• Title, Summary, Keyword: Palate

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Long-term Orthodontic Treatment and Phonetic Assessment of a Congenital Cleft Lip and Palate Patient (선청성 구순구개열 환자의 장기적인 교정 치료 및 음성언어학적 고찰)

  • Hong, Ji-Suk;Kim, Yoon-Ji;Hwang, Yong-In;Kim, Dae-Sung;Park, Yang-Ho
    • Korean Journal of Cleft Lip And Palate
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    • v.12 no.1
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    • pp.7-20
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    • 2009
  • Orthodontic treatment planning of cleft lip and palate requires consideration of the characteristic features, growth pattern and functional disorders related to cleft lip and palate patients. Tissue deficiencies and constriction of the scar tissue in surgically treated cleft lip and palate results in disturbance of maxillary growth and deficiency of midfacial region with anterior and posterior crossbite. These patients often present congenital missing of teeth, supernumerary teeth, malformed teeth, or ectopic position of teeth, which should be treated by orthodontic treatment by expanding upper arch followed by fixed appliance. Proper use of retainer and continuous follow-up is needed to prevent relapse after orthodontic treatment has finished. Also we have to pay attention to correct speech disorder which is caused by the velopharyngeal insufficiency.

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Usefulness of Speech Therapy for Patients with Submucous Cleft Palate Treated with Furlow Palatoplasty (점막하 구개열 치료에 있어 Furlow 구개성형술 전후 언어 치료의 유용성)

  • Baek, Rongmin;Park, Mikyong;Heo, Chanyeong
    • Archives of Plastic Surgery
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    • v.32 no.3
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    • pp.375-380
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    • 2005
  • Furlow palatoplasty has been favored by many plastic surgeons as the primary treatment for the velopharyngeal insufficiency associated with submucous cleft palate. The purpose of this article is to introduce an efficacy of Furlow palatoplasty and speech therapy performed on patients who were diagnosed belatedly as having submucous cleft palates. From 2002 to 2004, four submucous cleft palate patients over 5 years of age with velopharyngeal insufficiency received Furlow palatoplasty. The patients were evaluated through the preoperative perceptual speech assessment, nasometry, and videonasopharyngoscopy. Postoperatively, two patients achieved competent velopharyngeal function in running speech. One of the remaining two could achieve competent velopharyngeal function with visual biofeedback speech therapy and the other could not use her new velopharyngeal function in running speech because of her age. Speech therapy can correct the articulation errors and thus improve the velopharyngeal function to a certain extent by eliminating some compensatory articulations that might have an adverse influence on velopharyngeal function. This study shows that Furlow palatoplasty can successfully correct the velopharyngeal insufficiency in submucous cleft palate patients and speech therapy has a role in reinforcing surgical result. But age is still a restrictive factor even though surgery was well done.

Speech Outcome and Timing of Furlow Palatoplasty in Cleft Palate (Furlow 구개성형술을 시행한 구개열에서 언어발달과 적절한 수술시기)

  • Jin, Ung Sik;Kim, Suk Wha;Lee, Soung Joo
    • Archives of Plastic Surgery
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    • v.33 no.1
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    • pp.67-74
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    • 2006
  • Palatoplasty using Furlow's double-opposing Z-plasty has been performed from June, 1995 to September, 1999 at Seoul National University Children's Hospital. The goal of this study is to determine the optimal timing of repair and cleft severity affecting velopharyngeal function. This is the retrospective study of patients operated by the second author. The mean age of patients was 10.53 months. The patients could be divided into three groups-isolated cleft palate(n=70), unilateral cleft lip and palate(n=88), and bilateral cleft lip and palate(n=42). To evaluate the velopharyngeal function, we used two parameters, speech evaluation and cineofluorography using DSR(digital subtraction radiography). Also, to determine the relevance between cleft severity and speech development, we measured the distance between maxillary tuberosities and cleft margins. Among 200 patients, about 96% had no or minimal hypernasality and 87% had no or mild nasal emission. The cleft width and length of soft palate seemed not to be related with the speech development. Palatoplasty at the age under 12 months resulted in less 'nasal emission' and better 'articulation' of the parameters that were assessed at the age of 7 years. It can be concluded Furlow palatoplasty shows satisfactory results and also it seems that it is better to perform the operation before the age of 12 months.

Cleft lip and palate patient treatment using self-ligating bracket and distraction osteogenesis: A case report (자가결찰 브라켓과 골신장술을 이용한 구순구개열 환자의 치험례)

  • Moon, Cheol-Hyun;Park, Sun-Kyu
    • The Journal of the Korean dental association
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    • v.47 no.10
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    • pp.656-668
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    • 2009
  • It is difficult to perform orthodontic treatment for cleft lip and palate patient. Although there are many orthodontic appliances to expand narrowed maxillary arch, results are rarely successful and the possibility of relapse is increased due to severe scars. Self-ligating bracket, recently used in orthodontic treatment, suggests solution of crowding by expansion of dental arches. Light and continuous force could apply for orthodontic movement due to characteristic low friction of self ligating bracket, which gives expansion force until dentition reaches its new equilibrium position and it can be expressed as spontaneous lateral expansion with heavy labial tension. This kind of expansion force is thought to be a possibility of expanding the constricted maxillary arch of cleft lip and palate patient. Repositioning of the maxilla by Le Fort I osteotomy in case of severe maxillary deficiency, increases the possibility of relapse because of limitation in anterior movement and adaptation of soft tissue. In these cases, distraction osteogenesis(DO) can be applied for stable result. We report a case of cleft lip and palate patient with narrowed maxillary arch and maxillary deficiency using self ligating bracket and DO.

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REPORT OF A CASE OF MALIGNANT MELANOMA IN THE UPPER LEFT MOLAR REGION AND HARD PALATE. (상악치조돌기 및 구개에 발생한 악성흑색종의 치험증례 보고)

  • Nam, Il-U;Lee, Hu-Seung;Hong, Seong-Bo;Byeon, Yeong-Nam;Sim, Gwang-Seop
    • The Journal of the Korean dental association
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    • v.13 no.3
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    • pp.235-238
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    • 1975
  • The authors had treated a patient, 54years korean male, with malignant melanoma, egg sized, in the upper left molar region and hard palate. In the patient, radical operation was made by subtotal maxilectomy and prophylactic neck dissection. We could observe complete healing in the patient with malignant melanoma involving upper left molar region and hard palate.

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Three Cases of Submucous Cleft Palate with Hypernasality Treated with Double Opposing Z-plasty

  • 최홍식;이승수;김성국;김태만;김현준
    • Proceedings of the KSLP Conference
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    • pp.189-189
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    • 1998
  • 점막하 구개열(submucous cleft palate)은 특징적인 임상적 해부학적 기형을 나타내는데 이분 구개수(bifid uvula), 근육의 분리(muscular diastasis), 경구개 후연의 절흔(frank notching of the posterior hard palate)등이다. 결국 이러한 기형을 교정하지 않으면 과비음과 공명장애로 인한 조음장애는 사회생활에 중요한 영향을 미치고, 사람의 인상에 나쁜 영향을 주게되어 개인의 인성 형성의 장애와 삶의 질의 저하를 초래하게 된다. (중략)

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Multidisciplinary Treatment Approach in a Secondary Cleft Lip and Palate Patient for Functional Occlusal Rehabilitation (성인 구순구개열 환자에서 Multidisciplinary 치료로 기능성 교합을 형성한 증례)

  • Lee, Jina Linton
    • Korean Journal of Cleft Lip And Palate
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    • v.15 no.1
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    • pp.29-38
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    • 2012
  • A 20 year-old cleft lip and palate patient came for occlusal rehabilitation, but the constricted maxilla and early loss of posterior teeth called for an unusual treatment modalities. Distraction osteogenesis in the edentulous areas followed by artificial bone graft, dental implant along with orthodontic tooth movement were planed. Multidisciplinary treatment enabled both esthetic and functional oral rehabilitation of this patient.

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Modified two flap palatoplasty in asymptomatic transsphenoidal encephalocele: a case report

  • Richardson, Sunil;Khandeparker, Rakshit Vijay;Raghuvaram, Ajit Kumar;Mohan, Ram
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.86-90
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    • 2018
  • About one-third of patients with transsphenoidal basal encephaloceles have associated congenital anomalies, including cleft palate. Moreover, they are often plagued by symptomatic exacerbations in the form of upper respiratory obstructions, cerebrospinal fluid leaks, meningitis, etc., with few patients being asymptomatic. We herein present a rare asymptomatic case of transsphenoidal basal encephalocele in an 18-month-old child with cleft palate and highlight a modified version of two-flap palatoplasty.

A Study of Korean Standard Speech Evaluation(kSNAP test) for Cleft Palate speaker (구개열 언어 평가의 표준화 연구 : kSNAP 테스트를 중심으로)

  • Shin Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.1
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    • pp.1-9
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    • 2002
  • Some children with Cleft Palate have shown a speech disorders after repaired surgical operation. A diagnostic evaluation of speech in children with cleft palates is important in preventing speech disorders. However, standard speech evaluation form for children with cleft palates has not yet developed in Korea. The purpose of this study is to make the standard speech evaluation form for children with cleft palates. Thirty control children group and ten children with cleft palate participated in this experiment. The test words are composed of meaningless two syllabic words containing the three different types of korean stop consonants,

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A Case of Huge Pleomorphic Adenoma of Hard Palate (경구개에 발생한 거대 다형성 선종 1례)

  • 김용우;정용재;김희규
    • Korean Journal of Bronchoesophagology
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    • v.4 no.1
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    • pp.137-141
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    • 1998
  • Pleomonhic adenoma, the most common of the benign salivary gland tumor, is called benign mixed tumor. The tumor was first described by Kaltschmied in 1725 and clinically systematized by Bilroth in 1859. Most pleomorphic adenoma arise in major salivary glands. However, their development in minor salivay glands of the oral cavity, pharynx, paranasal sinuses, and in skin and lacrimal glands is well known. The palate is the most common site of origin of pleomorphic adenoma in minor salivary gland. Recently the authors have experienced a case of the huge pleomorphic adenoma of the hard palate in a 70 years old woman. This is the report of a case with review of literature.

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