Ladan Eslamian; Sara Youssefinia; Soode Mohseni
Abstract
Aim: Hearing impairment is one of the associated problems to cleft palate; although it affects language development, it has rarely been noticed in literature. The aim of this study is evaluating cleft palate patients’ hearing condition and the relationship of different incorporated elements with ...
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Aim: Hearing impairment is one of the associated problems to cleft palate; although it affects language development, it has rarely been noticed in literature. The aim of this study is evaluating cleft palate patients’ hearing condition and the relationship of different incorporated elements with their hearing. Materials and methods: Forty-two patients with cleft palate (23 males and 19 females) were selected among patients referring to orthodontic department of Shahid Beheshti university and Nime Sha’ban dental clinic of Kerman, their files were surveyed according to audiometric and tympanometric tests (A,B and C). Likewise the relationship of other factors including age, gender, type of cleft (unilateral, bilateral), history of previous reconstructive surgery and presence of oronasal fistula were studied on hearing. Chi-square and t-tests were used to analyze the data. Results: Twenty-three patients (54.7%) had one ear or both ears mild conductive hearing loss; and tympanogram-B was observed in 38 ears from 84 ears. These disorders were mostly observed in younger patients. Gender and type of cleft had no relationship with hearing condition. The average of hearing threshold in patients who had cleft palate surgery and patients without oronasal fistula was lower than other groups. Conclusion: Hearing problem was observed in more than %50 of the studied patients; which determines the need for proper examination and diagnosis following by predetermined treatment protocols.
Abu-hussein Muhamad
Abstract
Apert syndrome is a congenital disorder characterized by craniosynostosis, maxillary hypoplasia, mental retardation, mid-facial malformations, and syndactyly. The developmental disorder is inherited in an autosomal dominant manner, though most cases are sporadic. Approximately 75 percent of Apert's patients ...
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Apert syndrome is a congenital disorder characterized by craniosynostosis, maxillary hypoplasia, mental retardation, mid-facial malformations, and syndactyly. The developmental disorder is inherited in an autosomal dominant manner, though most cases are sporadic. Approximately 75 percent of Apert's patients suffering from dental anomalies suffer from cleft palate or bifid uvula. Cleft palates are common congenital disorders of the upper mouth, and occur when the palatal plates fails to join together during the second month of fetal development. This research paper focuses on the roles played by the craniofacial team in the management of secondary palates in children with Apert's syndrome.The consequences of Apert's disorders can be severe, long lasting, and sometimes incomprehensible even to the sufferers. But this study has aptly shown that the suffering can be averted, especially if proper corrective strategies are taken as early as possible. However, these strategies must fundamentally revolve around a multidisciplinary approach to sufferers of Apert's syndrome. This study looks into the roles played by the craniofacial team in the management of Apert-related complications such as Cleft lips and palates. The team is made up of the geneticist, speech language pathologist, audiologist, plastic surgeon, dentist, and orthodontist
Ayesha Anwar; Hameedullah Jan; Madeeha Sattar; Saima Qadir
Abstract
Aim: Cleft lip and palate is a social and functionally crippling problem. It is necessary to assess the degree of this problem in our society. The goal of thin study was to assess the number of cleft lip and palate patients in orthodontic patients reporting to Armed Forces institute of Dentistry (AFID), ...
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Aim: Cleft lip and palate is a social and functionally crippling problem. It is necessary to assess the degree of this problem in our society. The goal of thin study was to assess the number of cleft lip and palate patients in orthodontic patients reporting to Armed Forces institute of Dentistry (AFID), Rawalpindi, from 2001 through 2006.
Materials and Methods: 1118 consecutive patients reporting to AFID were included in the study. 18 were excluded based on inadequate records. Records were evaluated for the presence of clefts, impacted and missing teeth.
Results: 1% patients were found to have various kinds of clefts. 72.7% were female and the rest were male. Their mean age was 16.5 years. Bilateral clefts were more common. Reverse overjet and missing maxillary lateral incisors were strongly associated with cleft lip and palate.
Conclusion: Cleft lip and palate is reasonably prevalent in our society. Genetic predisposition and environmental factors are equally important in governing its occurrence. Both these issues have to be considered to reduce the incidence of this problem in a developing country such as ours WO 2006; 1:154-7).
