Abstract：
:This introductory article summarizes and comments on a group of four papers based in part on a panel discussion of craniosynostosis (CS) held at the 53rd annual meeting of the American Cleft Palate-Craniofacial Association. The purpose of this panel was to review the differential diagnosis of CS and the evidence for increased intracranial pressure (ICP) and developmental problems in CS patients. First, a correct diagnosis must be made, with true synostosis being differentiated from positional deformities and other normal variants. Second, medical indications must be balanced against the risks of operating on CS patients. Release of fused sutures is commonly undertaken to avoid increased ICP, although studies of ICP in infants and children with CS are hampered by a lack of normative data and by difficulties with measurement techniques. A subgroup of children with isolated craniosynostosis may have increased ICP, which can be deleterious to brain function. Longitudinal studies of children with isolated CS suggest an increased risk of mental retardation and learning disorders; surgical release of the suture may not diminish this risk. Patients with metopic suture fusion appear to be particularly at risk. These findings must be confirmed with a larger sample size. These uncertainties raise ethical issues and complicate medical decision-making for the infant with CS. A trusting and truthful relationship between the parents and the professional is necessary for a balanced discussion of the best interests of the child. All patients with confirmed synostosis should be followed for evidence of progressive deformity, intracranial hypertension, and neurodevelopmental problems.
journal_name
Cleft Palate Craniofac Jjournal_title
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Associationauthors
Mouradian WEdoi
10.1597/1545-1569_1998_035_0190_citdam_2.3.co_2subject
Has Abstractpub_date
1998-05-01 00:00:00pages
190-3issue
3eissn
1055-6656issn
1545-1569journal_volume
35pub_type
杂志文章abstract：OBJECTIVE:To present norms and demonstrate the anthropometric variations in fronto-occipital circumference, inner and outer canthal distances, near and distant [far] anatomical interpupillary distance, canthal index, and circumference-interorbital index across age and sex in urban Turkish subjects. PARTICIPANTS:Three ...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_2002_039_0208_caiatp_2.0.co_2
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:To present a child born with both mitochondrial myopathy and cleft palate, outlining medical complications of this dual diagnosis-the first reported case in English literature. METHODS:A preterm Caucasian boy presented to the cleft palate clinic at birth for evaluation of a secondary cleft palate. Multiple a...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/03-040.1
更新日期：2005-05-01 00:00:00
abstract：BACKGROUND:One of the key challenges facing young adults with cleft lip and/or palate is making decisions about starting a family, because there is an increased likelihood of their own child being diagnosed with cleft lip and/or palate. Should this occur, a second key challenge is how to deal with their child's diagnos...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/13-314
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To determine the treatment outcome based on dentoalveolar relationships among Malay children born with nonsyndromic complete unilateral cleft lip and palate (UCLP). DESIGN:Retrospective cohort study. SETTING AND SAMPLE POPULATION:The Department of Orthodontics at the School of Dental Science and the Reconst...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/07-210.1
更新日期：2009-05-01 00:00:00
abstract：:Children with palatal clefts and their parents were interviewed to determine what information they had about the cleft and its management. Their responses were compared with the standards of 17 team members from seven disciplines. Both parent and child were consistently provided information about clefts that they were...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1991_028_0329_aoirbp_2.3.co_2
更新日期：1991-10-01 00:00:00
abstract：:The objective of this study is to present the use of surgical navigation in the selective removal of the anterior table of the frontal sinus in a patient with pneumosinus dilatans. A 16-year-old boy presented with progressive deformity of the forehead and left postauricular sulcus due to pneumosinus dilatans. Reconstr...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/06-144.1
更新日期：2007-09-01 00:00:00
abstract：:Hay-Wells/ankyloblepharon-ectodermal dysplasia-clefting syndrome is a rare autosomal dominant disorder characterized by ankyloblepharon, ectodermal dysplasia, and cleft lip and/or cleft palate. Mutations in the p63 gene recently have been shown to be etiologic in the majority of cases of ankyloblepharon-ectodermal dys...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章,评审
doi：10.1597/06-065
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:This study asked selected mature individuals with Moebius syndrome to discuss the sources of strength and resiliency that allowed them to achieve professional and personal success. DESIGN:Adults with Moebius syndrome were selected in a nonrandom manner based primarily on their affiliation with the Moebius Sy...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_2001_038_0231_rasiaw_2.0.co_2
更新日期：2001-05-01 00:00:00
abstract：OBJECTIVE:A critical appraisal of cleft care in the United Kingdom. DESIGN:Retrospective comparative study. SETTING:All National Health Service cleft centers in the United Kingdom. PATIENTS/PARTICIPANTS:Children born with unilateral complete clefts of the lip and palate between April 1, 1982, and March 31, 1984 (12-...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章,多中心研究
doi：10.1597/1545-1569_2001_038_0038_clapci_2.0.co_2
更新日期：2001-01-01 00:00:00
abstract：:Between 1983 and 1995, 12 children with Pierre Robin sequence were treated with a subperiosteal release of the floor of the mouth (SRFM) to correct severe upper-airway obstruction (group 1: n = 10) and prolonged feeding difficulties (group 2: n = 2). Eight children had isolated Pierre Robin sequence, while four had as...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1996_033_0468_srotfo_2.3.co_2
更新日期：1996-11-01 00:00:00
abstract：OBJECTIVE:We have observed clinically that some speakers wearing a speech appliance for correction of velopharyngeal incompetence can blow with variable intensity without nasal air escape. This clinical finding suggests that tightness of velopharyngeal closure may be regulated in accordance with oral air pressure durin...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1999_036_0224_eopoas_2.3.co_2
更新日期：1999-05-01 00:00:00
abstract：:Experimental rabbit models of postnatal coronal suture (CS) synostosis have helped make significant contributions towards the understanding and surgical management of human congenital craniosynostosis. The present study compares craniofacial growth patterns in animals with experimental CS immobilization and in a rabbi...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1993_030_0121_cbcssi_2.3.co_2
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to examine differences in velopharyngeal structures between adults with repaired cleft palate and normal resonance and adults without cleft palate. DESIGN:Thirty-six English-speaking adults, including 6 adults (2 males and 4 females) with repaired cleft palate (M = 32.5 years of...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1177/1055665617752803
更新日期：2018-11-01 00:00:00
abstract：:A mother, son, and daughter are presented, in whom serial photographs document an insidious and late onset of exorbitism and midfacial retrusion consistent with a diagnosis of familial nonsyndromic craniosynostosis. Papilledema was found in the 4.5-year-old daughter because of increased intracranial pressure secondary...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1993_030_0401_ioofc_2.3.co_2
更新日期：1993-07-01 00:00:00
abstract：:Craniofacial growth and development involve both size and shape variations. Shape variations can be assessed independently from size using mathematical methods such as the Fourier series. A method for the reconstruction of outlines starting from selected landmarks and for their Fourier analysis has been developed and ...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1996_033_0206_faocs_2.3.co_2
更新日期：1996-05-01 00:00:00
abstract：:Pressure-flow data are often used to provide information about the adequacy of velopharyngeal valving for speech. However, there is limited information available concerning simultaneous pressure-flow measurements for oral and nasal sound segments produced by normal speakers. This study provides normative pressure, flo...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1991_028_0398_pfmfso_2.3.co_2
更新日期：1991-10-01 00:00:00
abstract：OBJECTIVE:To evaluate speech in adults treated for unilateral cleft lip and palate with one-stage or two-stage palate closure and compare the speech of the patients with that of a noncleft control group. DESIGN:Cross-sectional study with long-term follow-up. PARTICIPANTS/SETTING:All unilateral cleft lip and palate pa...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/15-037
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:To introduce a surgical technique for secondary alveolar bone grafting performed in conjunction with premaxillary osteotomy and guided tissue regeneration in children with bilateral clefts. This paper also looks at the outcomes of this surgery in a series of 15 consecutive patients. METHODS:Secondary alveola...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/06-032.1
更新日期：2007-09-01 00:00:00
abstract：:Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft p...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1996_033_0127_cothho_2.3.co_2
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVE:The aim of this systematic review was to identify patient-reported outcome (PRO) instruments used in research with children/youth with conditions associated with facial differences to identify the health concepts measured. DESIGN:MEDLINE, EMBASE, CINAHL, and PsycINFO were searched from 2004 to 2016 to identi...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/16-148
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:The Shprintzen-Goldberg syndrome is an extremely rare syndrome with a characteristic face. This is one of a group of disorders characterized by craniosynostosis and marfanoid features. The aim of this study was to present a new sporadic case of the syndrome and describe in detail the findings at the maxillofa...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_2003_040_0433_sscr_2.0.co_2
更新日期：2003-07-01 00:00:00
abstract：:Image corrected cephalometric analysis (ICCA) is a method for eliminating serial image parallax error. In a radiographic survey, image parallax is an inherent and random property of the two-dimensional image of the subject. Radiographs of the same subject taken at different times will be different in image parallax. T...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章,评审
doi：10.1597/1545-1569_1993_030_0528_iccaid_2.3.co_2
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVE:To determine whether there are differences in the anatomical cleft measurements between patients with isolated cleft palate (CP) with or without Pierre Robin sequence (PR) and those with cleft lip and palate (CLP). DESIGN:Prospective case series. SETTING:Tertiary care university-based medical center. PATIE...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/14-255
更新日期：2016-05-01 00:00:00
abstract：:Pai syndrome is a rare congenital disorder, and there are few reports about the long-term prognosis of mental development and surgical results. Here, we report a patient with Pai syndrome who was followed up from birth up to the age of 8 years. Additionally, we review 32 articles and discuss the long-term prognosis of...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章,评审
doi：10.1177/1055665618771419
更新日期：2019-02-01 00:00:00
abstract：:G.A. Ilizarov's clinical insights and experimental biology have developed into what is known today as distraction osteogenesis. Initially used for the treatment of fractures and nonunions, his methods have proven successful for limb lengthening and bone transportation. A brief history of the development of distraction...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章,评审
doi：10.1597/1545-1569_1994_031_0473_eacewd_2.3.co_2
更新日期：1994-11-01 00:00:00
abstract：:The influence of an open residual cleft in the hard palate on speech was studied in nine children with cleft lip and palate at about 7 years of age. The subjects were treated by early repair of the velum (before 12 months of age), whereas the repair of the cleft in the hard palate was postponed until about 8 years of ...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_1996_033_0324_savfic_2.3.co_2
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:Patient-specific three-dimensional (3D) models are increasingly used to virtually plan rare surgical procedures, providing opportunity for preoperative preparation, better understanding of individual anatomy, and implant prefabrication. The purpose of this study was to assess the benefit of 3D models related ...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/15-281
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:To explore the application of magnetic resonance imaging (MRI) in the evaluation of patients with cleft palate before and after primary palatoplasty with particular attention focused on the levator veli palatini muscle. DESIGN:Prospective study using MRIs of subjects before and after primary cleft palate sur...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 临床试验,杂志文章
doi：10.1597/03-060.1
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVE:Mutations in patched (PTCH) cause the nevoid basal cell carcinoma syndrome (NBCCS), or Gorlin syndrome. Nevoid basal cell carcinoma syndrome may present with developmental anomalies, including rib and craniofacial abnormalities, and predisposes to several tumor types, including basal cell carcinoma and medull...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/04-169r.1
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To investigate the pattern of breast-feeding and sugar intake among babies with cleft lip and palate. PARTICIPANTS:Caretakers of 200 babies with cleft lip and palate enrolled at the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil. RESULTS:A low prevalence of bre...
journal_title：The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
pub_type： 杂志文章
doi：10.1597/1545-1569_2003_040_0084_bfasii_2.0.co_2
更新日期：2003-01-01 00:00:00
