The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association最新文献

{"title":"Three-Dimensional Dynamic Analysis of the Reproducibility of Verbal and Nonverbal Facial Expressions.","authors":"Tiancheng Qiu,&nbsp;Zulin Xue,&nbsp;Ling Wu,&nbsp;Rong Yang,&nbsp;Xiaojing Liu,&nbsp;Xing Wang,&nbsp;Zili Li","doi":"10.1177/10556656211001998","DOIUrl":"https://doi.org/10.1177/10556656211001998","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to compare the short- and long-term reproducibility of verbal and nonverbal facial expressions of normal people using dynamic 3-dimensional (3-D) imaging.</p><p><strong>Design: </strong>Prospective, cross-sectional, controlled study.</p><p><strong>Setting: </strong>Peking University School and Hospital of Stomatology, Beijing, China.</p><p><strong>Patients and participants: </strong>Twenty-seven participants, 12 males and 15 females, were recruited for this study.</p><p><strong>Methods: </strong>A 3-D dynamic system was applied to capture the process of 4 nonverbal facial expressions (smile lips closed, smile lips open, lip purse, cheek puff) and 2 verbal facial expressions (/i:/, /u:/) at an initial time point, 15 minutes later, and 1 week later. Key frames were selected from each expression recording sequence.</p><p><strong>Main outcome measures: </strong>The root mean square (RMS) between each key frame and its corresponding frame at rest was calculated. ΔRMS reflected the difference of the same key frames between the different sessions of the same expression of the same participant. The reproducibility of different facial expressions at different time intervals were analyzed.</p><p><strong>Results: </strong>There was no significant difference in verbal and nonverbal expression repeatability during a 15-minute interval, except for cheek puff motion. Following a 1-week interval, verbal expression repeatability was superior to that of nonverbal expressions (<i>P</i> < .01). Compared with nonverbal expressions, the repeatability of verbal expressions did not obviously decrease with the increase in recording interval.</p><p><strong>Conclusions: </strong>Dynamic 3-D imaging is a useful technique for facial expression analysis. Verbal expressions showed greater reproducibility than nonverbal expressions.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"22-31"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211001998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38902484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduction Glossectomy for Macroglossia in Beckwith-Wiedemann Syndrome: Is Post-Op Intubation Necessary?","authors":"Emily L Geisler,&nbsp;Jeremiah Jeffers,&nbsp;Saoussen Salhi,&nbsp;Chad A Perlyn","doi":"10.1177/1055665621991739","DOIUrl":"https://doi.org/10.1177/1055665621991739","url":null,"abstract":"<p><strong>Objective: </strong>Macroglossia is a characteristic feature of Beckwith-Wiedemann syndrome (BWS), commonly treated with reduction glossectomy to restore form and function. There exists no consensus on the perioperative management of these patients undergoing tongue reduction surgery, including anecdotal information regarding how long postoperative intubation should be maintained. The aim of this study is to evaluate the necessity of prolonged postoperative intubation in patients receiving tongue reduction surgery via the surgical and anesthetic management methods at our center.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>Institutional care at Level I Children's Hospital.</p><p><strong>Participants: </strong>All children less than 18 years old with BWS and congenital macroglossia who underwent tongue reduction surgery over 5 consecutive years at our center (N = 24).</p><p><strong>Interventions: </strong>Tongue reduction surgery via the \"W\" technique.</p><p><strong>Main outcome measures: </strong>Success of immediate postoperative extubation and related surgical complications.</p><p><strong>Results: </strong>Immediate, uncomplicated postoperative extubation was successfully performed in all patients who received tongue reduction surgery for congenital macroglossia.</p><p><strong>Conclusions: </strong>Prolonged postoperative intubation for tongue reduction surgery may not be necessary as immediate, uncomplicated postoperative extubation was achieved in 100% of patients who received tongue reduction surgery at our center.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"126-131"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621991739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25340874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skeletal and Dental Correction and Stability Following LeFort I Advancement in Patients With Cleft Lip and Palate With Mild, Moderate, and Severe Maxillary Hypoplasia.","authors":"Buddhathida Wangsrimongkol,&nbsp;Roberto L Flores,&nbsp;David A Staffenberg,&nbsp;Eduardo D Rodriguez,&nbsp;Pradip R Shetye","doi":"10.1177/1055665621996108","DOIUrl":"https://doi.org/10.1177/1055665621996108","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates skeletal and dental outcomes of LeFort I advancement surgery in patients with cleft lip and palate (CLP) with varying degrees of maxillary skeletal hypoplasia.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Method: </strong>Lateral cephalograms were digitized at preoperative (T1), immediately postoperative (T2), and 1-year follow-up (T3) and compared to untreated unaffected controls. Based on the severity of cleft maxillary hypoplasia, the sample was divided into 3 groups using Wits analysis: <i>mild</i>: ≤0 to ≥-5 mm; <i>moderate</i>: <-5 to >-10 mm; and <i>severe</i>: ≤-10 mm.</p><p><strong>Participants: </strong>Fifty-one patients with nonsyndromic CLP with hypoplastic maxilla who met inclusion criteria.</p><p><strong>Intervention: </strong>LeFort I advancement.</p><p><strong>Main outcome measure: </strong>Skeletal and dental stability post-LeFort I surgery at a 1-year follow-up.</p><p><strong>Results: </strong>At T2, LeFort I surgery produced an average correction of maxillary hypoplasia by 6.4 ± 0.6, 8.1 ± 0.4, and 10.7 ± 0.8 mm in the mild, moderate, and severe groups, respectively. There was a mean relapse of 1 to 1.5 mm observed in all groups. At T3, no statistically significant differences were observed between the surgical groups and controls at angle Sella, Nasion, A point (SNA), A point, Nasion, B point (ANB), and overjet outcome measures.</p><p><strong>Conclusions: </strong>LeFort I advancement produces a stable correction in mild, moderate, and severe skeletal maxillary hypoplasia. Overcorrection is recommended in all patients with CLP to compensate for the expected postsurgical skeletal relapse.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"98-109"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621996108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25480639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Quantitative Analysis of Facial Asymmetry in Torticollis Using 3-Dimensional Photogrammetry.","authors":"Vanessa M Baratta,&nbsp;Olivia E Linden,&nbsp;Margaret E Byrne,&nbsp;Stephen R Sullivan,&nbsp;Helena O Taylor","doi":"10.1177/1055665621993284","DOIUrl":"https://doi.org/10.1177/1055665621993284","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether children with torticollis have quantifiably greater facial asymmetry than their age-matched controls using 3-dimensional (3D) photogrammetry.</p><p><strong>Design: </strong>We retrospectively analyzed patients diagnosed with torticollis and age-matched volunteers who underwent 3D photogrammetry of their faces. We calculated the root mean square deviation (RMSD) between native and reflected facial images, as a measure of asymmetry. Two observers independently measured RMSD values for all study participants. The Spearman correlation coefficient evaluated interobserver reliability. The Wilcoxon rank-sum test with Bonferroni adjusted <i>P</i> values for multiple comparisons.</p><p><strong>Setting: </strong>Institutional.</p><p><strong>Participants: </strong>Twenty patients diagnosed with torticollis and 12 age-matched volunteers. Patients were analyzed on a computer database and volunteers were selected and consented in the hospital. We excluded patients with a history of facial trauma, facial operations, or other craniofacial diagnoses.</p><p><strong>Interventions: </strong>Facial surface scans were obtained using the Canfield Vectra stereophotogrammetry system. The technology captures surface anatomy without radiation.</p><p><strong>Main outcome measures: </strong>RMSD comparisons between patients with torticollis and age-matched controls.</p><p><strong>Results: </strong>Compared to controls, patients with torticollis had statistically significant greater full face, upper third, and middle third facial asymmetry. There was a trend toward greater asymmetry of the lower facial third.</p><p><strong>Conclusions: </strong>We used 3D photogrammetry to quantitate facial asymmetry from torticollis. We found greater asymmetry in patients with torticollis than in their unaffected peers. All areas of the face appeared to be affected, though the asymmetry in the lower facial third just failed to reach significance.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"40-46"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621993284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25373271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occlusal Outcome of Orthodontic Treatment for Patients With Complete Cleft Lip and Palate.","authors":"Daniel Stonehouse-Smith,&nbsp;Aida N A Abd Rahman,&nbsp;Jeanette Mooney,&nbsp;Haydn Bellardie","doi":"10.1177/1055665621996116","DOIUrl":"https://doi.org/10.1177/1055665621996116","url":null,"abstract":"<p><strong>Aim: </strong>To assess occlusal outcomes of orthodontic treatment for patients with complete cleft lip and palate.</p><p><strong>Design: </strong>Retrospective assessment using the Peer Assessment Rating (PAR) index.</p><p><strong>Setting: </strong>Consecutive patients treated by one consultant orthodontist at a tertiary care cleft center.</p><p><strong>Participants: </strong>One hundred twenty-seven patients with either complete unilateral cleft lip and palate (UCLP) or bilateral cleft lip and palate (BCLP) consecutively treated with fixed appliances.</p><p><strong>Intervention: </strong>Fixed orthodontic appliance treatment and orthognathic surgery when required.</p><p><strong>Outcomes: </strong>The PAR index assessment was carried out by a calibrated-independent assessor. Treatment duration, the number of patient visits, and data on dental anomalies were drawn from patient records and radiographs.</p><p><strong>Results: </strong>One hundred two patients' study models were assessed after exclusions. Mean start PAR score for UCLP (n = 71) was 43.9 (95% CI, 41.2-46.6, SD 11.5), with a mean score reduction of 84.3% (95% CI, 81.9-86.7, SD 10.1). The UCLP mean treatment time was 23.7 months with 20.1 appointments. Mean start PAR score for BCLP (n = 31) was 43.4 (95% CI, 39.2-47.6, SD 11.4), with a mean score reduction of 80.9% (95% CI, 76.3-85.5, SD 12.5). The BCLP mean treatment time was 27.8 months with 20.5 appointments.</p><p><strong>Conclusion: </strong>These results compare well with other outcome reports, including those for patients without a cleft, and reflect the standard of care provided by an experienced cleft orthodontist. As with high-volume surgeons, orthodontic treatment for this high need group is favorable when provided by a high-volume orthodontist. These findings may be used for comparative audit with similar units providing cleft care.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"79-85"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621996116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25509274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palatoplasty for the Patient With Campomelic Dysplasia-Report of a Case and Review of the Literature.","authors":"Kaya Narimatsu,&nbsp;Akihiko Iida,&nbsp;Takanori Kobayashi","doi":"10.1177/1055665621992654","DOIUrl":"https://doi.org/10.1177/1055665621992654","url":null,"abstract":"<p><p>Campomelic dysplasia (CMPD) is a skeletal disorder resulting from <i>SOX9</i> gene mutations. Palatoplasty is rare due to a high lethality rate in infants from respiratory distress. Our patient had characteristic symptoms of CMPD, including short bowed limbs, macrocephaly, low-set ears, short palpebral fissures, hypertelorism, a flat nasal bridge, a long philtrum, micrognathia, and a cleft palate. We performed a Furlow palatoplasty when the patient was 2 years 9 months of age, after respiratory conditions had stabilized. We reviewed the literature of CMPD cases that underwent palatoplasty and discussed the optimal timing and surgical methods.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"132-136"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621992654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25361898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Administration of Single-Dose Antibiotic Does Not Decrease Oronasal Fistula Rates After Primary Palatoplasty.","authors":"Ishwarya Shradha Mamidi,&nbsp;Esperanza Mantilla-Rivas,&nbsp;Brynne A Ichiuji,&nbsp;Md Sohel Rana,&nbsp;Karen I Ramirez,&nbsp;Jason R Stein,&nbsp;Marudeen Aivaz,&nbsp;Monica Manrique,&nbsp;Jennifer McGrath,&nbsp;Gary F Rogers,&nbsp;Albert K Oh","doi":"10.1177/1055665621992653","DOIUrl":"https://doi.org/10.1177/1055665621992653","url":null,"abstract":"<p><strong>Objective: </strong>Oronasal fistula (ONF) is a known complication after primary palatoplasty (PP). Studies investigating the effect of perioperative antibiotics on fistula rates after PP are limited by inadequate sample size or reliance on self-reporting through national databases. In this study, the authors evaluated the association between single-dose perioperative antibiotics and postoperative fistula rates after PP at a single institution.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Participants: </strong>Children younger than 2 years who underwent PP from April 2009 to September 2019 were included.</p><p><strong>Interventions: </strong>Patients were divided into 2 categories: Group 1 received a single intraoperative dose of IV antibiotic, while group 2 did not.</p><p><strong>Main outcome measure(s): </strong>Outcome measures included ONF formation, length of stay (LOS), and 30-day readmission rates. Multivariable firth logistic regression, quantile regression, and χ² tests were performed.</p><p><strong>Results: </strong>Of the 424 patients, 215 and 209 patients were in groups 1 and 2, respectively. The overall ONF rate was 1.9% among all patients. Patients in group 1 experienced an ONF rate of 3.3%, while patients in group 2 had an ONF rate of 0.5%. After correcting for confounding variables, the difference in ONF rates was not statistically different (<i>P</i> = .68). Median LOS was 35.7 hours and 35.5 hours (<i>P</i> = .17), while the rate of readmission within 30 days was 4.7% and 2.4% for group 1 and 2, respectively (<i>P</i> = .96).</p><p><strong>Conclusions: </strong>Administration of a single-dose perioperative antibiotic did not decrease fistula formation after PP, nor did it affect the patient's LOS or 30-day readmission rate.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"14-21"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621992653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25366014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Pulp Vitality Tests in Teeth Submitted to Orthodontic Movement, Adjacent to the Cleft Area.","authors":"Claudia Ramos Pinheiro,&nbsp;Lidiane de Castro Pinto,&nbsp;José Francisco Mateo-Castillo,&nbsp;Viviane da Silva Siqueira,&nbsp;Daniela Garib","doi":"10.1177/1055665621996115","DOIUrl":"https://doi.org/10.1177/1055665621996115","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the pulp vitality in teeth adjacent to the cleft area submitted to orthodontic movement into the alveolar graft area in individuals with complete unilateral cleft lip and palate (CUCLP).</p><p><strong>Design: </strong>Cold sensitivity, vertical, and horizontal percussion tests were conducted on the teeth adjacent to the cleft and the contralateral teeth.</p><p><strong>Setting: </strong>Endodontics Sector in the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP).</p><p><strong>Patients: </strong>One hundred patients with CUCLP and hypodontia of the upper lateral incisor in orthodontic movement and after successful alveolar bone graft in the cleft area.</p><p><strong>Main outcome measures: </strong>The cleft study group (SG) was composed of 200 teeth, adjacent to the cleft area. The control group (CG) consisted of 200 contralateral teeth. Statistical analysis was performed using the chi-square test for comparisons between groups (<i>P</i> < .05).</p><p><strong>Results: </strong>In the SG, 82.0% of teeth presented positive response to the cold sensitivity testing, 13.5% had negative response, and 4.5% had marked response, with statistically significant difference in relation to the CG. The vertical and horizontal percussion tests on teeth in the SG revealed the same results, in which 95.0% presented negative response and 5.0% responded positively, without significant difference compared to teeth in the CG, for both tests.</p><p><strong>Conclusions: </strong>Teeth adjacent to the cleft area presented changes in the physiological conditions of the pulp, which were observed by reduction of positive response to the cold sensitivity testing or presence of pulp hypersensitivity in cases of marked response.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"72-78"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621996115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25402715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Treatment Outcomes of Absorbable Sutures, Nonabsorbable Sutures, and Tissue Adhesives in Cleft Lip Repair: A Systematic Review.","authors":"Uchenna P Egbunah,&nbsp;Olawale Adamson,&nbsp;Azeez Fashina,&nbsp;Adegbayi A Adekunle,&nbsp;Olutayo James,&nbsp;Wasiu L Adeyemo","doi":"10.1177/1055665621996107","DOIUrl":"https://doi.org/10.1177/1055665621996107","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the literature and synthesize the available reports for the best possible option between absorbable, nonabsorbable, and tissue adhesives in cleft lip skin closure.</p><p><strong>Design: </strong>We conducted systematic searches for randomized controlled trials and controlled clinical trials in PubMed, Cochrane, Ovid Medline, and OpenGrey databases. Identified studies were retrieved and assessed for eligibility. All statistical analyses were done with Revman, version 5.4.</p><p><strong>Interventions: </strong>The intervention considered in this systematic review were techniques of cleft lip repair using resorbable sutures, nonabsorbable sutures, medical adhesives, or any combination of these.</p><p><strong>Outcome measures: </strong>The primary outcomes assessed in the trials had to include any combination of the following: wound healing cosmesis and wound healing complications. While secondary outcomes considered were quality of life, direct and indirect costs to patients and health services, and participant satisfaction.</p><p><strong>Results: </strong>Only 6 studies met all inclusion criteria and were selected for qualitative analysis. A more favorable wound healing cosmesis was seen when nonabsorbable suture was used in cleft lip repair compared to absorbable sutures and tissue adhesives (CI, 0.65-4.35). This advantage was overshadowed by the significantly higher prevalence of postoperative complications when nonabsorbable sutures are used.</p><p><strong>Conclusion: </strong>Although the results point to more favorable cosmesis with nonabsorbable sutures and an overall more favorable outcome with either absorbable sutures or tissue adhesives, the 6 selected studies were assessed at an unclear risk of bias; therefore, the results of this study should be interpreted with caution and regarded as low-certainty evidence.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"110-120"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621996107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25425547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clefts and Dental General Anesthesia: The South Thames Experience.","authors":"Maalini Patel,&nbsp;Mina Vaidyanathan,&nbsp;Nabina Bhujel","doi":"10.1177/1055665621995044","DOIUrl":"https://doi.org/10.1177/1055665621995044","url":null,"abstract":"<p><strong>Background: </strong>Children with clefts have high dental needs and often require a dental general anesthesia (DGA) for the management of their dentition.</p><p><strong>Objective: </strong>To assess the number of children with clefts requiring a pediatric dental consultant led DGA in the South Thames Cleft Service over a 3-year period.</p><p><strong>Design: </strong>Data were collected retrospectively over a 36-month period.</p><p><strong>Results: </strong>Sixty-five children with cleft lip and/or palate required a DGA with the South Thames Cleft Service. The average age of the child was 7 years, and the average number of teeth treated under the general anesthetic was 9. Families traveled an average of 21 miles to access their child's care, and the referral-to-treat time was on average 14 weeks.</p><p><strong>Conclusion: </strong>Results highlight the need for DGA provision for children with clefts. Cleft centers need sufficient capacity for this service to prevent long wait times, and in view of distances traveled shared, care should be implemented with local providers.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"66-71"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1055665621995044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25394668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}