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Avaliação estética do lábio nos portadores de fissura pré-forame incisivo unilateral completa, submetidos a queiloplastia primária com a técnica de Spina /Bertier, Carlos Eduardo. January 2001 (has links)
Orientador: Fausto Viterbo de Oliveira Neto / Resumo: A proposição da presente pesquisa consiste em avaliar subjetivamente e objetivamente a estética do lábio de 38 pacientes, portadores de fissura pré-forame incisivo unilateral completa, sendo 21 do sexo masculino e 17 do sexo feminino com idade entre quatro e 14 anos, com média de oito anos e oito meses, submetidos à queiloplastia primária com a técnica de Spina, e correlacionar a avaliação estética subjetiva com as mensurações objetivas. A avaliação subjetiva foi realizada por 20 avaliadores provenientes de quatro grupos constituídos por: fonoaudiólogas; pais e pacientes portadores de fissura de lábio e/ou palato; cirurgiões dentistas, fisiologistas e geneticista; cirurgiões plásticos do Hospital de Reabilitação de Anomalias Craniofaciais, da Universidade de São Paulo. A avaliação objetiva consistiu de mensurações no lábio superior dos lados fissurado e não fissurado realizadas pelo autor. Os resultados mostraram que as mensurações dos lados fissurado e não fissurado apresentaram-se diferentes e 70% das avaliações dos examinadores foram satisfatórias. Não houve correlação significante entre o julgamento dos avaliadores e as diferenças mensuradas entre os lados fissurado e não fissurado. / Abstract: The aim of the present study was to subjectivelly and objectivelly evaluate the aesthetics of the lip of 38 cleft lip patients, 21 males and 17 females, aging 4 to 14 years (mean eight years and eight months) who have undergone lip surgery by the SPINA'S technique, and to correlate both kinds of evalutions. Subjective evaluation was performed by 20 individuals among speech/language pathologistis, cleft lip and palate patients, cleft lip and palate patients parents, dentists, physiologists, geneticist and plastic surgeons from the Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo. Objective evaluation consisted of measurements in the cleft and noncleft sides of the upper lip, which were performed by the author. The results have shown that there were differences in the measurements in both sides of the lip, and 70% of the subjective evaluations were considered satisfactoriy. No significant correlation was found between the subjective evaluation and the measurements obtained in the cleft and noncleft sides of the patients lips. / Mestre
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Indicadores psicossociais e repercussões na qualidade de vida de adolescentes com fissura labiopalatalBachega, Maria Irene [UNESP] January 2002 (has links) (PDF)
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bachega_mi_dr_botfm.pdf: 804420 bytes, checksum: 4d6fe3bc5b2b4bc155e39f8d4aaf7185 (MD5) / O termo qualidade de vida tem sido utilizado por todos os profissionais que lidam com o bem-estar das pessoas, estando freqüentemente associado a indicadores psicossociais. Este trabalho teve por objetivo identificar, descrever e avaliar a qualidade de vida verbalizada e percebida por adolescentes portadores de fissura labiopalatal e as de um grupo com características sociodemográficas próximas, utilizado como controle, e suas possíveis semelhanças e diferenças quanto à qualidade de vida. A amostra foi constituída por 67 adolescentes portadores de fissura labiopalatal (G1), matriculados no Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo, HRAC-USP, sendo os dados coletados no período de 16 de novembro a 22 de dezembro de 1999; e de 67 adolescentes estudantes sem fissuras (G2), no período entre 22 de agosto a 15 de setembro de 2000. Os grupos tinham representação de ambos os sexos, na faixa etária de 10 a 20 anos incompletos e residentes na cidade de Bauru. Com a intenção de verificar o cotidiano, foi aplicado um questionário de questões estruturadas e algumas questões abertas, enfocando as suas percepções. Apesar do estigma que a deformidade congênita representa, os adolescentes portadores de fissura labiopalatal superam os limites da deficiência, evento fundamental para que se integrem à sociedade, apresentando satisfação com a vida que levam, através da autorealização, saúde e bem-estar. / The term quality of life has been employed by all professionals concerned with human welfare, which is often associated to psychosocial indicators. This study aimed at identifying, describing and evaluating the quality of life verbalized and noticed by teenagers with cleft lip and palate in relation to a control group presenting similar sociodemographic features, as well as the possible similarities and differences regarding quality of life. The sample comprised 67 teenagers with cleft lip and palate (G1) regularly enrolled for treatment at the Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo (HRAC/USP), the data of which were collected during the period November 16th to December 22nd, 1999. The control group consisted of 67 adolescent students without clefts (G2) who were surveyed in the period August 22nd up to September 15th, 2000. The groups included teenagers of both genders, aged 10 to 20 incomplete years old and living in the city of Bauru. A questionnaire comprising structured and some open questions was applied in an attempt to analyze the subjects’ quotidian according to their perceptions. Despite of the stigma yielded by the congenital deformity, the teenagers with cleft lip and palate overcome the limits imposed by their deficiency, which is fundamental for their integration into society, and demonstrate satisfaction with the life they live, through self-realization, health and welfare.
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Indicadores psicossociais e repercussões na qualidade de vida de adolescentes com fissura labiopalatal /Bachega, Maria Irene. January 2002 (has links)
Orientador: Tamara Beres Lederer Goldberg / Resumo: O termo qualidade de vida tem sido utilizado por todos os profissionais que lidam com o bem-estar das pessoas, estando freqüentemente associado a indicadores psicossociais. Este trabalho teve por objetivo identificar, descrever e avaliar a qualidade de vida verbalizada e percebida por adolescentes portadores de fissura labiopalatal e as de um grupo com características sociodemográficas próximas, utilizado como controle, e suas possíveis semelhanças e diferenças quanto à qualidade de vida. A amostra foi constituída por 67 adolescentes portadores de fissura labiopalatal (G1), matriculados no Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo, HRAC-USP, sendo os dados coletados no período de 16 de novembro a 22 de dezembro de 1999; e de 67 adolescentes estudantes sem fissuras (G2), no período entre 22 de agosto a 15 de setembro de 2000. Os grupos tinham representação de ambos os sexos, na faixa etária de 10 a 20 anos incompletos e residentes na cidade de Bauru. Com a intenção de verificar o cotidiano, foi aplicado um questionário de questões estruturadas e algumas questões abertas, enfocando as suas percepções. Apesar do estigma que a deformidade congênita representa, os adolescentes portadores de fissura labiopalatal superam os limites da deficiência, evento fundamental para que se integrem à sociedade, apresentando satisfação com a vida que levam, através da autorealização, saúde e bem-estar. / Abstract: The term quality of life has been employed by all professionals concerned with human welfare, which is often associated to psychosocial indicators. This study aimed at identifying, describing and evaluating the quality of life verbalized and noticed by teenagers with cleft lip and palate in relation to a control group presenting similar sociodemographic features, as well as the possible similarities and differences regarding quality of life. The sample comprised 67 teenagers with cleft lip and palate (G1) regularly enrolled for treatment at the Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo (HRAC/USP), the data of which were collected during the period November 16th to December 22nd, 1999. The control group consisted of 67 adolescent students without clefts (G2) who were surveyed in the period August 22nd up to September 15th, 2000. The groups included teenagers of both genders, aged 10 to 20 incomplete years old and living in the city of Bauru. A questionnaire comprising structured and some open questions was applied in an attempt to analyze the subjects' quotidian according to their perceptions. Despite of the stigma yielded by the congenital deformity, the teenagers with cleft lip and palate overcome the limits imposed by their deficiency, which is fundamental for their integration into society, and demonstrate satisfaction with the life they live, through self-realization, health and welfare. / Doutor
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Clinical and Epidemiologic Studies of Cleft Lip and Palate in the PhilippinesMurray, Jeffrey C., Daack-Hirsch, Sandra, Buetow, Kenneth H., Munger, Ronald, Espina, Lourdes, Paglinawan, Nena, Villanueva, Edith, Rary, John, Magee, Kathy, Magee, William 01 January 1997 (has links)
Clinical and epidemiologic studies of defined geographic populations can serve as a means of establishing data important for genetic counseling and as a first step in identifying strategies best suited for identification of causes. Under the sponsorship of Operation Smile International, clinical, genetic, and epidemiologic studies were carried out at six sites within the Philippines between 1989 and 1996. Patients who were being evaluated for surgical repair of craniofacial anomalies (primarily clefts of the lip and palate) were briefly examined for the presence of associated anomalies, and a family history was obtained to look for the frequency of cleft lip and palate in siblings. Birth records of 47,969 newborns born over an 8-year period at one hospital in Bacolod City in the province of Negros Occidental were reviewed. Medical records of infants born with clefts of the lip and/or palate and other major anomalies were reviewed and birth prevalence rates calculated. Findings include a birth prevalence of 1.94 per 1000 live births for cleft lip with/without palate in the Philippines. Recurrence rates in siblings for nonsyndromic clefts of the lip and palate were 23 per 1000 for cleft lip with or without cleft palate, and 14 per 1000 for cleft palate only. The percentage of clefts associated with multiple anomalies was 21% at birth and 6% for individuals examined during the screening process, providing evidence for a high postnatal death rate. These data provide groundwork for additional etiologic studies including segregation analysis and molecular genetic studies involving linkage or association, as well as for studies of environmental contributions to clefting such as vitamin deficiencies. Preliminary molecular analysis using an association approach is reported in a companion paper. The findings suggest a high incidence of cleft lip and palate in native-born Filipinos.
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Relationship of enamel hypoplasia and trauma in repaired cleft lip and palateMink, John R. January 1961 (has links)
Indiana University-Purdue University Indianapolis (IUPUI)
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Craniofacial Morphology in familial cases of cleft lip/palate: phenotypic heterogeneity and genetic predisposition in unaffected family membersLitz, Stephanie M. January 1993 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / This study investigated familial cases of cleft lip with or
without cleft palate to determine whether the unaffected members of each
family can be identified as gene carriers for the cleft trait. This
research presumes that such carriers will have henotypic features
identifiable by cephalometric analysis that are associated with an
increased risk to cleft offspring. Using population genetics
methodology, a pedigree analysis was made for each family member was
assigned to one of four groups: (1) obligate normal, (2) affected, (3)
carrier, and (4) unknown. LA and PA cephalographs were taken on each
subject and a clinical oral-facial examination carried out on
participating family members. Various anatomic landmarks located on the
LA and PA films were digitized and from them, a total of 28 linear
measurements were made. To eliminate the effect of sex and differential
age responses, Z scores were calculated.
Through univariate analysis, only one variable, NCR-MO, was shown
to be significantly different between the two groups. This variable
difference by itself is not adequate to differentiate those in the
normal group from the carrier group. Even though only one variable was
significant, other differences in the variables between these groups
become obvious when the group variables were plotted as Z scores. Since
Z scores are pure values with no limits (2--the number of standard
deviations in a given variable differs from normal). Thereby, age-related
growth differences were minimized. Further information is
gained when these Z scores are plotted as pattern profiles, Figures 5-7.
These profiles of mean Z scores for each variable pointed out
areas of the face in which the differences were so great that specific
anatomic areas appeared to be associated with one of the four groups.
For example, gene carriers demonstrated specific alterations in facial
height that might conceivably be used to discriminate that group from
the other three groups.
The family normals and carriers were then analyzed by using a
stepwise multivariate analysis. By this approach, a discriminant
function was generated consisting of six variables (three each from the
lateral and frontal headplates), which proved to be significant in
distinguishing an individual's phenotype. These variables define facial
height, width and depth. The specific findings included a decrease in
mid-facial height and depth along with an increased lower facial height
and width in the gene carrier population as compared to the normals.
The function then was used to predict group membership of the same
two groups. Comparing this analytical prediction to that of the
grouping system that resulted from the pedigree analysis, all but one
individual was classified correctly in both the normal and carrier
population.
A discriminant score was also determined for the unknown
population of family members which were defined as non-cleft blood
relatives of cleft probands. Thus, they were a mixture of two types--those
unaffected who carried a genetic liability for producing a cleft
child and those unaffected who did not. A prediction of their placement
into either the normal or carrier group was made with the discriminate
function. One-third were classed in the normal group and two-thirds as
gene carriers.
The results of this study confirm that the phenotype of these
unaffected family members designated as obligate gene carriers differs
significantly from that of the family normals. This information is not
only quite useful for genetic counselling but gives both a better
understanding or the genetic control of clefting and can lead to
molecular research to identify the specific gene in question.
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Face shape and mitotic index in mice with teratogen-induced and inherited cleft lip.Leong, Susanna Sao Chi January 1973 (has links)
No description available.
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Craniofacial morphology associated with susceptibility to cleft lipHerman, William. January 1981 (has links)
No description available.
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Analysis of the maxillary dental arch after rapid maxillary expansion in patients with unilateral complete cleft lip and palate / Analysis of the maxillary dental arch after rapid maxillary expansion in patients with unilateral complete cleft lip and palateAyub, Priscila Vaz 07 July 2014 (has links)
Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts. / Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts.
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The accuracy of growth and surgical visual treatment objectives in patients with unilateral cleft lip and palateHedrick, John Anthony. January 1999 (has links)
Thesis (M.S.)--University of Southern California, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
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