Cleft Palate-Craniofacial Journal最新文献_第2页

Quantifying Sagittal Lip Changes in Patients with Bilateral Cleft Lip Post Abbe Flap Reconstruction. 量化双侧唇裂患者在阿贝皮瓣重建术后的唇矢状面变化。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-06-04 DOI: 10.1177/10556656241255478

John N Muller, Allison Diaz, Alexandra Verzella, David A Staffenberg, Roberto L Flores

{"title":"Quantifying Sagittal Lip Changes in Patients with Bilateral Cleft Lip Post Abbe Flap Reconstruction.","authors":"John N Muller, Allison Diaz, Alexandra Verzella, David A Staffenberg, Roberto L Flores","doi":"10.1177/10556656241255478","DOIUrl":"10.1177/10556656241255478","url":null,"abstract":"ObjectivesTo objectively quantify results of sagittal lip changes following Abbe flap reconstruction in patients with bilateral cleft lip.DesignRetrospective, observational study.SettingSingle institution, 8-year retrospective review.Patients/ParticipantsIn total, 17 patients with bilateral cleft lip that underwent Abbe flap reconstruction were included in this study.InterventionPatients had lateral photographs taken prior to Abbe flap reconstruction and at least 8 months post-Abbe flap.Main Outcome MeasurementsVegter's index, Sushner's S2 line and Burstone's B line reference lines were used for evaluation of sagittal lip changes. Wilcoxon signed rank tests were used in analysis.ResultsThe mean pre-Abbe flap upper to lower lip ratio, defined as Vegter's Lip Index, was 0.906 compared to a mean of 0.946 following Abbe flap reconstruction. The mean upper to lower lip ratio for Sushner's S2 and Burstone's B line exhibited an increase in upper lip sagittal projection from -0.164 to 1.459 and 0.259 to 0.957, respectively (P < 0.001).ConclusionsThis study quantifies sagittal changes to upper and lower lip position after Abbe flap reconstruction. These findings may aid in operative planning and patient/caregiver expectations during counseling.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1107-1113"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248907","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

Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty? 初级螯合整形术前检测血红蛋白是否有用？

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-15 DOI: 10.1177/10556656241239510

Aryan Shay, Megan Gaffey, Roger Roe, Alexa Robbins, Isabella Zaniletti, Adam Johnson, Larry Hartzell

{"title":"Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty?","authors":"Aryan Shay, Megan Gaffey, Roger Roe, Alexa Robbins, Isabella Zaniletti, Adam Johnson, Larry Hartzell","doi":"10.1177/10556656241239510","DOIUrl":"10.1177/10556656241239510","url":null,"abstract":"ObjectiveTo examine whether a preoperative hemoglobin of less than 10 g/dL is associated with a higher rate of perioperative complications.DesignRetrospective review.SettingTertiary academic hospital at Arkansas Children's Hospital of Little Rock, Arkansas.PatientsA retrospective chart review evaluated patients undergoing primary cleft lip surgery from 2012 to 2017.InterventionsNo prospective intervention was performed for this study care.Main Outcome MeasuresAge, sex, medical history, weight, and perioperative complications. Hemoglobin level was collected in the preoperative area. The primary outcome was rate of perioperative complications including infection, dehiscence, return to the operating room, unplanned admission, and emergency department visit within two weeks postoperatively.Results105 patients undergoing primary cheiloplasty met inclusion criteria. Hemoglobin levels were obtained on all patients. 93.3% (n = 98) of patients had a hemoglobin of >10 g/dL before surgery, and 6.6% (n = 7) had levels <10 g/dL. 1 of 7 patients with a hemoglobin of <10 g/dL experienced a postoperative complication (Tet spell) and one patient with a hemoglobin of >10 g/dL experienced a postoperative complication (unplanned intensive care admission for respiratory distress).ConclusionsPost-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.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1175-1179"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137330","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

A Single Institution 19 Year Comparison of Furlow and Straight Line Palatoplasty Techniques in Bilateral Cleft Lip and Palate. 单个医疗机构 19 年来在双侧唇腭裂中对 Furlow 和直线腭成形术进行的比较。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-17 DOI: 10.1177/10556656241239203

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

{"title":"A Single Institution 19 Year Comparison of Furlow and Straight Line Palatoplasty Techniques in Bilateral Cleft Lip and Palate.","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","doi":"10.1177/10556656241239203","DOIUrl":"10.1177/10556656241239203","url":null,"abstract":"Objective: This study aims to compare patients' speech correcting surgery and fistula rates between the Furlow and Straight Line (SLR) palatoplasty techniques when combined with greater palatine flaps for complete bilateral cleft lip and palate (BCLP) repair.Design: This was a single-center IRB approved retrospective cohort study.Setting: This study took place at an urban tertiary academic center.Patients, participants: All patients with BCLP anomalies that underwent repair between January 2003 and August 2022 were included. Patients with index operations at an outside institution or incomplete medical charting were excluded.Interventions: A total of 1552 patients underwent palatoplasty during the study period. Of these, 192 (12.4%) met inclusion criteria with a diagnosis of BCLP.Main outcome measures: Primary outcomes of this study included rate of fistula and incidence of speech correcting surgery. Secondary outcomes included rate of surgical fistula repair.Results: One hundred patients underwent SLR (52.1%) and 92 Furlow repair (47.9%). There was no significant difference in fistula rates between the SLR and Furlow repair cohorts (20.7% vs. 15.0%; p = 0.403). However, SLR was associated with lower rates of speech correcting surgery when compared to the Furlow repair (12.5% vs. 29.6%; p = 0.011).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.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1134-1143"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144468","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

Eyeing Risks: A Critical Analysis of the Use of Periorbital Steroids in Fronto-orbital Advancement. 关注风险：眶周类固醇用于前眶前移术的批判性分析。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-28 DOI: 10.1177/10556656241241963

Daniel Y Cho, Jessica D Blum, Nicole Kurnik, Jordan W Swanson, Srinivas M Susarla, Jesse A Taylor, Richard A Hopper, Scott Bartlett, Craig B Birgfeld

{"title":"Eyeing Risks: A Critical Analysis of the Use of Periorbital Steroids in Fronto-orbital Advancement.","authors":"Daniel Y Cho, Jessica D Blum, Nicole Kurnik, Jordan W Swanson, Srinivas M Susarla, Jesse A Taylor, Richard A Hopper, Scott Bartlett, Craig B Birgfeld","doi":"10.1177/10556656241241963","DOIUrl":"10.1177/10556656241241963","url":null,"abstract":"ObjectiveTo evaluate the outcomes associated with two techniques of periorbital steroid administration in bilateral fronto-orbital advancement (FOA).DesignMulti-institutional retrospective chart reviewSettingTwo high volume, tertiary US craniofacial centersPatients, ParticipantsPatients who underwent FOA between 2012 and 2021InterventionsPatients were divided into three cohorts based on method of steroid administration. Groups GEL and INJ represent those who received steroids in the form of triamcinolone soaked gelfoam or direct injection of dilute triamcinolone to the frontal/periorbital region, respectively. Group NON did not receive any periorbital steroids.Main Outcome Measure(s)Peri-operative outcomes including hospital length of stay and complications were evaluated based on method of periorbital steroid administration. Variables predictive of infectious complications were assessed using stepwise logistic regression.ResultsFour hundred and twelve patients were included in our sample (INJ:249, GEL:87, NON:76). Patients in the INJ group had a higher ASA class (P < .001) while patients in the NON group were significantly more likely to be syndromic (P < .001) and have multisuture craniosynostosis (P < .001). Rate of infectious complications for each cohort were NON: 2.6%, INJ: 4.4%, and GEL: 10.3%. There was no significant difference between groups in hospital length of stay (P = .654) or rate of post-operative infectious complications (P = .061). Increased ASA class (P = .021), increased length of stay (P = .016), and increased intraoperative narcotics (P = .011) were independent predictors of infectious complications.ConclusionsWe identified a dose-dependent relationship between periorbital steroids and rate of postoperative infections, with key contributions from ASA class, hospital length of stay, and dose of intraoperative narcotics.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1210-1218"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307597","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

Elastic Chain Premaxillary Retraction Appliance Does Not Increase Inter-Canthal Dimension in Patients with Bilateral Cleft Lip and Palate. 弹性链式下颌前缩矫正器不会增加双侧唇腭裂患者的颌骨间尺寸。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-21 DOI: 10.1177/10556656241241200

Hamad Burashed, Cory M Resnick, Elizabeth E Ross, John B Mulliken, Bonnie L Padwa

{"title":"Elastic Chain Premaxillary Retraction Appliance Does Not Increase Inter-Canthal Dimension in Patients with Bilateral Cleft Lip and Palate.","authors":"Hamad Burashed, Cory M Resnick, Elizabeth E Ross, John B Mulliken, Bonnie L Padwa","doi":"10.1177/10556656241241200","DOIUrl":"10.1177/10556656241241200","url":null,"abstract":"ObjectiveTo determine if the elastic chain premaxillary retraction (ECPR) appliance increases inter-medial and inter-lateral canthal dimension in patients with bilateral complete cleft lip and palate (BCLP).DesignRetrospective cohort study.SettingSpecialized tertiary care facility.Patients, Participants126 patients with BCLP; 75 had ECPR, 51 had no pre-surgical manipulation.InterventionsThree-dimensional facial photographs were obtained prior to insertion of appliance (T0), post-appliance therapy prior to appliance removal/labial repair (T1), and several months after labial repair (T2) for a longitudinal ECPR group, and were obtained after age 4 years (T3) for a non-longitudinal ECPR group and for the non-ECPR group.Main Outcome MeasuresInter-medial and inter-lateral canthal dimension (en-en, ex-ex) was determined for all groups/time-points. Measurements were compared between groups and to norms.ResultsThe mean en-en and ex-ex was 32.6 ± 3.2 mm and 84.4 ± 6.3 mm for the ECPR group and 33.5 ± 3.1 mm and 86.7 ± 7.2 mm for the non-ECPR group at T3. Inter-medial and inter-lateral canthal dimensions were significantly greater than normal (P < .05) in both groups; there was no significant difference between groups (P > .05). The mean en-en and ex-ex for the Longitudinal ECPR group was 27.5 ± 2.4 mm and 66.7 ± 3.7 mm at T0, 29.6 ± 2.4 mm and 70.4 ± 2.9 mm at T1, and 29.2 ± 2.3 mm and 72.3 ± 3.8 mm at T2. en-en and ex-ex increased significantly from T0-T1 (P < .05), decreased at T2 (P > .05) and was significantly larger than normal at all time-points (P < .05).ConclusionsInter-medial and inter-lateral canthal dimension increased after ECPR but returned to baseline growth trajectory. These dimensions were above normal at all time-points. There was no difference between those that did and did not have dentofacial orthopedic manipulation.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1195-1200"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186104","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

Barriers in Cleft Service Access in Sub-Saharan Africa: A Thematic Analysis of Practical Needs of Rural Families. 撒哈拉以南非洲地区在获得裂隙服务方面存在的障碍：农村家庭实际需求专题分析》。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-04-01 DOI: 10.1177/10556656241244976

Abdurrazaq Olanrewaju Taiwo, Uta Lehmann, Vera Scott, Isah Shafi'u, Suleman Gusau Lawal, Usamatu Abdulmajid, Ramat Oyebummi Braimah, Adebayo Aremu Ibikunle, Abdullahi Bello Abubakar, Bala Mujtaba, Mike Eghosa Ogbeide, Suwaiba Labbo-Jadadi, Olufemi Ibrahim Adigun, Bruno Oludare Ile-Ogedengbe

{"title":"Barriers in Cleft Service Access in Sub-Saharan Africa: A Thematic Analysis of Practical Needs of Rural Families.","authors":"Abdurrazaq Olanrewaju Taiwo, Uta Lehmann, Vera Scott, Isah Shafi'u, Suleman Gusau Lawal, Usamatu Abdulmajid, Ramat Oyebummi Braimah, Adebayo Aremu Ibikunle, Abdullahi Bello Abubakar, Bala Mujtaba, Mike Eghosa Ogbeide, Suwaiba Labbo-Jadadi, Olufemi Ibrahim Adigun, Bruno Oludare Ile-Ogedengbe","doi":"10.1177/10556656241244976","DOIUrl":"10.1177/10556656241244976","url":null,"abstract":"ObjectiveTo explore the experiences and perceptions of barriers of parents and family members of patients with cleft lip and palate in accessing cleft services in remote northwest Nigeria.DesignFace-to-face semi-structured audio recorded interviews were used to obtained qualitative textual data. Thematic analysis using interpretative descriptive techniques was employed to understand the participants' lived experiences with barriers and accessibility to cleft services.SettingParticipants were from Sokoto, Kebbi and Zamfara states in remote northwest, Nigeria.ParticipantsConsisted of 22 caregivers (17 parents and 5 extended family members) were purposively sampled between 2017 and 2020Main outcome measuresBarriers experienced while accessing cleft services were identified during thematic analysis.ResultOver three quarter of the respondents had patients with both cleft lip and palate and without any previous family history (n = 20). About two-thirds of the participants (n = 15) were females. Most of the interviews were conducted before the surgeries (n = 15).Five themes emergedlack of information, financial difficulty, misrepresentation from health workers, multiple transportation and previous disappointment.ConclusionsAreas of poor awareness, misinformation from primary health care workers, financial hurdles, multiple transportation logistics and others were identified. Aggressive broadcasting of information through radio, timely treatment and collaboration with influential religious leaders were emphasized. Support, grants and subsidies from government and voluntary agencies are encouraged to mitigate the huge out of pocket cost of cleft care in the region.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1219-1227"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337438","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

Identification of a Novel TP63 Variant in a Chinese Patient with Orofacial Clefts and Ectrodactyly: Case Report and Literature Review. 在一名患有口面裂和外耳道畸形的中国患者中发现新型 TP63 变体：病例报告与文献综述

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-05-08 DOI: 10.1177/10556656241241132

Leheng Jiang, Chanyuan Jiang, Tao Song, Yongqian Wang, Nuo Si, Haidong Li, Ningbei Yin

引用次数: 0

Can Alveolar Bone Grafting Using Posterior Iliac Crest be a Day Surgery Procedure? 利用髂后嵴进行牙槽骨移植可以是日间手术吗？

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-04 DOI: 10.1177/10556656241237419

Alistair Varidel, Maria Ambrose, Nancy DiTullio, Taylor Fritschy, Bonnie L Padwa, Cory M Resnick

{"title":"Can Alveolar Bone Grafting Using Posterior Iliac Crest be a Day Surgery Procedure?","authors":"Alistair Varidel, Maria Ambrose, Nancy DiTullio, Taylor Fritschy, Bonnie L Padwa, Cory M Resnick","doi":"10.1177/10556656241237419","DOIUrl":"10.1177/10556656241237419","url":null,"abstract":"ObjectiveThe purpose of this study was to determine if patients undergoing alveolar bone grafting (ABG) can be discharged home on the day of surgery safely and with high satisfaction.DesignThis is a prospective cohort study of patients who underwent ABG over a 6-month period (August 2022 to February 2023). Medical records were reviewed, and postoperative surveys were provided to assess patient/family experience.SettingTertiary care free-standing pediatric hospital.Patients and ParticipantsParticipants who had ABG using iliac marrow from the posterior iliac crest.InterventionsSubjects were assigned to overnight admission (ON) or day surgery (DS) based on hospital bed capacity.Main Outcome MeasuresMain outcome measures were postoperative medical events and satisfaction with discharge timing.Results41 participants were included: ON, n = 20 (48.8%); DS, n = 21 (51.2%), and there were no differences between groups in any predictor variable. There were no postoperative medical events. Overall, families reported comfort managing pain, nausea, bleeding, hydration, and nutrition after discharge. Most (83.3% of the DS group and 69.2% of the ON group, P = .644) reported satisfaction with the discharge timing they received, despite this being driven by hospital rather than patient factors. Reasons for some families preferring longer admission included fluid management (n = 2), anxiety about postoperative swelling (n = 2), and a long drive home (n = 1). For the ON group, 16.7% would have preferred same-day discharge.ConclusionsSame day discharge is safe and well-received in appropriately selected patients who undergo ABG using posterior iliac crest. Perioperative patient/family education is essential.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1151-1155"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023002","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

Virtual Reality Simulation of Airway Management Post-Cleft Palate Surgery: A Model for Sustainable and Equitable Education. 左腭手术后气道管理的虚拟现实模拟：可持续和公平教育的典范。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-28 DOI: 10.1177/10556656241241128

Alexandra N Verzella, Allison L Diaz, Matteo Laspro, Andre Alcon, Jill Schechter, Aaron Oliker, Anne Arnold, Roberto L Flores

{"title":"Virtual Reality Simulation of Airway Management Post-Cleft Palate Surgery: A Model for Sustainable and Equitable Education.","authors":"Alexandra N Verzella, Allison L Diaz, Matteo Laspro, Andre Alcon, Jill Schechter, Aaron Oliker, Anne Arnold, Roberto L Flores","doi":"10.1177/10556656241241128","DOIUrl":"10.1177/10556656241241128","url":null,"abstract":"BackgroundThe effectiveness of virtual-reality (VR) simulation-based training in cleft surgery has not been tested. The purpose of this study was to evaluate learners' acceptance of VR simulation in airway management of a pediatric patient post-cleft palate repair.MethodsThis VR simulation was developed through collaboration between BioDigital and Smile Train. 26 medical students from a single institution completed 10 min of standardized VR training and 5 min of standardized discussion about airway management post-cleft palate repair. They spent 4-8 min in the VR simulation with guidance from a cleft surgery expert. Participants completed pre- and post-surveys evaluating confidence in using VR as an educational tool, understanding of airway management, and opinions on VR in surgical education. Satisfaction was evaluated using a modified Student Evaluation of Educational Quality questionnaire and scored on a 5-point Likert scale. Wilcoxon signed-rank tests were performed to evaluate responses.ResultsThere was a significant increase in respondents' confidence using VR as an educational tool and understanding of airway management post-cleft palate repair after the simulation (P < .001). Respondents' opinions on incorporating VR in surgical education started high and did not change significantly post-simulation. Participants were satisfied with VR-based simulation and reported it was stimulating (4.31 ± 0.88), increased interest (3.77 ± 1.21), enhanced learning (4.12 ± 1.05), was clear (4.15 ± 0.97), was effective in teaching (4.08 ± 0.81), and would recommend the simulation (4.2 ± 1.04).ConclusionVR-based simulation can significantly increase learners' confidence and skills in airway management post-cleft palate repair. Learners find VR to be effective and recommend its incorporation in surgical education.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1156-1163"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307599","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

Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study. 有皮埃尔-罗宾序列和无皮埃尔-罗宾序列腭裂婴儿的喂养管理和腭修复时机：多站点研究。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2025-07-01 Epub Date: 2024-03-15 DOI: 10.1177/10556656241239766

Jessica L Williams, Kari M Lien, Richard Kirschner, Gregory Allen, Kathy Chapman

{"title":"Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study.","authors":"Jessica L Williams, Kari M Lien, Richard Kirschner, Gregory Allen, Kathy Chapman","doi":"10.1177/10556656241239766","DOIUrl":"10.1177/10556656241239766","url":null,"abstract":"ObjectivesCompare the feeding management practices in infants with cleft palate with and without Pierre Robin sequence (PRS) and determine if specific feeding difficulties or interventions predict delayed palate repair.DesignRetrospective cross-sectional study.SettingSeventeen cleft palate teams contributed data.Patients414 infants were included in this study: 268 infants with cleft palate only and 146 infants with cleft palate and PRS.ProceduresData were collected via parent interview and electronic health records.Main Outcome MeasuresOutcomes for the primary objective included categorical data for: history of poor growth, feeding therapy, milk fortification, use of enteral feeding, and feeding difficulties. The outcome for the secondary objective was age in months at primary palate repair.ResultsInfants with PRS had a significantly higher prevalence of feeding difficulties (81% versus 61%) and poor growth (29% versus 15%) compared to infants with cleft palate only. Infants with PRS received all feeding interventions-including feeding therapy, milk fortification, and enteral feeding-at a significantly higher frequency. Infants with PRS underwent primary palate repair at a mean age of 13.55 months (SD = 3.29) which was significantly (P < .00001) later than infants with cleft palate only who underwent palate repair at a mean age of 12.05 months (SD = 2.36). Predictors of delayed palate repair included diagnosis of PRS as well as Hispanic ethnicity and a history of poor growth.ConclusionsThese 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.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1180-1189"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0