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Management of the Cleft Patient, An Issue of Oral and Maxillofacial Surgery Clinics of North America, E-Book

Management of the Cleft Patient, An Issue of Oral and Maxillofacial Surgery Clinics of North America, E-Book

Kevin Smith

(2016)

Additional Information

Book Details

Abstract

This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Management of the Cleft Patient. Articles will include: Final Nasal Surgery; Prenatal Counseling, Ultrasound Diagnosis, and the Role of Maternal/Fetal Medicine of the Cleft Lip and Palate Patient; International Missions: Establishing a Longitudinal and Sustainable Team Approach; Diagnosis and Surgical Management of Velopharanyngeal Insufficiency; Feeding Infants with Clefts and Post-operative Management of the Infant Cleft Lip and Palate; Funding Cleft Patients in Need/Foundation and Fundraising; Latham Alveolar Molding and Presurgical Nasoalveolar Molding; Surgical Management of Tessier Facial Clefts; Otologic Concerns for Cleft Lip and Palate Patients; Distraction for Large Maxillary Anterior-Posterior Discrepancy in Cleft Patients; and more!


Table of Contents

Section Title Page Action Price
Front Cover Cover
Management of theCleft Patient i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: The Esoteric but Essential Concerns of Treating Children with Cleft Lip and Palate\r v
Prenatal Counseling, Ultrasound Diagnosis, and the Role of Maternal-Fetal Medicine of the Cleft Lip and Palate Patient\r v
Feeding Infants with Cleft and the Postoperative Cleft Management\r v
Presurgical Orthopedics Appliance: The Latham Technique\r v
Presurgical Dentofacial Orthopedic Management of the Cleft Patient\r v
Otologic Concerns for Cleft Lip and Palate Patient\r vi
Diagnosis and Management of Velopharyngeal Dysfunction\r vi
Rhinoplasty for the Cleft Lip and Palate Patient\r vi
Cleft and Craniofacial Mission Care: Management of Facial Clefts: International Missions\r vi
Using 501c3 Foundations in the Care of Cleft and Craniofacial Children\r vii
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r viii
FORTHCOMING ISSUES viii
August 2016 viii
November 2016 viii
February 2017 viii
RECENT ISSUES viii
February 2016 viii
November 2015 viii
August 2015 viii
Preface:\rThe Esoteric but Essential Concerns of Treating Children with Cleft Lip and Palate ix
Prenatal Counseling, Ultrasound Diagnosis, and the Role of Maternal-Fetal Medicine of the Cleft Lip and Palate Patient 145
Key points 145
INTRODUCTION 145
THE MULTIDISCIPLINARY TEAM 146
NEED FOR PRENATAL COUNSELING 146
ROLE OF MATERNAL-FETAL MEDICINE 148
ULTRASONOGRAPHY 149
SUMMARY 150
SUPPLEMENTARY DATA 150
REFERENCES 150
Feeding Infants with Cleft and the Postoperative Cleft Management 153
Key points 153
INTRODUCTION 153
INFANT FEEDING AND SWALLOWING 153
Normal Anatomy and Physiology 154
Feeding Challenges in Cleft Patients 154
Feeding Modifications 155
Postoperative Feeding 157
POSTOPERATIVE WOUND CARE 157
SUMMARY 158
REFERENCES 158
Presurgical Orthopedics Appliance 161
Key points 161
BACKGROUND 161
THE TECHNIQUE 161
UNILATERAL CLEFT LIP AND PALATE 162
BILATERAL CLEFT LIP AND PALATE 163
BENEFITS 163
WHAT IS KNOWN 167
REFERENCES 168
Presurgical Dentofacial Orthopedic Management of the Cleft Patient 169
Key points 169
INTRODUCTION 169
HISTORICAL PERSPECTIVE OF MAXILLOFACIAL ORTHOPEDIC THERAPY 170
OBJECTIVES OF PRESURGICAL DENTAL FACIAL ORTHOPEDICS 170
PRESURGICAL NASOALVEOLAR MOLDING 170
What Is Presurgical Nasoalveolar Molding? 170
Utilization of the presurgical nasoalveolar molding technique 171
Introduction and impressions 171
Device fabrication 171
Insertion and molding 171
Nasal stent 172
Nasal stent in the unilateral cleft 172
Nasal stent in the bilateral cleft 172
Benefits of presurgical nasoalveolar molding 173
Limitations of presurgical nasoalveolar molding 173
Complications of presurgical nasoalveolar molding 173
Recent advances in presurgical nasoalveolar molding 174
DYNACLEFT 174
DynaCleft Tape Application 174
Nasal Component of DynaCleft 174
Benefits of DynaCleft 174
Limitations of DynaCleft 175
Complications of DynaCleft 175
SUMMARY 175
REFERENCES 175
Otologic Concerns for Cleft Lip and Palate Patient 177
Key points 177
REFERENCES 178
Diagnosis and Management of Velopharyngeal Dysfunction 181
Key points 181
INTRODUCTION 181
ANATOMY 181
TERMINOLOGY 182
CAUSE 182
DIAGNOSIS 183
PERCEPTUAL SPEECH EVALUATION 183
Excessive Nasal Resonance (Hypernasality) 183
Audible Nasal Emission 184
Speech Misarticulations Related to Velopharyngeal Insufficiency 184
Video Nasoendoscopy 184
Multiview Speech Video Fluoroscopy 185
Nasometry 186
TREATMENT 186
Nonsurgical 186
Surgical Management 186
Posterior Wall Augmentation 186
Furlow Palatoplasty (Double Opposing Z-plasty) 186
Sphincter Pharyngoplasty 187
Pharyngeal Flap 187
SUMMARY 187
SUPPLEMENTARY DATA 187
REFERENCES 187
Rhinoplasty for the Cleft Lip and Palate Patient 189
Key points 189
INTRODUCTION 189
CLEFT NASAL DEFORMITY ANATOMY 189
Unilateral Cleft Deformity 189
Bilateral Cleft Nasal Deformity 189
SURGICAL TIMING 190
Primary Cleft Rhinoplasty 190
Definitive Cleft Rhinoplasty 190
Septum 190
Spreader Grafts 193
Dorsum or Nasal Osteotomies 194
Nasal Tip or Lower Lateral Cartilages 194
Piriform Rim and Premaxilla Augmentation 195
Alar Base Reduction 196
Rib Cartilage 198
Technique 198
SUMMARY 201
REFERENCES 202
Cleft and Craniofacial Mission Care 203
Key points 203
AMBASSADORIAL SERVICE 203
PREPLANNING AND CONTACTS 203
ADVANCE PLANNING AND CONTACT 205
TEAM SITE VISIT AND TEST CASES 206
EXTRA CONSIDERATIONS 209
Operating Room Instrumentation Turnover Facilitation 209
Water Health 210
PATIENT AND CLINIC LOGISTICS 211
ACADEMIC AND AMBASSADORIAL EXCHANGE 214
UNIVERSITY ACADEMIC AFFILIATIONS AND SUSTAINABILITY 214
TEAM REPLACEMENT AND REGENERATION 216
FINANCIAL ALCHEMY 216
Matching Grants and Crowd-Sourcing 216
SUMMARY 218
APPENDIX 1 219
APPENDIX 2 220
Using 501c3 Foundations in the Care of Cleft and Craniofacial Children 221
Key points 221
DOMESTIC FOUNDATION: A SMILE FOR A CHILD FOUNDATION, OKLAHOMA CITY 221
Initial Founding 221
Infrastructure 222
Fundraising 222
Distribution of Funds 222
Longevity of the Foundation 223
INTERNATIONAL FOUNDATION: FREE TO SMILE FOUNDATION, COLUMBUS, OHIO 224
Initial Founding 224
Board of Directors 224
Fundraising 225
Growth 226
Accountability 227
FINAL PERSPECTIVE 228
Index 229