Cleft Palate-Craniofacial Journal最新文献

{"title":"A Rare Case of Mydriasis as an Immediate Complication After Orthognathic Surgery in a Patient with Cleft Lip and Palate.","authors":"Isabela Toledo Teixeira da Silveira, Bhárbara Marinho Barcellos, Bruno Gomes Duarte, Marina de Almeida Barbosa Mello, Fernanda Leite, Renato Yassutaka Faria Yaedú","doi":"10.1177/10556656241259889","DOIUrl":"https://doi.org/10.1177/10556656241259889","url":null,"abstract":"<p><p>This study aims to report a rare complication, anisocoria (mydriasis), in a patient with cleft lip and palate in the immediate postoperative period after orthognathic surgery and discuss the literature surrounding this event. Mydriasis after orthognathic surgery may be related to the separation of the pterygoid plate from the sphenoid bone, which can injure the cranial nerves. Therefore, knowledge of possible anatomical variations of the posterior region of the maxilla becomes extremely important to minimize complications in cleft patients. The reported case highlights the management of anisocoria as a complication as well as the importance of its knowledge.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241259889"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649442","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":"Non-Nutritive Suck and Parent Report of Feeding Skills in Infants Born With Cleft Lip and/or Palate.","authors":"Alaina Martens, Carolyn R Rogers-Vizena, Emily Zimmerman","doi":"10.1177/10556656241299915","DOIUrl":"https://doi.org/10.1177/10556656241299915","url":null,"abstract":"<p><strong>Objective: </strong>To compare non-nutritive sucking (NNS) and caregiver-reported feeding skills in infants with cleft lip and/or palate (CL/P) to a control group of typically developing infants without CL/P. To examine differences in NNS patterns and feeding behavior between cleft phenotypes.</p><p><strong>Design: </strong>Prospective, cross-sectional study comparing infants born with CL/P to an age-matched control group with no congenital anomalies.</p><p><strong>Setting: </strong>Urban, academic, tertiary care children's hospital and academic department of speech-language pathology.</p><p><strong>Patients, participants: </strong>Forty-two infants (21 with CL/P; 21 without CL/P), 6 months of age and younger were included. Infants with syndromes or who underwent cleft repair were excluded.</p><p><strong>Main outcome measures: </strong>A 5min NNS sample was collected from the infant sucking on the lab's custom research pacifier. The infant's caregiver completed the Neonatal Eating Assessment Tool (NeoEAT) bottle-feeding section about their infant's feeding behaviors.</p><p><strong>Results: </strong>Infants with CL/P demonstrated slower NNS frequency (<i>P </i>= .04) and reduced suck amplitude (<i>P </i>= .04) compared to the control group. Caregivers of infants with CL/P reported a higher incidence of gastrointestinal symptoms (<i>P </i>= .04) and overall feeding difficulties (<i>P </i>= .03) relative to the control group. There were no significant differences between CL/P phenotypes for NNS or caregiver reported outcomes.</p><p><strong>Conclusions: </strong>Infants with CL/P demonstrate differences in NNS physiology and caregiver report measures of feeding compared to age-matched controls. These findings support the need for interventions to optimize sucking and feeding skill development in infants with CL/P.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241299915"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649453","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":"Premaxillary Setback in the Management of Patients With Bilateral Cleft Lip: A 2 Decade Review.","authors":"Marah I Jolibois, Sasha Lasky, Eloise W Stanton, Idean Roohani, Tayla Moshal, Lacey Foster, Fatemah Husain, Naikhoba Co Munabi, Mark M Urata, William P Magee, Jeffrey A Hammoudeh","doi":"10.1177/10556656241298824","DOIUrl":"https://doi.org/10.1177/10556656241298824","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzes indications and outcomes of premaxillary setback (PS) and presents an algorithm for its use in patients with bilateral cleft lip and/or palate (BCL ± P).</p><p><strong>Design: </strong>Retrospective review.</p><p><strong>Setting: </strong>Children's Hospital Los Angeles.</p><p><p>A retrospective review was conducted evaluating patients with BCL ± P undergoing lip repair from 2003-2023. Patients were categorized as undergoing repair with (BCL + PS) or without (BCL-PS) simultaneous PS. Presurgical nasoalveolar molding (NAM), indications for PS, timing of surgery, and complications were collected.</p><p><strong>Interventions: </strong>BCL with PS, BCL + PS.</p><p><strong>Main outcome measures(s): </strong>Primary outcomes included rates of postoperative complications and revision surgeries. Secondary outcome was the need for orthognathic surgery to correct midface hypoplasia in patients at least 14 years old at their most recent follow-up.</p><p><strong>Results: </strong>Of 1193 patients, 262 met inclusion criteria. One hundred forty-nine patients (56.9%) were referred for NAM. Fifty-one patients (19.5%) underwent PS during primary BCL repair. Patients who failed repositioning of the premaxilla following presurgical NAM (n = 12) were not candidates for NAM (n = 31) or presented late with a protruding premaxilla (n = 8, 12.977 ± 8.196 months) underwent PS. Median age at surgery was 4.29 months. Complications included wound dehiscence (n = 3) and abscess formation (n = 2). No premaxillary necrosis occurred. Overall revision rates were 9.9%. Of 41 patients over 14 years old, 53.6% needed orthognathic surgery. BCL + PS had comparable rates of wound dehiscence (2.0% vs 4.0%; <i>P</i> = .790), lip revisions (7.8% vs 10.4%; <i>P</i> = .770), and orthognathic surgery (50.0% vs 56.3%; <i>P</i> > .999).</p><p><strong>Conclusion: </strong>PS is a safe and effective method to facilitate BCL repair in patients who are not candidates for NAM.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298824"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649412","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":"Dental Treatment Needs Among 16-Year-Old Patients with Cleft Lip and Palate: An Observational Study in Western Norway.","authors":"Paul K Saele, Anne N Åstrøm, Manal Mustafa","doi":"10.1177/10556656241286323","DOIUrl":"https://doi.org/10.1177/10556656241286323","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to a) assess intermaxillary sagittal relations, dental alignment, and occlusion among patients with Cleft Lip and/or Palate (CL/P) and b) evaluate the need for future dental treatment.</p><p><strong>Material/methods: </strong>Clinical assessment, lateral cephalogram, orthopantomogram, and study models from 1019 patients with CL/P collected at age 16 from the Bergen national CLP team in Norway. Records included the number of dental agenesis or hypoplasia, ANB angulation, dental alignment, occlusion, oronasal fistula, and indications for future dental treatment needs.</p><p><strong>Results: </strong>One-third required further treatment by an orthodontist, prosthodontist, or oral surgeon in adulthood, and complete bilateral or unilateral CLP had a significantly higher need than patients with isolated cleft of the lip or the palate. Missing teeth increased the risk for retrognathic maxilla (OR = 3,62), need for orthodontic and prosthodontic treatment (OR = 5.20), and a negative overjet and need for orthognathic surgery (OR = 4.86) (p < 0.001). Oronasal fistula was present in 4.7% of the participants, significantly worsening all clinical indicators (p < 0.001). Boys exhibited more adverse findings than girls, except regarding the need for dental porcelain bridges. A noticeable trend indicated increased dental treatment needs among 16-year-old patients with clefts born between 1990-2001, compared to patients born between 1980-1990.</p><p><strong>Conclusions/implications: </strong>The findings underscore the need for comprehensive, individualized treatment plans and interdisciplinary dental services for adult patients with CL/P. The original cleft pattern, male gender, presence of oronasal fistula, and a high number of missing teeth negatively influenced the dental status and treatment outcomes measured at the 16-year-old assessment.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241286323"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649446","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":"Type of Cleft and Socioeconomic Determinants for Increased Caries Risk Among Young Patients With Cleft Lip and/or Palate.","authors":"L S van der Knaap-Kind, E B Wolvius, L Kragt","doi":"10.1177/10556656241299194","DOIUrl":"https://doi.org/10.1177/10556656241299194","url":null,"abstract":"<p><p>This study aimed to identify the predictive role of cleft type, ethnicity, adoption status, spoken language at home and parental education level on the caries risk in the primary dentition of patients with cleft lip and/or palate (CL/P). This knowledge is used to make an estimate on increased caries risk in young patients with CL/P.</p><p><p>A retrospective analysis of data concerning dental caries and basic characteristics of patients with CL/P was done. Patients were born and registered in 2016, 2017, or 2018 at the cleft team of the Erasmus Medical Center, Rotterdam, the Netherlands.</p><p><p>After Chi-square tests, the cleft type (<i>P </i>= .02), country of birth father (<i>P </i>< .001), country of birth mother (<i>P </i>= .002), parental educational level (<i>P </i>= .006), and spoken language at home (<i>P </i>= .002) were significantly different between 144 patients with CL/P with and without caries. Items were used in binary logistic regressions and after stepwise backward elimination resulting in most important determinants for caries in the primary dentition in patients with CL/P being: father born in another country than the Netherlands (odds ratio [OR]<i> </i>= 4.87, <i>P </i>= .001), a cleft lip alveolus and palate phenotype (OR<i> </i>= 3.54, <i>P </i>= .002), and a lower parental educational level (OR<i> </i>= 2.30, <i>P </i>= .04).</p><p><p>The recommendation for the dental care professional will be to use these 3 determinants as a first prediction on future dental caries. This helps the dental professional in clinical decisions as recall intervals, referral to specialized dental care and extensiveness of caries prevention strategies and thereby improves oral health of patients born with CL/P.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241299194"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649457","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":"Patterns of Congenital Tooth Agenesis and Crown Width in Patients with Alveolar Clefts in Guizhou, China: A Retrospective Study.","authors":"Shenhu Liang, Yu Wen, Fang Wang, Xin Shu, Jing Yang, Youze Qiu, Qinggao Song","doi":"10.1177/10556656241298879","DOIUrl":"https://doi.org/10.1177/10556656241298879","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the prevalent pattern of congenital tooth agenesis and the development of crown width in patients with alveolar clefts in Guizhou, China.</p><p><strong>Methods: </strong>The imaging data and complete medical record information of 222 patients who met the criteria were studied. The rate of tooth agenesis, tooth agenesis patterns, type of cleft, gender, and crown width in patients with alveolar cleft were counted.</p><p><strong>Results: </strong>Twenty-two congenital tooth agenesis patterns were statistically identified in patients with alveolar clefts by the tooth agenesis code method. The rate of congenital tooth agenesis in patients with alveolar cleft was 72.5%, and the most common missing teeth were lateral incisors. The rate of tooth agenesis was higher in bilateral alveolar cleft (87.1%) than in unilateral alveolar cleft (67.4%). No correlation was found between gender and tooth agenesis patterns, tooth agenesis rate, or number of missing teeth. Crown width in patients with alveolar clefts is less than normal. No correlation was found between the number of missing teeth and crown width.</p><p><strong>Conclusions: </strong>The congenital tooth agenesis patterns and tooth agenesis rates in patients with alveolar clefts in Guizhou, China, were related to the type of cleft, independent of gender. The crown widths in patients with alveolar clefts were smaller than normal, irrespective of the number of tooth agenesis.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298879"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649455","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":"Speech Outcomes in Children with Robin Sequence Treated with a Pre-Epiglottic Baton Plate.","authors":"Gül Schmidt, Nora Engeli, Carsten Matuschek, Christa Hunn-Stohwasser, Carolin Bestendonk, Max Heiland, Anke Hirschfelder, Elena Hofmann","doi":"10.1177/10556656241298430","DOIUrl":"https://doi.org/10.1177/10556656241298430","url":null,"abstract":"<p><strong>Objective: </strong>To analyze speech outcomes and cleft shape changes in children diagnosed with Robin sequence (RS) treated with a customized pre-epiglottic baton plate (PEBP).</p><p><strong>Design: </strong>Single-surgeon retrospective analysis.</p><p><strong>Setting: </strong>Tertiary care institution.</p><p><strong>Patients and participants: </strong>Twenty-five patients with RS who were treated with PEBP and primary cleft palate repair between 2010 and 2019.</p><p><strong>Interventions: </strong>Postnatal use of a PEBP.</p><p><strong>Main outcome measures: </strong>Speech assessment at the age of 3.5 to 4.5 years documenting hypernasality, nasal emission, nasal turbulence, voice quality, and consonant production, and analysis of digitally scanned cast models before and after the use of PEBP to quantify changes in cleft shape and width.</p><p><strong>Results: </strong>The study cohort (<i>N</i> = 25) consisted of 19 patients with hard and soft cleft palates and 6 patients with soft cleft palate only and postnatal use of PEBP. The mean reduction in cleft width following PEBP treatment prior to cleft palate repair in 19 infants with hard and soft cleft palates was 41.30% (standard deviation, 13.25). Speech assessments were conducted at a mean age of 48.5 months in all 25 children treated with PEBP. Most children presented with absent or mild hypernasality (96%), a rate of 8% of nasal emission and 4% of nasal turbulence was found. The most frequent findings were articulation errors in 14 children (56%), of whom 2 presented with cleft-type characteristics.</p><p><strong>Conclusions: </strong>Children with RS and cleft palate treated with PEBP demonstrated a narrowing of the cleft palate prior to a timely surgical repair, and favorable speech outcomes already at a young age during childhood.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298430"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649415","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":"True Median Cleft With Sinus Tract in the Nasal Septum: A Case Report.","authors":"Sho Suzuki, Kosuke Kuwahara, Mutsumi Okazaki, Hideaki Kamochi","doi":"10.1177/10556656241298133","DOIUrl":"https://doi.org/10.1177/10556656241298133","url":null,"abstract":"<p><p>A true median cleft is an extremely rare congenital anomaly characterized by a midline vertical cleft and various deformities, also known as Tessier number 0 cleft. Here we report a case of a 5-year-old Asian boy with true median cleft associated with sinus tracts in the nasal septum, a phenomenon not previously reported in the literature. The tracts were identified as the cause of recurrent infections around the oral vestibule and upper lip. The tracts were resected successfully, and postoperative progress has been satisfactory. We discuss the importance of preoperative image evaluations and the selection of a suitable surgical approach.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298133"},"PeriodicalIF":1.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631162","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":"The Correlation Between Static and Dynamic Facial Asymmetry in Unilateral Cleft Lip and Palate.","authors":"Christopher Wright, Philip Benington, Xiangyang Ju, Toby Gillgrass, Craig Russell, Ashraf Ayoub","doi":"10.1177/10556656241298143","DOIUrl":"https://doi.org/10.1177/10556656241298143","url":null,"abstract":"<p><strong>Objective: </strong>Assess the relationship between static and dynamic facial asymmetry in unilateral cleft lip and palate during maximum smile.</p><p><strong>Design: </strong>Retrospective cross-sectional study.</p><p><strong>Setting: </strong>Multidisciplinary dentofacial planning clinic.</p><p><strong>Participants: </strong>Thirty-one surgically managed non-syndromic unilateral cleft lip and palate patients between the ages of 13 to 17 years.</p><p><strong>Materials and methods: </strong>Dynamic three-dimensional (3D) facial images (four-dimensional [4D]) throughout the course of a maximum smile were captured using video stereophotogrammetry at a rate of 60 frames per second, which generated 180 3D images/expression. A generic facial mesh containing more than 7000 vertices was superimposed onto the 3D facial images to quantify and track facial asymmetry throughout the captured sequence. Partial ordinary Procrustes analysis was utilized to calculate an asymmetry score at the rest position, maximum smile, and at the point of maximum mathematical asymmetry. The relationships between the asymmetry at rest and the asymmetry at the point of maximum smile (static 3D), and the maximum mathematical asymmetry (dynamic 4D) were evaluated.</p><p><strong>Results: </strong>Asymmetry scores were higher at maximum smile than at rest. Maximum mathematical asymmetry was observed in most cases during the relaxation phase. Static asymmetry at rest and maximum smile was strongly correlated with the maximum mathematical asymmetry (<i>r</i> = 0.941, <i>P</i> < .001).</p><p><strong>Conclusions: </strong>Static 3D asymmetry at both rest and maximum smile are strongly correlated with dynamic 4D facial asymmetry. The use of 4D imaging, combined with generic mesh conformation and dense correspondence analysis, provides a valid objective measure of facial asymmetry.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298143"},"PeriodicalIF":1.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631160","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":"Recalcitrant Torticollis: A Formidable Treatment Challenge.","authors":"Gwendolyn E Daly, Madeline Otto, Sara Alturky, Darius Balumuka, Kelsey Isbester, Fiona Stefanik, Gregory Sjostrand, Lori K Howell, Erik M Wolfswinkel","doi":"10.1177/10556656241295567","DOIUrl":"https://doi.org/10.1177/10556656241295567","url":null,"abstract":"<p><strong>Introduction: </strong>There are few evidence-based practice guidelines for recalcitrant torticollis (RT), defined as torticollis that persists past 1 year of age despite conservative therapy. Available evidence recommends a combination of physical therapy (PT), occupational therapy (OT), botulinum toxin injection (BTI), and in the most severe cases, surgical release.</p><p><strong>Methods: </strong>This is a single-center, retrospective study conducted with Institutional Review Board approval. Inclusion criteria were diagnosis of congenital muscular torticollis before 1 year old and persistence of symptoms past 1 year despite conservative treatment between January 1, 2005, and January 30, 2023. Patients with incomplete data, acquired torticollis, confounding diagnoses, or who did not receive a diagnosis or conservative therapy before 1 year of age were excluded.</p><p><strong>Results: </strong>Seventy-seven patients met the inclusion criteria. The average age at diagnosis was 4.5 ± 2.5 months. Initial treatment consisted of PT for 61 patients (79.2%), stretching exercises for 11 patients (14.3%), and OT for 4 patients (5.2%). Regardless of timing, 74 patients in total (96.1%) received PT for an average of 13.3 ± 8.6 months. Conservative treatment modalities led to the resolution of symptoms for 40 patients (51.2%) and improvement of symptoms for 35 patients (45.5%). Two patients received at least 1 BTI which led to further improvement of symptoms. One patient underwent operative intervention which consisted of sternocleidomastoid release.</p><p><strong>Conclusions: </strong>RT is a challenging clinical entity that requires diligent multidisciplinary care. Patients who present and begin conservative therapy before 1 year of age are likely to have improvement or resolution of symptoms without more advanced therapies.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241295567"},"PeriodicalIF":1.1,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631157","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}