PURPOSE Facial esthetics play an important role in social interactions. However, children with a repaired complete unilateral cleft lip and palate usually show some disfigurement of the nasolabial area. To date, few studies have assessed the nasolabial appearance after different treatment protocols. The aim of the present study was to compare the nasolabial esthetics after 1- and 3-stage treatm...

OBJECTIVES To describe the perceptual speech outcomes from the Cleft Care UK (CCUK) study and compare them to the 1998 Clinical Standards Advisory Group (CSAG) audit. SETTING AND SAMPLE POPULATION A cross-sectional study of 248 children born with complete unilateral cleft lip and palate, between 1 April 2005 and 31 March 2007 who underwent speech assessment. MATERIALS AND METHODS Centre-bas...

INTRODUCTION In this study, we compared patterns of morphologic variations of the craniofacial skeleton between patients affected by clefts who were operated on and unaffected subjects, aiming to discuss possible morpho-functional consequences of treatment in craniofacial development. METHODS The lateral cephalograms of 76 subjects, comprising patients with operated unilateral cleft lip and p...

AIMS the aim of this paper is to present the final modification to a one-step operation of unilateral cleft lip and palate, together with a plaster-model representation of the shape of the palate in the 5th , 10th and 15th year of life of the patients treated at the Institute of Mother and Child. A modified one-step surgical technique for treating cleft lip and palate is presented. MATERIAL A...

OBJECTIVE Feeding difficulties are reported widely in infants with cleft lip and/ or palate. There is, however, a paucity of objective information about the feeding patterns of these infants. This study compared patterns of feeding in infants with unrepaired cleft lip and palate with healthy noncleft infants of a similar age. SETTING North Thames Regional Cleft Centre. The noncleft cohort was...

DESCRIPTION A 2-week-old infant with unilateral cleft lip and palate (CLP) is brought to clinic by his parents. He was born full-term and the only associated abnormality is a small atrial septal defect. There is no family history of clefting.

BACKGROUND China is the most populated country and has one of the highest prevalences of oral clefting. The present study reports the epidemiology and surgical procedures performed on the largest reported cohort of individuals with clefting in China. METHODS A retrospective review of patients who received cleft repair through Smile Train in China from 2000 to 2011 was conducted. Data on demog...

OBJECTIVE To compare the use of the 5-year-olds' index on both dental study casts and intraoral photographs when measuring primary surgical outcome for children born with unilateral cleft lip and palate (UCLP). DESIGN A cross-sectional study. SETTING Models and photographs collected from cleft units across the UK as part of the CCUK (Cleft Care UK) study were scored by two clinicians at the...

OBJECTIVES We summarize and critique the methodology and outcomes from a substantial study which has investigated the impact of reconfigured cleft care in the United Kingdom (UK) 15 years after the UK government started to implement the centralization of cleft care in response to an earlier survey in 1998, the Clinical Standards Advisory Group (CSAG). SETTING AND SAMPLE POPULATION A UK multic...

The presence of a cleft lip, cleft palate or both, has a huge impact on the life of an individual and their family. Modern management has much to offer these people, revolutionizing appearance and functional defects to a point where they may be difficult to detect. Surgery aims to correct the anatomically obvious cleft lip, augment normal dento-alveolar development and lead to effective palatal...