Cleft Palate-Craniofacial Journal最新文献_第9页

Implantation of Infant Platelet-Rich Plasma/Fibrin with Gingivoperiosteoplasty in Patients with Unilateral Cleft Lip and Alveolus. 婴儿富血小板血浆/纤维蛋白植入龈周成形术治疗单侧唇裂和牙槽畸形。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-06-19 DOI: 10.1177/10556656261417033

Shinji Kobayashi, Yuichiro Yabuki, Madoka Sugiyama, Atuko Fukui, Takashi Hirakawa

{"title":"Implantation of Infant Platelet-Rich Plasma/Fibrin with Gingivoperiosteoplasty in Patients with Unilateral Cleft Lip and Alveolus.","authors":"Shinji Kobayashi, Yuichiro Yabuki, Madoka Sugiyama, Atuko Fukui, Takashi Hirakawa","doi":"10.1177/10556656261417033","DOIUrl":"10.1177/10556656261417033","url":null,"abstract":"ObjectiveNo studies have examined the effectiveness of platelet-rich plasma (PRP) alone and platelet-rich fibrin (PRF) without alveolar bone grafting or other bone substitutes for alveolar cleft repair during infancy. This study evaluated the effectiveness of autologous PRP/PRF on alveolar regeneration in infantile unilateral cleft lip and alveolus.DesignRetrospective study.SettingPatients, Participants: A total of 56 patients with alveolar clefts were classified into the no PRP/PRF (which received gingivoperiosteoplasty [GPP] without PRP/PRF), PRP (which received GPP with PRP), and PRF (which received GPP with PRF) groups.InterventionsRegarding preparation, 5 mL of blood was withdrawn, and 1 mL each of PRP and PRF was prepared via centrifugal separation. PRP was implanted in the alveolar cleft after loading it into a commercially available gelatin sponge, while PRF was implanted directly.Main Outcome MeasuresPostoperative bone formation was assessed using computed tomography and radiography for qualitative analysis.ResultsThe new alveolar bone volume was higher in the PRF group than in the other groups; however, no differences were observed between the PRP, PRF, and control groups.ConclusionThis study was performed without complication. However, no significant difference in bone formation was found between the PRP, PRF, and control groups.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3445-3453"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279607","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

Orofacial Cleft Disparities in American Indian and Alaska Native Populations: A Systematic Review and Meta-Analysis. 美国印第安人和阿拉斯加原住民的口面部裂差异：系统回顾和荟萃分析。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-02-25 DOI: 10.1177/10556656261418392

Lyndsay A Kandi, Antoinette T Nguyen, Jason Zhang, Nikhil Sriram, Robert D Galiano, Arun K Gosain

{"title":"Orofacial Cleft Disparities in American Indian and Alaska Native Populations: A Systematic Review and Meta-Analysis.","authors":"Lyndsay A Kandi, Antoinette T Nguyen, Jason Zhang, Nikhil Sriram, Robert D Galiano, Arun K Gosain","doi":"10.1177/10556656261418392","DOIUrl":"10.1177/10556656261418392","url":null,"abstract":"ObjectiveTo evaluate the prevalence, access to care, and health outcomes of orofacial clefts (OFCs) among American Indian and Alaska Native (AI/AN) populations through a systematic review and meta-analysis.DesignSystematic review and meta-analysis performed in accordance with PRISMA 2020 guidelines and registered with PROSPERO (CRD420251035364).SettingUS-based population registries, hospital databases, and institutional or community-level retrospective studies involving AI/AN populations.Patients and ParticipantsAI/AN individuals with OFCs compared with non-Hispanic White patients.InterventionsPrimary cleft lip and palate repair, secondary cleft-related procedures, and multidisciplinary cleft care.Main Outcome Measure(s)Prevalence of OFCs, timing of cleft surgery, discharge disposition, access to specialists, and qualitative determinants of disparities.ResultsEighteen studies including more than 1985 AI/AN patients were identified. Meta-analysis of 5 studies estimated a pooled OFC prevalence of 15 per 10 000 live births (95% confidence interval: 5-49), with substantial heterogeneity (I2 = 99.8%). Individual studies reported significantly higher OFC prevalence in AI/AN populations compared to non-Hispanic Whites (odds ratio range: 1.44-2.68). Geographic maldistribution of craniofacial-trained surgeons, increased odds of nonhome discharge, and delayed cleft palate repair were consistently observed barriers. Qualitative analyses highlighted structural inequities, perceived racism, and lack of culturally responsive care as major contributors to disparities.ConclusionsAI/AN populations face a disproportionately high burden of OFCs alongside structural barriers to timely, culturally competent care. Addressing these disparities requires community-engaged, multidisciplinary interventions that improve geographic access and integrate culturally responsive approaches to care.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3565-3576"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285942","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

Surgical Outcomes of Submucous Cleft Palate Using Intravelar Veloplasty with a Buccinator Musculomucosal Flap: A Case Series. 颊肌粘膜瓣行内快速成形术治疗腭粘膜下裂的疗效：一个病例系列。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2025-12-29 DOI: 10.1177/10556656251409643

Kiichiro Yaguchi, Masahiko Noguchi, Fumio Nagai, Yuki Hoshino, Masato Akimoto, Kazuhiro Tsunekawa, Shunsuke Yuzuriha

{"title":"Surgical Outcomes of Submucous Cleft Palate Using Intravelar Veloplasty with a Buccinator Musculomucosal Flap: A Case Series.","authors":"Kiichiro Yaguchi, Masahiko Noguchi, Fumio Nagai, Yuki Hoshino, Masato Akimoto, Kazuhiro Tsunekawa, Shunsuke Yuzuriha","doi":"10.1177/10556656251409643","DOIUrl":"10.1177/10556656251409643","url":null,"abstract":"ObjectiveInvestigate the pre- and postoperative changes in patients with submucous cleft palate (SMCP) treated by intravelar veloplasty (IVV) with a buccinator musculomucosal flap (BMMF).DesignRetrospective case series.SettingTertiary, cleft team.Patients/ParticipantsChildren with SMCP who underwent IVV with a BMMF at Nagano Children's Hospital.Interventions: IVV with a BMMF between December 2018 and January 2022.Main outcome measuresPerceptual Japanese speech evaluation (hypernasality [HN], nasal emission, and intelligibility [IN]), amount of velopharyngeal (VP) gap, degree of soft palate elevation, amount of soft palate lengthening, VP closure pattern, additional surgery, and postoperative complications.ResultsEleven patients (four syndromic) were analyzed pre- and almost of 1 year postoperatively. Preoperative mean HN and IN scores were significantly improved (P = .0232 and P = .0313, respectively). VP gap was closed after surgery in most cases with initial VP gap <4.5 mm and good soft palate elevation. Mean soft palate lengthening with the BMMF method was 3.9 ± 1.2 mm, which was a significant increase (P = .00589). Four patients required additional surgery. We encountered no severe postoperative complications or fistula formation.ConclusionsIVV with a BMMF is considered applicable in patients with VP gap of up to 4.0 to 4.5 mm and good soft palate elevation. Our technique appears safe, with low risks of severe postoperative complications and fistula formation. Due to the limited cohort size, more cases are needed to elucidate the precise indications for the BMMF method.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3280-3290"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858692","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 Socioeconomic Deprivation on Timing and Long-Term Outcomes of Cleft Surgery: A 30-Year Retrospective Analysis. 社会经济剥夺对唇腭裂手术时机和长期结果的影响：一项30年回顾性分析。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-02-16 DOI: 10.1177/10556656251361676

Valeria Mejia, Raina K Patel, Artur Manasyan, Asli Pekcan, Melanie Bakovic, Medha Vallurupalli, Erin Wolfe, Alyssa Valenti, Mark M Urata, William P Magee, Jeffrey A Hammoudeh

{"title":"The Impact of Socioeconomic Deprivation on Timing and Long-Term Outcomes of Cleft Surgery: A 30-Year Retrospective Analysis.","authors":"Valeria Mejia, Raina K Patel, Artur Manasyan, Asli Pekcan, Melanie Bakovic, Medha Vallurupalli, Erin Wolfe, Alyssa Valenti, Mark M Urata, William P Magee, Jeffrey A Hammoudeh","doi":"10.1177/10556656251361676","DOIUrl":"10.1177/10556656251361676","url":null,"abstract":"ObjectiveTo assess the impact of neighborhood socioeconomic deprivation on the timing of cleft surgery and outcomes, including postoperative palatal fistula and velopharyngeal insufficiency (VPI).DesignRetrospective cohort study.SettingSingle pediatric tertiary care center.Patients, ParticipantsA total of 702 patients who underwent cleft repair between 1995 and 2024, categorized by Area Deprivation Index (ADI) into low, medium, and high socioeconomic deprivation.InterventionsPrimary cleft lip (CL) and cleft palate (CP) repair, palatal fistula repair, and VPI surgery.Main Outcome Measure(s)Age at CL and CP repair, surgical delay (CL repair >6 months, CP repair >12 months), palatal fistula rate, time to fistula repair, and VPI surgery incidence.ResultsPatients in high-ADI areas experienced later CL (P < 0.05) and CP repairs (low ADI: 1.1 years; medium: 1.7 years; high: 1.8 years; P < 0.05). Logistic regression identified high ADI and female sex as independent predictors of CL delay (P < 0.001), while public insurance, race, greater hospital distance, and prior CL delay contributed to CP repair delays (P < 0.001). Palatal fistula rates (14.9%) were not linked to ADI, but high-ADI patients had longer times to repair (P < 0.05). Patients undergoing VPI surgery lived closer to the hospital than those not requiring repair (P < 0.05).ConclusionsHigher ADI and female sex were associated with CL repair delays, while CP repair delays correlated with public insurance, race, hospital distance, and prior CL delay. Targeted interventions are needed to improve timely cleft care.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3155-3165"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203521","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

Examining Percent Consonants Correct Produced by Preschool Children With and Without Cleft Palate Using the American English Phrase Sample. 用美式英语短语样本检测学龄前腭裂儿童和非腭裂儿童的辅音正确率。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2025-10-27 DOI: 10.1177/10556656251388398

Jessica L Chee-Williams, Hannah F McNeal, Kelly Nett Cordero, Laurel Bruce, Juliet Weinhold, Nancy J Scherer

{"title":"Examining Percent Consonants Correct Produced by Preschool Children With and Without Cleft Palate Using the American English Phrase Sample.","authors":"Jessica L Chee-Williams, Hannah F McNeal, Kelly Nett Cordero, Laurel Bruce, Juliet Weinhold, Nancy J Scherer","doi":"10.1177/10556656251388398","DOIUrl":"10.1177/10556656251388398","url":null,"abstract":"ObjectiveExamine the percent consonants correct (PCC) produced by 3- and 4-year-old children with and without cleft palate using the American English Phrase Sample (AEPS) from the Cleft Audit Protocol for Speech-Augmented-Americleft Modification (CAPS-A-AM) protocol.DesignProspective, cross-sectional study.SettingPublic research university.ParticipantsSixty preschool age children were included: 30 with cleft palate and 30 without cleft palate. Each group was comprised of 15 children aged 3;0 to 3;11 (years; months) and 15 children aged 4;0 to 4;11.InterventionsImitation of the AEPS.Main Outcome MeasuresTotal PCC and PCC by manner of production were calculated from the AEPS. Group differences were analyzed using the Mann-Whitney U test; data are reported as median and interquartle range (IQR).ResultsThe median total PCC for 3-year-olds with cleft palate was 38% (IQR = 24-58), which was significantly lower (p = 0.0001) than the 3-year-olds without a cleft (70%; IQR = 60-77). Similarly, 4-year-olds with cleft palate produced a median PCC of 40% (IQR = 9-67), which was significantly lower (p < 0.0001) than 4-year-olds without a cleft (86%; IQR = 84-96). Only 20% (n = 3) of 3-year-olds and 7% (n = 1) of 4-year-olds with cleft palate produced a total PCC within of the IQR of their noncleft peers' total PCC. Across both age groups, children with cleft palate produced stops, fricatives, affricates, liquids, and consonant clusters with significantly lower accuracy than their same-age peers.ConclusionsPCC scores derived from transcription of the AEPS may offer speech language pathologists a practical way to assess consonant accuracy using an imitation stimulus already integrated into clinical protocols.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3214-3224"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12687757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379547","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

A Comparative Study of Cleft Management in Different Economic Settings: United States Versus Guatemala. 不同经济环境下的裂隙管理比较研究：美国与危地马拉。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-02-17 DOI: 10.1177/10556656261420132

Emmanuel Tuchez, Juan Diego Rojas Camacho, Kalpnaben R Patel, Shilin Zhao, Rosangela Sanchez Puga, Ryan H Belcher, James D Phillips

{"title":"A Comparative Study of Cleft Management in Different Economic Settings: United States Versus Guatemala.","authors":"Emmanuel Tuchez, Juan Diego Rojas Camacho, Kalpnaben R Patel, Shilin Zhao, Rosangela Sanchez Puga, Ryan H Belcher, James D Phillips","doi":"10.1177/10556656261420132","DOIUrl":"10.1177/10556656261420132","url":null,"abstract":"ObjectiveTo compare cleft lip and palate management between the USA and Guatemala, focusing on surgical timing, secondary procedures, and multidisciplinary access.DesignMulticenter, retrospective cohort study (2011-2024); nonrandomized, with anonymized clinical and surgical data.SettingVanderbilt University Medical Center (USA) and Moore Pediatric Surgery Center (Guatemala). U.S. care was continuous; care in Guatemala was provided through short-term surgical missions.Patients1693 patients aged 0-21 years with cleft lip and/or palate (790 Guatemala; 903 USA). Patients with Tessier clefts or non-Guatemalan residency (for the Guatemalan cohort) were excluded.InterventionsPrimary and secondary cleft surgeries and multidisciplinary interventions.Main Outcome MeasureAge at primary surgery, cleft type, sex, secondary procedures, palatal fistula, velopharyngeal insufficiency, dental/ear interventions, and sociodemographics (Guatemala).ResultsGuatemalan patients underwent primary cleft lip and palate repairs at significantly older ages (p < .001) and had higher rates of palate fistula (24% vs. 7%), fistula repair (13% vs. 7%), and lip revision (15% vs. 8%) (p < .001). Access to multidisciplinary care was greater in the USA (myringotomy tubes: 70% vs. 10%; dental restoration: 24% vs. 17%; p < .001). Among Guatemalan patients, 53% lived in rural regions and traveled a mean 3.3 h to access care.ConclusionsSignificant disparities exist in cleft lip and palate management between Guatemala and the USA, marked by delayed surgical intervention beyond the optimal developmental window. Overcoming systemic, geographic, and socioeconomic barriers through integrated, sustainable, locally supported care models is critical to enhancing outcomes in resource-limited settings.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3551-3564"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214696","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

Helmet Therapy in Infants with Positional Skull Deformity: A Retrospective Study of 455 Patients from a German Tertiary Care Center. 头盔治疗婴儿位置性颅骨畸形：来自德国三级保健中心的455例患者的回顾性研究。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-02-12 DOI: 10.1177/10556656261419227

Katja Himmelstoß, Lisa-Marie Lottner, Steffen Spoerl, Michael Maurer, Johannes K Meier, Antonios Moralis, Monika Friedrich, Christian Ott, Torsten E Reichert, Tobias Ettl, Felix Nieberle, Juergen Taxis

{"title":"Helmet Therapy in Infants with Positional Skull Deformity: A Retrospective Study of 455 Patients from a German Tertiary Care Center.","authors":"Katja Himmelstoß, Lisa-Marie Lottner, Steffen Spoerl, Michael Maurer, Johannes K Meier, Antonios Moralis, Monika Friedrich, Christian Ott, Torsten E Reichert, Tobias Ettl, Felix Nieberle, Juergen Taxis","doi":"10.1177/10556656261419227","DOIUrl":"10.1177/10556656261419227","url":null,"abstract":"ObjectiveThis study aimed to investigate the impact of helmet therapy on changes in cranial asymmetry of infants with positional cranial deformities and to identify clinical and morphometric factors associated with treatment outcome.DesignThis retrospective monocentric cohort study included 455 infants treated between 2011 and 2021.SettingData were collected using manual measurements in a tertiary care setting within the outpatient clinic of a maxillofacial surgery department in Germany.PatientsInfants with positional cranial deformities, including plagiocephaly, brachycephaly, and combined types, were included.InterventionAll patients were treated with a helmet orthosis, and data were analyzed to assess changes in cranial measurements and associated factors.Main Outcome MeasuresPredefined outcome thresholds based on cranial asymmetry reduction and prognostic factors.ResultsPlagiocephaly was the most common deformity in 332 infants. Increased ear shift (Exp(B) = 0.199; 95% CI: 0.087-0.451; p ≤ .001) and large initial diagonal difference (Exp(B) = 0.518; 95% CI: 0.334-0.802; p = .003) were correlated to unfavorable outcome. Delayed treatment was associated with lower reduction in diagonal difference (rs = -0.229; p ≤ .001), and recognized as a negative prognostic factor (Exp(B) = 0.993; 95% CI: 0.989-0.997; p ≤ .001). In contrast, a higher baseline cranial index increased the probability of success (Exp(B) = 1.057; 95% CI: 1.030-1.084; p ≤ .001).ConclusionEarly diagnosis and intervention are crucial for effective treatment of cranial deformities with helmet orthosis, especially in cases with ear shift or severe initial deformation.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3478-3488"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183075","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

Successful Premaxillary Reconstruction and Oronasal Fistula Closure in a Patient With VATER Syndrome With Bilateral Cleft and Missing Premaxilla. 双侧腭裂伴上颌骨缺失的VATER综合征患者成功的上颌前重建及口鼻瘘闭合。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2025-12-29 DOI: 10.1177/10556656251408193

Jayson Workman, Antonio Atte, Patrick Wong, Fabio Ritto

引用次数: 0

Dutch and Belgian Workflow for Ventilation Tubes Insertion in Children With Cleft Palate-A Survey Study. 荷兰和比利时对腭裂儿童通气管插入工作流程的调查研究。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-01-21 DOI: 10.1177/10556656251414519

Sofia Bachini, Wouter L Lodder, Hoven D Rienk, Korsten-Meijer Astrid, de Gier Henrietta, Breugem Corstiaan, Moues-Vink Chantal

{"title":"Dutch and Belgian Workflow for Ventilation Tubes Insertion in Children With Cleft Palate-A Survey Study.","authors":"Sofia Bachini, Wouter L Lodder, Hoven D Rienk, Korsten-Meijer Astrid, de Gier Henrietta, Breugem Corstiaan, Moues-Vink Chantal","doi":"10.1177/10556656251414519","DOIUrl":"10.1177/10556656251414519","url":null,"abstract":"ObjectiveThe goal of this study is to provide an overview of the current clinical practices of cleft teams affiliated to the Dutch Association for Cleft Palate (CP) and Craniofacial anomalies in the Netherlands and in Belgium, with regards to the placement of ventilation tubes in young children with CP.DesignCross-sectional survey.SettingMulticenter study, Oral Cleft Referral Centers of the Netherlands and Belgium.Patients, ParticipantsEar-nose-throat (ENT) surgeons, plastic surgeons, and language speech pathologists.InterventionsOnline survey.Main Outcome Measure(s)The survey questions covered the following topics: audiology assessment before palatoplasty, ventilation tube insertion (VTI) timing, postoperative follow-up visits.ResultsResponse rate per center was 100% (11/11 cleft centers), for a total of 21 cleft specialists (44%). Most centers (n = 7/11) establish VTI indication before palatoplasty by means of audiology assessment combined with ENT surgeon examination. Most centers combine VTI with palatoplasty (n = 9/11), and schedule a routine follow-up 2 to 3 months after surgery (n = 7/11).ConclusionsAlthough no standardized national or international protocols exist for the diagnosis and treatment of otitis media with effusion in children with CP, most Dutch and both Belgian cleft centers have independently developed local protocols that are largely aligned. Formalizing these into a unified written protocol represents an important next step toward optimizing and standardizing care for this patient population.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3377-3382"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020374","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

Factor Affecting the Receiving Repeated Ventilation Tube Insertion in Children With Cleft Palate. 影响腭裂儿童反复插入通气管的因素。

IF 1.3 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2026-10-01 Epub Date: 2026-01-21 DOI: 10.1177/10556656251414503

Thanakit Malaikritsanachalee, Vannipa Vathanophas, Sarut Chaisrisawadisuk, Kitirat Ungkanont, Archwin Tanphaichitr, Thanakrit Wannarong

{"title":"Factor Affecting the Receiving Repeated Ventilation Tube Insertion in Children With Cleft Palate.","authors":"Thanakit Malaikritsanachalee, Vannipa Vathanophas, Sarut Chaisrisawadisuk, Kitirat Ungkanont, Archwin Tanphaichitr, Thanakrit Wannarong","doi":"10.1177/10556656251414503","DOIUrl":"10.1177/10556656251414503","url":null,"abstract":"ObjectiveTo identify factors associated with repeated ventilation tube insertion (VTI) in children with cleft palate (CP) who developed otitis media with effusion (OME) before 6 years of age, and to construct a practical risk prediction scoring system.DesignRetrospective cohort study.SettingTertiary care academic hospital.ParticipantsMedical records of 127 children with CP who underwent both myringotomy with VTI and palatoplasty between 2007 and 2023 were reviewed. Patients were classified into single VTI (n = 55) and repeated VTI (n = 72) groups.InterventionsAll participants received myringotomy with VTI as standard OME management. Palatoplasty techniques included intravelar veloplasty and double-opposing Z-plasty, with or without hamulus fracture.Outcome MeasuresTen potential risk factors were evaluated, including craniofacial syndromes, premyringotomy hearing level, acute otitis media history, cleft type and gap width, middle ear fluid type, tympanic membrane (TM) retraction, surgeon level, palatoplasty technique, and hamulus fracture. Logistic regression was used to develop a predictive scoring system.ResultsMultivariate analysis identified thick middle ear fluid (odds ratio (OR) 3.18, P = .008), TM retraction (OR 4.06, P = .043), and premyringotomy hearing level >40 dB (OR 3.50, P = .010) as independent predictors of repeat VTI. A 0 to 4 point scoring system showed acceptable discrimination (area under the curve = 0.732).ConclusionChildren with TM retraction, thick middle ear fluid, or hearing loss >40 dB are at higher risk for repeated VTI. This scoring system supports early identification, caregiver counseling, and closer follow-up to optimize middle ear outcomes.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"3470-3477"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020304","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