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Lateral Cephalometric Evaluation in Cleft Palate Patients

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Jain P., Agarwal A., Srivastava A.
Polish Journal of Surgery
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2009
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vol. 81
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issue 1
23-27
EN
The aim of the study. The lateral cephalometric study in children with cleft palate was carried out to find out the cause of maxillary retrusion and to see if there were other changes induced by this entity in the maxillofacial morphology.Material and methods. Lateral cephalometric evaluation of 28 patients with un-operated cleft palate (group A), 12 patients with operated cleft palate (group B) and 10 controls (group C) was done by tracing the lateral cephalographs, marking the various landmarks and taking the mean of each measurements made thrice.Results. It showed significant decrease in maxillary length and S-N-ANS angle indicating maxillary hypoplasia in all group A patients, significantly so in 16-20 years age group. Group B patients having undergone palatal repair in their childhood revealed significant increase in lower anterior facial height, the other parameters being insignificantly altered when compared with control.Conclusions. The findings suggest an intrinsic deficiency not only in maxilla but contrary to the past belief also in mandible. There was no significant difference in the cephalometric measurements between un-operated and operated cleft palate patients.
2
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Cone beam computed tomography (CBCT) in pediatric dentistry

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Theys S., Olszewski R.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
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2022
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vol. 25
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issue 1
1-43
EN
Objective: The aims of this systematic review of the literature were to investigate the uses of cone beam computed tomography (CBCT) in pediatric dentistry and, if possible, identify the indications. Material and methods: A literature search was conducted using the PubMed and Scopus electronic databases and the keywords "CBCT and pediatric dentistry". This search provided us with 1518 references. The selected publications were all clinical articles written in French or English and referring to a pediatric population. After screening, 461 eligible full text articles remained. Results: In total, there were 169 references that met the inclusion criteria. Different topics, mainly relating to orthodontics, anatomy, and cleft lips and palate, were discussed. There was large variability in the information concerning the technical parameters. The radiographic protocols that we analyzed showed a large heterogeneity. Conclusions: The level of evidence provided by our work is limited because only two randomized double-blind controlled studies are included. Two indications can be distinguished: for orthodontics and for the rehabilitation of cleft lips and palate. There are a multitude of radiographic protocols. More research is needed to identify other potential clinical indications as well as to determine a standard CBCT protocol for children and adolescents.
3
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The Prevalence of Cleft Lip and/or Palate in Children from Łódź in Years 2001-2010

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Antoszewski B., Fijałkowska M.
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vol. 85
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issue 6
329-332
EN
One of the most frequent congenital malformations is cleft lip and/or palate. The above-mentioned defect is a serious medical and social problem, and knowledge concerning its incidence pictures the scale of this phenomenon. The aim of the study was to determine the prevalence of cleft lip and/or palate in children in Łódź during the period between 2001 and 2010. Material and methods. We were able to obtain data from The Polish Registry of Congenital Malformations concerning the number of live born infants, and birth of children with cleft malformations in Łódź during the period between 2001 and 2010. Results. The mean incidence of cleft malformations amounted to 1.16/1000 live born infants in Łódź during the period between 2001 and 2010. Conclusions. During the period between 2001 and 2010, a significant decrease in the prevalence of cleft lip and/or palate was observed in Łódź. The most common type of defect was isolated cleft palate, while the most rare - cleft lip. Considering boys the most frequent defect was cleft lip and palate, while in girls - isolated cleft palate. Attention should be drawn to the fact of the decreased number of deliveries in Łódź, observed in the past decade
4
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Presurgical techniques for the treatment of cleft lip and palate in infants – a review of the literature

88%
Górska J., Kalinowska J., Racka-Pilszak B.
European Journal of Translational and Clinical Medicine
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2022
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vol. 5
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issue 2
67-74
EN
Patients with cleft lip and palate require long-term, multistage and multidisciplinary treatment whose first step is presurgical orthopaedic treatment (PSO). The reconstruction of the lip, alveolar process and nose in these patients are major plastic surgery challenges. Various presurgical procedures are undertaken to achieve optimal surgical outcomes. The aim of this article is to present selected techniques for the presurgical cleft lip and palate treatment in infants and critically evaluate the benefits, limitations and drawbacks of the methods used. The research was based on the literature review using keywords: presurgical treatment of cleft lip and palate in infants, presurgical orthopaedics in the treatment of cleft lip and palate in infants in PubMed, Google Scholar databases, and publications in orthodontics and infant orthopaedics out of these databases. PSO is a minimally invasive therapy performed between birth and first surgery. Anatomical and functional cleft palate disorders constitute indications for PSO. There are positive reports on PSO techniques and some of them can be implemented by the child’s caregivers at home. The authors of studies disagree on the PSO effectiveness. The lack of long-term research results, high costs of therapy and few therapy centres negatively influence the decision to undertake the therapy.
5
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Methods of cleft lip and palate treatment over the centuries – a historical view

75%
Ilczuk-Rypuła D., Pietraszewska D., Kempa M., Zalewska-Ziob M., Wiczkowski A.
Annales Academiae Medicae Silesiensis
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2017
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vol. 71
399-406
EN
INTRODUCTION: Cleft palate is one of the most common congenital defects, associated with many problems including cosmetic and dental abnormalities, as well as speech, suction, chewing, swallowing, hearing and facial growth difficulties. AIM OF THE STUDY: To review different attempts and methods of cleft palate treatment, such as using obturators or surgical treatment. CONCLUSIONS: Cleft palate has been known for a long time and its treatment has been a considerable challenge for clinicians throughout the history of dentistry. The contemporary system of treatment of cleft palate is complex and multidisciplinary.
PL
WPROWADZENIE: Rozszczep podniebienia jest jedną z najczęstszych wad rozwojowych twarzoczaszki, polegającą na braku ciągłości anatomicznej i niedorozwoju tej struktury. Powoduje ponadto liczne zaburzenia czynnościowe (oddychania, ssania, połykania, żucia i mowy) oraz sprzyja infekcjom dróg oddechowych i ucha środkowego. CEL PRACY: Przedstawienie na podstawie piśmiennictwa różnych metod leczenia rozszczepu podniebienia, zarówno leczenia protetycznego przy zastosowaniu obturatorów, jak i leczenia chirurgicznego. PODSUMOWANIE: Rozszczep podniebienia, podobnie jak inne choroby, prawdopodobnie znany był ludzkości od początku jej istnienia. Na przestrzeni wieków podejmowano wiele prób wyleczenia tej wady lub zniwelowania efektów ubocznych. Obecnie obowiązuje wielospecjalistyczny model leczenia rozszczepu podniebienia.
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Kabuki syndrome: from Japanese theater to Poland – a case report

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Kępka B., Marzęda K., Chrościńska-Krawczyk M.
Neurologia Dziecięca
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2019
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vol. 28
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issue 56
57-61
PL
Zespół Kabuki (zespół Niikawa-Kuroki) jest to rzadka choroba obejmująca zespół wad wrodzonych, często połączonych z niepełnosprawnością intelektualną. Opisany po raz pierwszy u dziesięciorga pacjentów przez Niikawę i Kurokiego w 1981 r. Kiedyś uznawany za charakterystyczny dla obszaru Japonii, obecnie przypadki zespołu opisywane są na całym świecie, jednakże brak dokładnych informacji na temat częstości występowania. Nazwa pochodzi od tradycyjnego japońskiego teatru, którego aktorzy nosili charakterystyczny makijaż podobny do cech fenotypowych twarzy pacjentów. W pracy opisano przypadek 6-letniej dziewczynki, urodzonej z cechami hipotrofii wewnątrzmacicznej, rozszczepem podniebienia, małogłowiem, klinodaktylią palców V rąk, cofniętą żuchwą, nisko osadzonymi uszami i zniekształceniem klatki piersiowej. Mimo licznych specjalistycznych konsultacji, ostateczne rozpoznanie postawiono dopiero 15 miesięcy po urodzeniu, co podkreśla trudności związane z rozpoznaniem rzadkich chorób. Jednocześnie przypadek opisywanej Pacjentki pokazuje jak odrębne mogą być objawy u chorych z rozpoznanym zespołem Kabuki. Przeprowadzone niedawno badania rzuciły nowe światło na możliwą etiologię choroby (mutacja genu KMT2D lub KDM6A) i jednocześnie zmusiły do próby opracowania nowych kryteriów rozpoznania zespołu. Opisany przypadek, a także doniesienia z literatury potwierdzają jednak, że potrzebne są kolejne badania nad tym rzadkim schorzeniem.
EN
Kabuki syndrome is a rare disease manifested by several congenital anomalies, often connected with intellectual disability. The syndrome was first described by Niikawa and Kuroki in 1981. It was considered typical of Japan, however nowadays new cases are reported all over the world. Unfortunately, there is no precise epidemiological data. The name of syndrome derives from traditional Japanese theater where actors used to wear characteristic makeup, resembling patients’ phenotypic facial features. We report on a case of a 6-year-old girl born with intrauterine growth restriction (IUGR), cleft palate, microcephaly, clinodactyly of 5th fingers, micrognathism, low set ears, chest malformation. Despite numerous consultations, the final diagnosis was not made until 15th month of age, which underlines difficulties in diagnosing rare diseases. This case discusses a wide spectrum of symptoms of Kabuki syndrome in a 6-year-old girl. Recent research has shed a new light on the disease’s etiology (mutation in KMT2D or KDM6A gene) and led to establishing new diagnostic criteria. However, the described case and literature reports confirm that more research is needed into this rare disease.
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