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Submucous Cleft Palate (SMCP): Indications and Outcomes of Radical Muscle Dissection Palatoplasty in Children Under 4 Years of Age.
Ghanem, Ali M; Ghorbanian, Samim; Borg, Tiffanie-Marie; Sell, Debbie; Sommerlad, Brian C.
Afiliación
  • Ghanem AM; Barts and the London School of Medicine and Dentistry, London, UK.
  • Ghorbanian S; Barts and the London School of Medicine and Dentistry, London, UK.
  • Borg TM; Barts and the London School of Medicine and Dentistry, London, UK.
  • Sell D; Great Ormond Street Hospital for Children NHS Trust, London, UK.
  • Sommerlad BC; Great Ormond Street Hospital for Children NHS Trust, London, UK.
Cleft Palate Craniofac J ; 60(8): 980-985, 2023 08.
Article en En | MEDLINE | ID: mdl-35306868
To delineate the indications, referral sources and outcomes of radical muscle dissection palate repair in the first 4 years of life for patients with submucous cleft palate (SMCP).This study presents a retrospective analysis of a single surgeon's management.All children were treated at Great Ormond Street Hospital, United Kingdom.Twenty-three children with nonsyndromic SMCP were included in this study.All participants underwent radical muscle dissection repair before their fourth birthday.Parameters analyzed included: referral sources, indications for referral, extent of anatomical abnormality, and postoperative outcomes.Paediatricians provided the largest proportion of referrals to the cleft lip and palate clinic (39%) due to the presence of cleft lip/palate on prenatal scans or during neonatal examination. Over half (n = 12, 52%) of patients had severe anatomical anomalies being in grade IV (score 8-9), with the classical triad present to some extent in all but 2 of the patients. The main indication for surgery was nasal regurgitation of food and liquid (n = 9, 35%) followed by hypernasality (n = 6, 21%), difficulty feeding (n = 3, 8%), and severe anatomical defect (n = 2; 4%). Postoperatively, the presenting complaint improved in the majority of cases.Nonsyndromic SMCP is often missed, though may present with nasal regurgitation, feeding problems, and/or hypernasality, though may be missed in nonsyndromic children. Early radical muscle dissection repair in the first 4 years of life is safe and effective, facilitating normal speech development.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Velofaríngea / Labio Leporino / Fisura del Paladar Límite: Child / Child, preschool / Humans / Newborn Idioma: En Revista: Cleft Palate Craniofac J Asunto de la revista: ODONTOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Insuficiencia Velofaríngea / Labio Leporino / Fisura del Paladar Límite: Child / Child, preschool / Humans / Newborn Idioma: En Revista: Cleft Palate Craniofac J Asunto de la revista: ODONTOLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos