Cleft Palate Cran J
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Cleft Palate Cran J · Jul 2011
Nasopharyngeal airway for management of airway obstruction in infants with micrognathia.
Describe airway management using nasopharyngeal airway in infants. ⋯ NPA is one option in the management of patients with craniofacial anomalies and airway obstruction. The majority of nonsyndromic PRS patients treated with NPA during infancy did not require airway intervention beyond NPA.
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Cleft Palate Cran J · Mar 2011
Comparative Study Observational StudyPalatoplasty as the technique of choice for prevention of obstructive sleep apnea secondary to surgery for velopharyngeal insufficiency.
The aim of this study is to compare patients treated with pharyngoplasty and those treated with palatoplasty for velopharyngeal insufficiency to establish what surgical procedure poses the highest risk for developing sleep apnea. The hypothesis tested in this study is that the incidence of obstructive sleep apnea syndrome associated with pharyngoplasty is greater than that associated with palatoplasty for velopharyngeal insufficiency. ⋯ When comparing the apnea-hypopnea index (i.e., respiratory disturbance index) of patients treated for velopharyngeal insufficiency with palatoplasty versus pharyngoplasty, we observed an important difference between the groups, with the highest indices in the pharyngoplasty group.
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Cleft Palate Cran J · Mar 2011
Variations in velopharyngeal structures between upright and supine positions using upright magnetic resonance imaging.
No studies have used MRI to compare the dimensional changes of the velopharyngeal musculature between upright and supine positions. The purpose of this study is to provide a comparison between structures of the velopharyngeal mechanism while in the supine and upright positions during rest and sustained speech productions of four female subjects. ⋯ Overall, gravity had a minimal effect on velar thickness, velar length, velar height, levator muscle length, angles of origin, and pharyngeal dimensions. Differences between the two body positions (upright and supine) were not significant during rest or during production of /i/ and /s/, with the exception of velar height during /i/ production.
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Cleft Palate Cran J · Jul 2010
Prevalence of dental anomalies in a population of cleft lip and palate patients.
The aim of our study was to investigate radiographically the prevalence of dental anomalies in a group of Jordanian cleft lip and/or palate subjects. ⋯ The prevalence of dental anomalies in cleft lip and/or palate patients was higher than what had been reported in the normal Jordanian population. This emphasizes the relation of cleft lip and/or palate to all dental anomalies studied. Although our study represents a thorough and complete description of dental anomalies present in a sample of cleft lip and/or palate subjects, larger samples are required to effectively determine the relationship of each dental anomaly with cleft type.
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Cleft Palate Cran J · May 2010
Continuous bupivacaine infusion in iliac bone graft donor sites to minimize pain and hospitalization.
To assess the efficacy of continuous bupivacaine infusion at the iliac crest donor site in reducing postoperative pain and inpatient hospital stay. ⋯ There is a significant decrease in the length of hospitalization when using a continuous local infusion pump to deliver bupivacaine to the iliac crest following bone graft harvest. The pump is tolerated by patients and carries little morbidity. As such, the benefit of reduced cost from a reduced hospital stay is worthwhile. Continuous bupivacaine infusion is recommended for the iliac crest donor site.