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1.
Int J Oral Maxillofac Surg ; 51(3): 332-337, 2022 Mar.
Article in English | MEDLINE | ID: mdl-34364736

ABSTRACT

The purpose of this study was to investigate the association between habitual snoring (HS), middle ear disease (MED), and speech problems in children with cleft palate. This cross-sectional study included children aged 2.0-7.9 years with non-syndromic cleft palate anomalies. Parents completed the Pediatric Sleep Questionnaire and a questionnaire about MED. Audiograms and speech assessment were also conducted. Ninety-five children were enrolled; 15.2% of families reported HS, 97.6% MED, and 17.1% speech problems. HS (37.5% vs 10.3%, P = 0.007) and early episodes of MED (92.3% vs 58.2%, P = 0.021) were more likely to be reported for children with isolated cleft palate when compared to those with cleft lip and palate. Children with cleft lip and palate had a higher frequency of MED with effusion compared to those with Robin sequence (86.4% vs 57.1%, P = 0.049). The odds ratio for HS in children with ≥1 episode of MED in the last year was 7.37 (95% confidence interval 1.55-35.15, P = 0.012). There was a trend for children with speech problems reported by parents to have HS (30.8% vs 11.5%, P= 0.076). Anatomical factors play a role in the frequency of upper airway symptoms in children with cleft palate. A recent history of at least one episode of MED was associated with an increased frequency of HS.


Subject(s)
Cleft Lip , Cleft Palate , Ear Diseases , Child , Child, Preschool , Cleft Lip/complications , Cleft Palate/complications , Cross-Sectional Studies , Ear Diseases/complications , Humans , Snoring/complications , Snoring/epidemiology , Speech
2.
Int J Oral Maxillofac Surg ; 48(6): 739-745, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30712988

ABSTRACT

The aim of this study was to quantify three-dimensional condylar displacements as a result of two-jaw surgery for open bite correction in patients with skeletal class II and class III malocclusion. Pre-surgical (T1) and post-surgical (T2) cone beam computed tomography scans were taken for 16 patients with skeletal class II (mean age 22.3±9.47years) and 14 patients with skeletal class III (mean age 25.6±6.27years). T2 scans were registered to T1 scans at the cranial base. Translational and rotational condylar changes were calculated by x,y,z coordinates of corresponding landmarks. The directions and amounts of condylar displacement were assessed by intra- and inter-class Mann-Whitney U-test or t-test. Class II patients presented significantly greater amounts of lateral (P=0.002) and inferior (P=0.038) translation than class III patients. The magnitudes of condylar translational displacements were small for both groups. Skeletal class III patients had predominantly medial (P=0.024) and superior (P=0.047) condylar translation. Skeletal class II patients presented greater condylar counterclockwise pitch (P=0.007) than class III patients. Two-jaw surgery for the correction of open bite led to different directions and amounts of condylar rotational displacement in patients with skeletal class II compared to class III malocclusion, with greater rotational than translational displacements.


Subject(s)
Malocclusion, Angle Class III , Open Bite , Adolescent , Adult , Child , Cone-Beam Computed Tomography , Humans , Imaging, Three-Dimensional , Mandible , Mandibular Condyle , Young Adult
3.
Int J Oral Maxillofac Surg ; 40(8): 790-6, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21474288

ABSTRACT

The objectives of this correlational study were to explore whether the oral health-related quality of life (ohrqol) of adolescents/young adults with cleft lip/palate (CL/P) relates to their own and their parents' satisfaction with treatment and treatment outcomes. Data were collected using mailed surveys from 30 parents and 27 patients who completed CL/P treatment. Patients' ohrqol was assessed with the Michigan Oral Health-Related Quality of Life (MOHRQoL) Scale, treatment satisfaction with Kiyak's Post-Surgical Patient Satisfaction Questionnaire, and satisfaction with treatment outcomes with Noor and Musa's Cleft Evaluation Profile. Overall, patients reported a positive ohrqol. Their satisfaction scores ranged from low to high. Patient and parent treatment satisfaction was related, while their outcome satisfaction did not correlate. Patients' MOHRQoL scores correlated with parent and patient treatment satisfaction and parents' outcome satisfaction. Patients' MOHRQoL scores did not correlate with patients' outcome satisfaction. The patients' level of discomfort was strongly correlated with patients' and parents' treatment satisfaction and parents' outcome satisfaction. In conclusion, regardless of outcome satisfaction, young patients with CL/P report a quite positive ohrqol after treatment completion. There is a clear relationship between the ohrqol of these patients with CL/P and their own as well as their parents' treatment satisfaction assessments.


Subject(s)
Attitude to Health , Cleft Lip/surgery , Cleft Palate/surgery , Oral Health , Patient Satisfaction , Quality of Life , Activities of Daily Living , Adolescent , Child , Cleft Lip/psychology , Cleft Palate/psychology , Female , Hearing/physiology , Humans , Interpersonal Relations , Male , Pain Measurement , Parent-Child Relations , Parents/psychology , Personal Satisfaction , Speech/physiology , Treatment Outcome , Young Adult
4.
Harv Dent Bull ; 10(1): 8-9, 2001.
Article in English | MEDLINE | ID: mdl-11924518
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