Influența protocolului de intervenție chirurgicală ales în cazul despicăturilor facio-labio-palatine asupra procesului de intervenție logopedică

Influența protocolului de intervenție chirurgicală ales în cazul despicăturilor facio-labio-palatine asupra procesului de intervenție logopedică

The influence of the surgical intervention protocol chosen in the case of facio-labio-palatine clefts on the speech therapy intervention process

Ioana Mălina ORIAN, Rada BERESCHI BENE
Abstract

Labio-maxillo-palatine clefts is the most common congenital anomaly among congenital malformations of the face. The approach to clefts is done within a multidisciplinary team, in a management that starts from the pre-natal or immediately post-natal period until the adult life of the patient. The surgical protocol chosen for lip and palate reconstruction is a significant step for the upcoming speech process. The purpose of the paper is to highlight the importance of the surgical intervention protocol in the case of clefts, taking into account the speech difficulties that may occur and the therapeutic process of speech therapy intervention that can take place over a significant period of time. We highlighted this aspect through two presented case studies.

Keywords:labio-maxillo-palatine cleft, open rhinolalia, palatal fistula, speech intelligibility, speech disorder
pdf

DOI:10.26744/rrttlc.2023.9.1.08
Published on line: 03/31/2023
References
Bodea Hațegan, C. (2016). Terapia tulburărilor de limbaj. Structurilor deschise, Ed. Trei, București.
Bodea Haţegan, C. (2022). Tulburările de voce și vorbire: evaluare și intervenție, editura ASTTLR, Cluj-Napoca.
De Mey, A., Franck, D., Cuylits, N., Swennen, G., Malevez, C., Lejour, M. (2009). Early one-stage repair of complete unilateral cleft lip and palate. J Craniofac Surg 20(Suppl. 2): 1723e1728.
Farina, R. (1958). Total unilateral harelip: correction of severe deformity of the palate and lips in a single operation; Le Mesurier’s cheiloplasty & Veau-Ernst’s gnathourano- staphyloplasty. Ann Chir Plast 3: 199e205.
Farronato, G., Kairyte, L., Giannini, L., Galbiati, G., Maspero, C. (2014). How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? literature review. Available online at https://pubmed.ncbi.nlm.nih.gov/25209227/
Fayyaz, G.Q., Ganatra, M.A. (2021). Palatal Fistulas and Repair. Global Cleft Care in Low-Resource Settings pp 199–232
Fudalej, P., Hortis-Dzierzbicka, M., Dudkiewicz, Z., Semb, G. (2009). Dental arch relationship in children with complete unilateral cleft lip and palate following Warsaw (one-stage repair) and Oslo protocols. Cleft Palate Craniofac J 46: 648e653
Fudalej, P., Katsaros, C., Bongaarts, C., Dudkiewicz, Z., Kuijpers-Jagtman, A.M. (2009). Nasolabial esthetics in children with complete unilateral cleft lip and palate after 1- versus 3-stage treatment protocols. J Oral Maxillofac Surg 67: 1661e1666
Fudalej, P.S., Wegrodzka, E., Semb, G., Hortis-Dzierzbicka, M. (2015). One-stage (Warsaw) and two-stage (Oslo) repair of unilateral cleft lip and palate: Craniofacial outcomes, Journal of Cranio-Maxillo-Facial Surgery 43 (2015) 1224e1231, http://dx.doi.org/10.1016/j.jcms.2015.04.027
Hortis-Dzierzbicka, M., Radkowska, E., Fudalej, P.S. (2012). Speech outcomes in 10-year-old children with complete unilateral cleft lip and palate after one-stage lip and palate repair in the first year of life. J Plast Reconstr Aesthet Surg 65: 175e181
Malek, R. (2001). Cleft lip and palate: lesions, pathophysiology and primary treatment, Taylor & Francis.
Orian, I.M. (2021). Abordarea interdisciplinară a despicăturilor facio-labio-palatine, DOI: 10.26744/rrttlc.2021.7.1.04
Pisula, E., Lukowska, E., Fudalej, P.S. (2014). Self-esteem, coping styles, and quality of life in Polish adolescents and young adults with unilateral cleft lip and palate. Cleft Palate Craniofac J 51: 290e299
Savaci, N., Hosnuter, M., Tosun, Z., Demir, A. (2005): Maxillofacial morphology in children with complete unilateral cleft lip and palate treated by one-stage simultaneous repair. Plast Reconstr Surg 115: 1509e1517.
Shaw, W.C., Semb, G., Nelson, P., Brattstrom, V., Mølsted, K., Prahl-Andersen, B. (2000). The Eurocleft project 1996-2000. Standards of care for cleft lip and palate in Europe. doi: 10.1016/j.anplas.2014.08.004.
Tote, R., Munteanu, S., Pascu, A., Purav, D., Stancu, D., Oruc, V., Komini, E., Melian, G., Zetu, I., (2014). Aspecte clinico-terapeutice ale despicăturilor labio-maxilo-palatine: date din lieratură, Romanian Journal of Medical and Dental Education, vol.3, issue 1, January-June 2014.
Vanderas, A.P. (1987). Incidence of cleft lip, cleft palate, and cleft lip and palate among races: a review. Cleft Palate J. 1987; 24(3):216–225.
Yoshikazu, N., Nagato, N., Tomoki, K., Toko, H. (2011). Epidemiological Analysis of Cleft Lip and/or Palate by Cleft Pattern. J Maxillofac Oral Surg. 2010 Dec; 9(4): 389–395. Published online 2011 Mar 11. doi: 10.1007/s12663-010-0132-6.

Abordarea interdisciplinară a despicăturilor facio-labio-palatine

Abordarea interdisciplinară a despicăturilor facio-labio-palatine

Interdisciplinary approach to facio-labio-palatine clefts

Ioana Mădălina ORIAN
Abstract

Labio-maxillo-palatine clefts represent the most common congenital anomaly of all congenital malformations of the face and they are the most frequent cause of rhinolic disorders. The complexity of the therapeutic approach is determined by nutrition and eating problems, hearing and ENT problems, dento-facial and orthodontic abnormalities, breathing disorders, phonation disorders, reduced speech intelligibility, various physiognomic disorders.
The presented case study emphasizes the need of an interdisciplinary approach to labio-maxillo-palatine clefts and follows the recovery process from a multidisciplinary perspective. The conclusions of the paper support the idea that the recovery process of the child with facio-labio-palatine cleft is a complex, long-termed one and the concern of the speech and language therapist to expand his field of activity is justified because this disorder involves pre and post surgery intervention and the therapist supports the entire process in all the mentioned areas.

Keywords: labio-maxillo-palatine cleft, open rhinolalia, orthodontic devices, speech intelligibility, speech disorder

"/pdfDOI: 10.26744/rrttlc.2021.7.1.04

Published on line: 31/03/2021
References:
Arosarena, O. A. (2007). Cleft lip and palate: Otolaryngologic Clinics of North America, vol. 40, no. 1, pp. 27–60.
Bodea Hațegan, C. (2016). Terapia tulburărilor de limbaj. Structurilor deschise, Ed. Trei, București.
Bjork, A. (2007). Sutural growth of the upper face studied by the implant method: European Journal of Orthodontics i82-i88.
Boyne, P. J., Sands, N. R. (1972). Secondary bone grafting of residual alveolar and palatal clefts, Journal of Oral Surgery, vol. 30, no. 2, pp. 87–92.
Burlibaşa, C. (coord) (1999). Chirurgie orală şi maxilo-facială, (Ed. aII-a), Ed. Medicală, Bucureşti
Hurubeanu, L. (2002). Stomatologie şi chirurgie oro-maxilo-facială, Ed. Medicală a Universităţii „Iuliu Haţieganu”, Cluj-Napoca.
Guţu, M. (1975). Logopedie, Universitatea Babeş-Bolyai, Cluj-Napoca, Uz intern
Katzel, E. B., Basile, P., Koltz, P. F., Marcus, J. R., Girotto, J. A. (2009). Current surgical practices in cleft care: cleft palate repair techniques and postoperative care, Plastic and Reconstructive Surgery: vol. 124, no. 3, pp. 899–900.
Kirschner, R. E., LaRossa, D. (2000). Cleft lip and palate: Otolaryngologic Clinics of North America, vol. 33, no. 6, pp. 1191–1215.
Kuijpers-Jagtman, A. M. (2006). The orthodontist, an essential partner in CLP treatment, B-ENT, vol. 2, no. 4, pp. 57–62.
Levy-Bercowski, D., DeLeon, E. Jr, Stockstill, J. W., Yu, J. C. (2011). Orthognathic cleft-surgical/orthodontic treatment, Seminars in Orthodontics, vol. 17, no. 3, pp. 197–206.
Meazzini, M.C. (2008). A Cephalometric Intercenter Comparison of Patients With Unilateral Cleft Lip and Palate: Analysis at 5 and 10 Years of Age and Long Term, The Cleft Palate-Craniofacial Journal 45(6):654-60
Mercado, A., Vig, K. (2019). Orthodontic Principles in the Management of Orofacial Clefts
Miloro, M., Larsen, P., Ghali, G. E. (2004). WaitePeterson’s Principles of Oral and Maxillofacial Surgery:BC Decker, Ontario, Canada, 2 edition 2004.
Moldovan, I. (2006). Corectarea tulburărilor limbajului oral, Presa universitară clujeană, Cluj Napoca
Mureșan, R. (2015). Anatomia cavității bucale. Recuperarea disfagiei, note de curs
Salyer, K. E. (2001). Excellence in cleft lip and palate treatment, Journal of Craniofacial Surgery, vol. 12, no. 1, pp. 2–5.
Saperstein, E.L., Kennedy, D., Muliken, J.B., Padwa B., (2012).Facial growth in children with complete cleft of the primary palate and intact secondary palate: Oral Maxillofacial Journal 70:e66-e71.
Shaikh, D., Mercer, N. S., Sohan, K., Kyle, P., Soothill, P., (2001). Prenatal diagnosis of cleft lip and palate: British Journal of Plastic Surgery, vol. 54, no. 4, pp. 288–289.
Shetye, P. R., (2012). Presurgical infant orthopedics, The Journal of Craniofacial Surgery, vol. 23, no. 1, pp. 210–211.
Tote, R., Munteanu, S., Pascu, A., Purav, D., Stancu, D., Oruc, V., Komini, E., Melian, G., Zetu, I., (2014). Aspecte clinico-terapeutice ale despicăturilor labio-maxilo-palatine: date din lieratură, Romanian Journal of Medical and Dental Education, vol.3, issue 1, January-June 2014.
Vlachos, C. C. (1996). Orthodontic treatment for the cleft palate patient, Seminars in Orthodontics, vol. 2, no. 3, pp.197–204.
Wyszynski, D.F. (2002). Cleft Lip and Palate: From Origin to Treatment: Oxford University Press.
http://www.dentalconceptstudio.ro/ro/Informa%C8%9Bii-pentru-pacien%C8%9Bi/Chirurgie-ortognat%C4%83_Chirurgie-ortognat%C4%83-272

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