RESUMO
PURPOSE: Controversy still exists regarding the optimal timing and surgical technique for primary cleft lip and palate (CLP) repair, and treatment protocols vary considerably. This study reviews the literature on timing and technique for primary repair and reports on the outcome for a consecutive group of patients treated by a single surgical protocol at the Sunnyview Cleft Palate Clinic. PATIENTS AND METHODS: Twenty-eight patients treated by a standardized clinical protocol from infancy through adolescence were evaluated with respect to the need for orthognathic surgery to correct jaw size discrepancy. For each patient, data was collected regarding type of cleft deformity, total number of surgical procedures from infancy, surgeon performing the primary repair, and the need or indication for orthognathic surgery. RESULTS: Twenty-five percent of patients treated by this protocol required orthognathic surgery because of anteroposterior jaw size discrepancy. The number of prior operations was not a significant factor. The need for orthognathic surgery was seen in all types of CLP deformity. Different primary surgeons varied considerably in the percentage of their patients who ultimately required orthognathic surgery. CONCLUSION: The results of this study parallel other larger cohort studies with respect to the percentage of patients requiring orthognathic surgery. The number of prior operations does not significantly affect the later need for orthognathic surgery.
Assuntos
Fissura Palatina/complicações , Fissura Palatina/cirurgia , Desenvolvimento Maxilofacial , Procedimentos Cirúrgicos Ortognáticos , Adolescente , Adulto , Fatores Etários , Alveoloplastia , Criança , Fenda Labial/complicações , Fenda Labial/cirurgia , Feminino , Transtornos do Crescimento/etiologia , Transtornos do Crescimento/cirurgia , Humanos , Masculino , Osteotomia , Estudos RetrospectivosRESUMO
A case of Melkersson-Rosenthal syndrome with the classic triad of symptoms is presented. The literature is reviewed with respect to clinical presentation, differential diagnosis, pathogenesis, and management of this syndrome.
Assuntos
Síndrome de Melkersson-Rosenthal , Paralisia Facial/patologia , Humanos , Lábio/patologia , Masculino , Síndrome de Melkersson-Rosenthal/patologia , Pessoa de Meia-Idade , Língua Fissurada/patologiaAssuntos
Palato/patologia , Doenças das Glândulas Salivares/patologia , Glândulas Salivares Menores/patologia , Adulto , Diagnóstico Diferencial , Humanos , Hiperplasia/diagnóstico , Hiperplasia/patologia , Masculino , Neoplasias Palatinas/diagnóstico , Doenças das Glândulas Salivares/diagnóstico , Neoplasias das Glândulas Salivares/diagnósticoRESUMO
With the aid of recent refinements in temporomandibular joint surgery, it is often possible to release a bony ankylosis directly within the joint space. The causes of bony ankylosis, various surgical techniques, and preoperative management are discussed within the framework of this report of case.
Assuntos
Anquilose/cirurgia , Artroplastia/métodos , Transtornos da Articulação Temporomandibular/cirurgia , Cartilagem Articular/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Osteotomia , Proplast , Próteses e ImplantesRESUMO
An unusual case is reported in which sarcoidosis presented originally as a cheek mass unrelated to the parotid or submandibular glands. The clinical findings were highly suggestive of a neoplastic process. A general review of sarcoidosis follows the case report.