.967) at 5 years of age were less common in those who received human milk of any duration.ConclusionsFeeding human milk to children with CP ± L was associated with improved otological, hearing, speech, and language outcomes. Despite the known challenges of feeding infants with CP ± L, this study demonstrates the added benefits of human milk in this population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251380545"},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226070","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}
引用次数: 0
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