• Title/Summary/Keyword: Oral cleft

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Van der Woude syndrome presenting as a single median lower lip pit with associated dental, orofacial and limb deformities: a rare case report

  • Richardson, Sunil;Khandeparker, Rakshit Vijay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.4
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    • pp.267-271
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    • 2017
  • Although it is a rare developmental malformation, van der Woude syndrome is the most common form of syndromic orofacial clefting, accounting for approximately 2% of all cleft cases. The lower lip pits with or without a cleft lip or palate is characteristic of the syndrome. Findings, such as hypodontia, limb deformities, popliteal webs, ankylogossia, ankyloblepheron, and genitourinary and cardiovascular abnormalities, are rarely associated with the syndrome. This paper reports a rare case of van der Woude syndrome in a 10-year-old male patient with a single median lower lip pit and a repaired bilateral cleft lip and cleft palate that were associated with microstomia, hypodontia, and clubbing of the left foot with syndactyly of the second to fifth lesser toes of the same foot.

Characteristics of Intraoral Air Pressure, Airflow in Relation to Phonatory Efficiency in Cleft Palate Speakers

  • Baek, Jin-A;Shin, Hyo-Keun
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.147-147
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    • 2003
  • Recent aerodynamic and acoustic studies of VPI(velopharyngeal insufficiency) are non-invasive and safety, therefore, many researchers have used it to diagnose the hyper/hyponasality and articulation disorders of cleft palate patients. The purpose of this study was to estimate mainly the oropharyngeal air pressure and over all air flow in cleft lip and palate patients. The pressure-collecting catheter was positioned in the oropharyngel cavity around tongue base. Twelve adult control group and three cleft lip & palate patients were participated to this experimentation. Aerophone II was used to measure peak air flow, mean air flow, phonatory airflow, phonatory efficiency and resistance. The results were as follows: 1) Airflow of cleft lip & palate patients group were higher than those of control group. Fricative sounds /s/ and /s'/ showed the statistic significance of mean airflow and volume data. 2) Intraoral air pressure of cleft lip & palate patients was lower than those of control group.

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Anatomical repair of a bilateral Tessier No. 3 cleft by midfacial advancement

  • Oh, Ji-hyeon;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.9.1-9.4
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    • 2018
  • Background: Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established. Case presentation: The authors describe the case of a patient with a right Tessier number 3, 11 facial cleft with microphthalmia, a left Tessier number 3 facial cleft with anophthalmia, and cleft palate. We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi. Postoperatively, the patient showed an esthetically acceptable face without unnatural scars. Conclusions: We achieved good results functionally and esthetically by midfacial advancement with facial muscle reposition instead of traditional interdigitating Z-plasties. The surgical modality of our anatomical repair and 3 months follow-up results are presented.

ONE-STAGE RECONSTRUCTION OF PRIMARY BILATERAL CLEFT LIP; A CASE REPORT (일차 양측성 구순열의 일단계 재건에 대한 증례보고)

  • Lim, Seok-Kyun;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Seo, Jae-Hoon;E, Gi-Hyug;Lee, Byung-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.3
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    • pp.366-370
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    • 1996
  • Bilateral cleft lip reconstruction can be performed in one-or two-stages. The choice depends on the surgeon's proficiency and experience. However the type and severity of the cleft must be considered. Complete or incomplete symmetric, bilateral clefts in which the premaxilla is within the alveolar arch or slightly protruded can be successfully treated with simultaneous lip reconstruction on both sides. There are some advantages that one-stage lip reconstruction facilitates creation of a symmetric and balanced lip, retraction of protruding premaxilla and the parent's psychologic satisfaction. However, there are some disadvantages such as micrognathia of the upper jaw by severe scar formation and poor adaptation of flap margins by severe tension. The surgeon must be able to judge and exploit the advantages offered by one-stage approach. We present the case report of one-stage reconstruction of primary bilateral cleft lip with literature reviews.

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Prognosis of secondary alveolar bone reconstruction after tongue flap reconstruction ( V-shaped anterior based ) of bilateral alveolar cleft (양측성 치조열 환자의 tongue flap reconstruction(Y형 전기저 설피판) 후에 2차성 치조골 재건술의 예후)

  • Kim Myung-Jin;Lee Jong-Ho;Lee Jee-Ho;Kang Na-Ra;Paeng Jun-Young;Myoung Hoon;Hwang Soon-Jung;Seo Byoung-Moo;Choi Jin-Young;Choung Pill-Hoon
    • Proceedings of The Korean Cleft Lip And Palate Association
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    • 2003.06a
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    • pp.39-39
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    • 2003
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