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ATTACHMENT IN INFANTS WITH CLEFT LIP AND/OR PALATE: MARGINAL SECURITY AND ITS CHANGES OVER TIME.
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In: Infant mental health journal, vol. 39, no. 2, pp. 242-253 (2018)
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Rhinopharyngeal autologous fat injection for treatment of velopharyngeal insufficiency in patients with cleft palate.
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In: European Archives of Oto-rhino-laryngology, vol. 272, no. 5, pp. 1277-1285 (2015)
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Treatment of velopharyngeal insufficiency by autologous fat injection.
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In: European Archives of Oto-rhino-laryngology, vol. 267, no. 6, pp. 977-983 (2010)
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Fentes labio-palatines: guidance orthophonique au sein de l'équipe pluridisciplinaire [Orthophonic guidance in a multidisciplinary cleft team].
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In: Archives De Pédiatrie, vol. 17, no. 6, pp. 790-791 (2010)
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Fentes faciales--La séquence de Pierre Robin: choix parmi plusieurs protocoles de traitement [Facial clefts--Pierre Robin sequence: choice between several treatment protocols].
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In: Archives De Pédiatrie : Organe Officiel De La Sociéte Française De Pédiatrie, vol. 17, no. 6, pp. 787-788 (2010)
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Speech prognosis and need of pharyngeal flap for non syndromic vs syndromic Pierre Robin Sequence
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In: Journal of Pediatric Surgery, vol. 43, no. 4, pp. 668-674 (2008)
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Complete bilateral facial cleft (Tessier 4) with corneal staphyloma: a rare association.
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In: Journal of Pediatric Surgery, vol. 43, no. 10, pp. e15-e18 (2008)
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Speech outcome after cranial-based pharyngeal flap in children born with total cleft, cleft palate, or primary velopharyngeal insufficiency.
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In: Journal of Oral and Maxillofacial Surgery, vol. 64, no. 12, pp. 1736-1742 (2006)
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Abstract:
PURPOSE: The aim of this study was to compare the effect of a cranial-based pharyngeal flap on the speech of children born with a unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), cleft palate (CP), or primary velopharyngeal insufficiency (VPI) without cleft. PATIENTS AND METHODS: A total of 234 children born with clefts and 22 children born with primary VPI were evaluated. Children with associated abnormalities were excluded from this study. The Borel-Maisonny classification system was used to evaluate the velar insufficiency. The cranial-based pharyngeal flap was performed using the Sanvenero-Rosselli technique. RESULTS: Between 1984 and 2001, 74 children underwent pharyngeal flap for VPI. The mean follow-up period was 7 years. Borel-Maisonny scores after pharyngeal flap surgery were as follows: children with UCLP (n = 22), 59.1% type 1, 36.4% type 1/2, and 4.5% type 2; children with BCLP (n = 18), 44.4% type 1, 27.8% type 1/2, 16.7% type 2, and 11.1% type 2/3; children with CP (n = 17), 64.7% type 1, 23.5% type 1/2, and 11.8% type 2; children with primary VPI (n = 17), 29.4% type 1, 29.4% type 1/2, 29.4% type 2/3, and 11.8% type 3. There were significant differences in outcome among the 4 groups (P = .029; Fisher exact test). CONCLUSIONS: The positive effect on speech of a cranial-based pharyngeal flap is greater in children born with a UCLP or CP than in those born with a BCLP. In children born with primary VPI, this operation has only a slightly positive effect on speech that shows compensatory misarticulations; in such cases, alternative surgical choices or secondary procedures may be indicated. This information should be clearly conveyed to the parents in presurgical consultation so that they know what to expect from the procedure and postoperative adjuvant therapy.
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Keyword:
Age Factors; Child; Cleft Lip/complications; Cleft Lip/surgery; Cleft Palate/complications; Cleft Palate/surgery; Female; Humans; Male; Oral Surgical Procedures/methods; Palate; Pharynx/surgery; Retrospective Studies; Soft/surgery; Speech Disorders/etiology; Speech Disorders/surgery; Speech Intelligibility; Surgical Flaps; Treatment Outcome; Velopharyngeal Insufficiency/complications; Velopharyngeal Insufficiency/surgery; Voice Disorders/etiology; Voice Disorders/surgery
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URL: https://doi.org/10.1016/j.joms.2005.11.103 https://serval.unil.ch/notice/serval:BIB_FDBAD829134C
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Phonetic and otological results after early palate closure in 18 consecutive children presenting with cleft lip and palate
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In: International Journal of Pediatric Otorhinolaryngology, vol. 66, no. 2, pp. 131-7 (2002)
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