The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1990)027<0425:rogaba>2.3.co;2
M E el Deeb
{"title":"Resorption of grafted alveolar bone associated with abnormal dental follicle: is it a rare incident or not?","authors":"M E el Deeb","doi":"10.1597/1545-1569(1990)027<0425:rogaba>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0425:rogaba>2.3.co;2","url":null,"abstract":"","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 4","pages":"425-6"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0425:rogaba>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404047","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}
The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1990)027<0354:eoucla>2.3.co;2
H Enemark, S Bolund, I Jørgensen
{"title":"Evaluation of unilateral cleft lip and palate treatment: long term results.","authors":"H Enemark, S Bolund, I Jørgensen","doi":"10.1597/1545-1569(1990)027<0354:eoucla>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0354:eoucla>2.3.co;2","url":null,"abstract":"<p><p>Fifty-seven consecutive complete unilateral cleft lip and palate patients were followed longitudinally from birth to 21 years of age. All patients were operated with the same primary surgical procedures. Reevaluation at age 21 with respect to speech, dental condition, need for secondary surgery, and skeletal and soft tissue facial growth was completed. Speech results indicated that 13 patients (23 percent) had required a pharyngeal flap, and that at age 21 only one patient still had unacceptable speech. The majority of patients had slight speech disturbances related to articulation and voice quality. Fifty-one patients had acceptable occlusion following orthodontic treatment, twenty-two patients (39 percent) without need for prosthodontic treatment of the cleft area. Secondary surgery for correction of nasal deformities was required for fifty-two patients. Growth analysis demonstrated deficiency in growth; however, normal and acceptable profiles were obtained in 50/57 of the patients.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 4","pages":"354-61"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0354:eoucla>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404784","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}
The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1990)027<0388:drlipa>2.3.co;2
R Azziz, R L Ladda
{"title":"Dexamethasone receptor levels in palatal and lung fibroblasts of adult A/J and C57BL/6J mice: relationship to glucocorticoid-induced cleft palate.","authors":"R Azziz, R L Ladda","doi":"10.1597/1545-1569(1990)027<0388:drlipa>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0388:drlipa>2.3.co;2","url":null,"abstract":"<p><p>Glucocorticoid-induced cleft palate (CP) has been used as an animal model for hormonal teratogenesis. In mice, the susceptibility to glucocorticoid-induced CP varies with the strain, A/J being very sensitive and C57/BL6J relatively resistant. Studies in adult and embryonic murine tissues have attempted to correlate the number of glucocorticoid receptors and CP susceptibility, with conflicting results. The relative quantities of dexamethasone receptors were now studied in established palatal and lung fibroblast cell cultures obtained from adult C57 and A/J mice. A rapidly saturable, stable binding system was demonstrated. Scatchard plots were linear indicating a single class of high affinity receptors. The glucocorticoid receptor number ranged from 6.2 x 10(-16) mole/microgram prot to 8.6 x 10(-16) mole/microgram prot, while the KD varied from 1.0 x 10(-8) M to 2.8 x 10(-8) M. The differences in receptor characteristics between murine strains were not significant (p greater than 0.05). The absence of a difference in receptor number between the two strains may reflect the limitation of fibroblast cell culture in assessing glucocorticoid binding in vivo. Alternatively, if a difference in palatal dexamethasone receptor levels between mice strains exists, it may occur only in the embryo.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 4","pages":"388-91; discussion 392"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0388:drlipa>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404041","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}
The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1990)027<0393:tacosp>2.3.co;2
R M Dalston, D W Warren, L R Smith
{"title":"The aerodynamic characteristics of speech produced by normal speakers and cleft palate speakers with adequate velopharyngeal function.","authors":"R M Dalston, D W Warren, L R Smith","doi":"10.1597/1545-1569(1990)027<0393:tacosp>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0393:tacosp>2.3.co;2","url":null,"abstract":"Pressure-flow data were obtained on 20 noncleft adults with normal speech and 26 adults with repaired cleft palate. All subjects had adequate velopharyngeal function as determined by preliminary aerodynamic assessment. Subjects were considered to have adequate closure if they had velopharyngeal areas no greater than 0.049 cm2 during production of /p/ in the word \"hamper.\" Although the subjects in both groups demonstrated velopharyngeal adequacy, the subjects with cleft palate produced speech with significantly less nasal airflow. In addition, their intra-oral pressure curve was shifted forward in time. These differences suggest that speakers with cleft palate and adequate velopharyngeal function make certain compensatory adjustments that may be necessary because of differences in velopharyngeal movement capabilities. The potential significance of this for treatment planning is discussed.","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 4","pages":"393-9; discussion 400-1"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0393:tacosp>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404042","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}
The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1990)027<0411:wotpri>2.3.co;2
J D Walter
{"title":"Webbing of the pharyngeal recess in adults with cleft palate.","authors":"J D Walter","doi":"10.1597/1545-1569(1990)027<0411:wotpri>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0411:wotpri>2.3.co;2","url":null,"abstract":"<p><p>The limited literature on the lateral pharyngeal recess of Rosenmüller and the various presentations of pharyngeal webbing are reviewed. Webbing across the lateral pharyngeal recess is described in 28 of 31 adults with cleft palate examined. The phenomenon has not been reported before and does not appear to be a feature of the nasopharyngeal wall in noncleft individuals.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 4","pages":"411-3; discussion 414"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0411:wotpri>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404044","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}
The Cleft palate journalPub Date : 1990-10-01DOI: 10.1597/1545-1569(1991)027<0374:tmatds>2.3.co;2
J. Swarts, S. R. Rood
{"title":"The morphometry and three-dimensional structure of the adult eustachian tube: implications for function.","authors":"J. Swarts, S. R. Rood","doi":"10.1597/1545-1569(1991)027<0374:tmatds>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1991)027<0374:tmatds>2.3.co;2","url":null,"abstract":"An accurate description of the functioning Eustachian tube (ET) requires a thorough knowledge of the anatomic relationships of its components. To this end, 15 \"normal\" adult ETs were obtained, sectioned, and stained with hemotoxylin-eosin. Descriptive and quantitative data of ET structures and their relationships were obtained. Eustachian tube length was normalized and comparisons between specimens made. This analysis suggests (1) in its midsection the cartilage is loosely attached to the cranial base; (2) the deep portion of the tensor veli palatini (TVP) originates from the lateral lamina and the fibrous portion of the lateral membraneous wall; and (3) the levator veli palatini (LVP) can interact with the ET primarily via the elongated medial lamina in the anterior portion of the ET. These observations suggest the ET is opened by a medial rotation of cartilage effected primarily by the TVP, but aided anteriorly by the LVP.","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"53 1","pages":"374-81"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87001627","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}
The Cleft palate journalPub Date : 1990-07-01DOI: 10.1597/1545-1569(1990)027<0225:aeocai>2.3.co;2
A M Sadove, C L Nelson, B L Eppley, B Nguyen
{"title":"An evaluation of calvarial and iliac donor sites in alveolar cleft grafting.","authors":"A M Sadove, C L Nelson, B L Eppley, B Nguyen","doi":"10.1597/1545-1569(1990)027<0225:aeocai>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0225:aeocai>2.3.co;2","url":null,"abstract":"<p><p>A clinical study evaluating the use of calvarial (two different techniques of harvest) versus iliac donor bone in secondary unilateral alveolar cleft reconstruction based on clinical and radiographic assessment was conducted. Both iliac bone and the Hudson brace harvested calvarial bone resulted in high rates of radiographic evidence of osseous continuity between the maxillary segments and clinical resolution of the alveolar cleft defect. Calvarial bone obtained with the craniotome had a lower rate of success that was statistically different from the other two groups. The utilization of calvarial bone and the implications of harvest technique on graft transfer biology are discussed.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 3","pages":"225-8; discussion 229"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0225:aeocai>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13521363","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}
The Cleft palate journalPub Date : 1990-07-01DOI: 10.1597/1545-1569(1990)027<0217:pfafg>2.3.co;2
G Semb, W C Shaw
{"title":"Pharyngeal flap and facial growth.","authors":"G Semb, W C Shaw","doi":"10.1597/1545-1569(1990)027<0217:pfafg>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0217:pfafg>2.3.co;2","url":null,"abstract":"<p><p>The present study addressed two questions. Does the skeletal pattern of children with cleft lip and palate who require a pharyngeal flap differ from children with similar clefts who do not? Following a pharyngeal flap does the pattern of facial development change? Skeletal form prior to pharyngeal flap was compared using cephalograms in 52 subjects with unilateral cleft lip and palate (UCLP) who subsequently received a superiorly based pharyngeal flap and 52 UCLP controls matched for sex and age. The flap group had slightly smaller maxillary length and anterior face heights and greater mandibular protrusion (p less than 0.5) before the pharyngeal flaps were done. Preoperative and five year (minimum) postoperative records were analyzed for 29 early pharyngeal flap cases and 29 matched controls. Subsequent growth demonstrated some assimilation of the flap group with the controls, but repeated measures analysis of variance failed to identify any important differences in growth after pharyngeal flap, suggesting that the superiorly based pharyngeal flap carries no systematic risk of interference with facial growth.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 3","pages":"217-24"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0217:pfafg>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13348912","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}
The Cleft palate journalPub Date : 1990-07-01DOI: 10.1597/1545-1569(1990)027<0279:ccitto>2.3.co;2
M D Meyerson
{"title":"Cultural considerations in the treatment of Latinos with craniofacial malformations.","authors":"M D Meyerson","doi":"10.1597/1545-1569(1990)027<0279:ccitto>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0279:ccitto>2.3.co;2","url":null,"abstract":"<p><p>Latinos are expected to form the largest ethnic minority in the United States by the year 2000. Although there is considerable diversity within this group, a number of similarities prevail. Folk theories of etiology and treatment, family loyalties, attitudes toward health professionals, and hospitals appear similar across Latino subgroups. Successful treatment requires the knowledge and appreciation of cultural attitudes.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 3","pages":"279-88"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0279:ccitto>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13348913","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}
The Cleft palate journalPub Date : 1990-07-01DOI: 10.1597/1545-1569(1990)027<0266:tionpo>2.3.co;2
J Moon
{"title":"The influence of nasal patency on accelerometric transduction of nasal bone vibration.","authors":"J Moon","doi":"10.1597/1545-1569(1990)027<0266:tionpo>2.3.co;2","DOIUrl":"https://doi.org/10.1597/1545-1569(1990)027<0266:tionpo>2.3.co;2","url":null,"abstract":"<p><p>The transmission characteristics of nasal tract energy to a nasal accelerometer were evaluated in relation to nasal tract airway resistance. Ten adult speakers repeated three utterances while recordings of nasal bone vibration, as detected by miniature accelerometers, were obtained simultaneously from both sides of the nose and referenced to a common throat signal. Average nasal-to-oral accelerometry ratios recorded from the more resistant side of the nose were significantly larger in magnitude than those recorded simultaneously from the less resistant side of the nose. While accelerometer ratio waveforms from each side of the nose essentially overlapped for some subjects, others displayed unilateral variations in accelerometer output as a function of time. The anatomic and physiologic condition of the nasal passage appears to be an important variable in the detection of nasal tract acoustic energy using the accelerometric technique.</p>","PeriodicalId":76622,"journal":{"name":"The Cleft palate journal","volume":"27 3","pages":"266-70; discussion 270-4"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1597/1545-1569(1990)027<0266:tionpo>2.3.co;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13520418","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}