Subject(s)
Cleft Palate/surgery , Oral Surgical Procedures/methods , Velopharyngeal Insufficiency/prevention & control , Articulation Disorders/prevention & control , Dysarthria/prevention & control , Humans , Infant , Oral Surgical Procedures/adverse effects , Time Factors , Velopharyngeal Insufficiency/etiology , Velopharyngeal Insufficiency/pathologySubject(s)
Velopharyngeal Insufficiency , Child , Child, Preschool , Cleft Palate/surgery , Humans , Oral Surgical Procedures/adverse effects , Speech Disorders/diagnosis , Speech Disorders/etiology , Speech Disorders/therapy , Speech Production Measurement/economics , Speech Production Measurement/instrumentation , Velopharyngeal Insufficiency/diagnosis , Velopharyngeal Insufficiency/etiology , Velopharyngeal Insufficiency/physiopathology , Velopharyngeal Insufficiency/therapySubject(s)
Cleft Palate/surgery , Surgical Flaps , Articulation Disorders/epidemiology , Articulation Disorders/etiology , Articulation Disorders/therapy , Child , Child, Preschool , Follow-Up Studies , Hospitals, University/statistics & numerical data , Humans , Iowa , Postoperative Complications/epidemiology , Terminology as Topic , Treatment Outcome , Velopharyngeal Insufficiency/epidemiologyABSTRACT
This is a preliminary study of 37 infants with deformational plagiocephaly. In this first effort to create a profile of factors that may contribute to the onset and progress of developmental plagiocephaly, parents were interviewed concerning selected practices before and immediately after the birth of their infants. Results of the study do not reveal a clear or concise pattern of factors that may contribute to this condition. There needs to be additional research on the benefits and potential hazards of sleep position to infants as one of the factors that may contribute to deformational plagiocephaly.
Subject(s)
Craniosynostoses/etiology , Supine Position , Birth Order , Bone Density , Breast Feeding , Caffeine , Child, Preschool , Drinking , Humans , Infant , Maternal Age , Risk Factors , Skull/anatomy & histology , Sleep , SmokingABSTRACT
Longitudinal follow-up data on development and school placement are presented for three groups of patients. Having had or not having had early surgical intervention and stimulation distinguishes the two groups of patients with craniosynostosis. The third group is patients with cleft lip and palate who received early intervention but did not achieve minimal criteria for communication by age 22 months. Educational placement (for patients 8 to 20 years of age) follows the pattern of distribution of students nationally for patients who had early intervention.
Subject(s)
Cleft Lip/psychology , Cleft Palate/psychology , Communication Disorders/etiology , Craniosynostoses/psychology , Adaptation, Physiological , Adaptation, Psychological , Adolescent , Adult , Child , Cleft Lip/complications , Cleft Palate/complications , Communication Disorders/diagnosis , Craniosynostoses/complications , Craniosynostoses/surgery , Female , Humans , Infant , Language Tests , Longitudinal Studies , Male , Mental Disorders/etiology , Parent-Child Relations , Speech Production MeasurementABSTRACT
Patients born with severe dysmorphology involving the ears usually have hearing derangements as well as other areas of the craniofacial skeleton affected. To correct the functional problem, the usual and customary treatment is augmentation of the hearing with a bone conducting hearing device. The patients have to wear these devices with an external band. The new advances in osseointegrated implant allowed us today to utilize the same technology in the patient with the application of a bone anchored hearing device. The advantages are related to the obviation of the need to use a hearing band across the head, that most children object to, and the new device is much smaller than the large and cumbersome banded device. There is also an added advantage in the improvement of the hearing as the units are anchored internally in the bone. The device utilizes digital technology and can be calibrated easily. The patient can apply the device in the morning by a simple application click. The disadvantage to the patient is that the area requires consistent maintenance and care, however, this operation can be done very easily. A sleeper osseointegrated unit is kept as a spare that can be utilized if any osseo-integrated functional problem appears. The functional changes in the hearing and the audiological improvements are well documented.
Subject(s)
Hearing Aids , Hearing Loss, Conductive/surgery , Prosthesis Implantation/methods , Child , Cleft Palate/complications , Ear, External/abnormalities , Female , Hearing Loss, Conductive/etiology , Humans , Mandibulofacial Dysostosis/complications , Patient Satisfaction , Prosthesis Design , Temporal Bone/surgeryABSTRACT
Over the last decade, infants with deformities in the craniofacial skeleton have been seen at our craniofacial center, and similar observations have been noted in infants seen for evaluation and management after birth, where there are not any evident pathological findings such as craniosynostosis or another known genetic disorder. The known condition of deformational plagiocephaly has been related to a sequela of the infants being placed on their back for sleep. The change in the position of the infants to sleep on their back was altered from the traditional position, where infants were placed in the prone position for many decades in the past in the Western world. A special study was initiated to compile meaningful data to help those in the field pursue their treatment of affected children in a systematic and comprehensive manner. Avoidance of unnecessary surgery was essential in those children unless the deformational condition persisted and was not resolvable by nonsurgical means and change in the cultural habitat.
