Study of the prevalence of morphological varieties of cleft lip and palate in a tertiary medical center
Introduction: To verify the prevalence, in a specialized medical center, of the different morphological varieties of orofacial clefts and classify them with details of the affected anatomical structures. Methods: Observational, cross-sectional, retrospective study, based on a review of m...
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Thieme Revinter Publicações Ltda.
2020-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2833/en_v35n4a02.pdf |
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| author | José Fernando Polanski Bruno Saty Kliemann Emanuelly Freyhardt Rita de Cassia Tonocchi Renato da silva freitas |
| author_facet | José Fernando Polanski Bruno Saty Kliemann Emanuelly Freyhardt Rita de Cassia Tonocchi Renato da silva freitas |
| author_sort | José Fernando Polanski |
| collection | DOAJ |
| description | Introduction: To verify the prevalence, in a specialized medical center, of the different morphological varieties of orofacial clefts and classify them with details of the affected anatomical structures.
Methods: Observational, cross-sectional, retrospective study, based on a review of medical records of children born between 1989 and 2014 who had some kind of cleft lip and/or palate. The type of cleft was analyzed regarding the incisive foramen. Besides, details on the involvement of the lip, dental arch, nasal filter, soft palate, and/or hard palate and uvula were also collected.
Results: 1078 medical records of patients with cleft lip and palate were analyzed. When comparing genders, in females, there was a predominance of post-foramen cleft (16.7%), while in males, trans-foramen was more prevalent (25.2%). Separating the cleft as unilateral or bilateral, unilateral ones appeared in more than 75% of patients. Regarding the pre, post, and trans-foramen position, the first two appeared similarly, about 30% each, while the trans-foramen appeared in about 40%. As for the side, the unilateral slits on the left were predominant in both sexes (62% of the unilateral ones). Regarding the anatomical details of the structures involved, the most common injuries were those that involved from the lip to the soft palate.
Conclusion: The most prevalent type of cleft was unilateral trans-foramen. In the female gender, the post-foramen cleft, and in the male, the transformation was the most frequent. Unilateral fissures were more common than bilateral fissures, and when unilateral, there was a predominance of lesions on the left. |
| format | Article |
| id | doaj-art-d59cf0ac6b4e4b54aecb4723a3a08f8a |
| institution | Matheson Library |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-d59cf0ac6b4e4b54aecb4723a3a08f8a2025-08-02T20:27:30ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-12-01350438939310.5935/2177-1235.2020RBCP0070Study of the prevalence of morphological varieties of cleft lip and palate in a tertiary medical centerJosé Fernando Polanski0Bruno Saty Kliemann1Emanuelly Freyhardt2Rita de Cassia Tonocchi3Renato da silva freitas4Federal University of the Paraná, Curitiba, PR, BrazilMackenzie Evangelical College of Paraná, Curitiba, PR, BrazilMackenzie Evangelical College of Paraná, Curitiba, PR, BrazilUniversity Tuiuti of the Paraná, Curitiba, PR, BrazilFederal University of the Paraná, Curitiba, PR, BrazilIntroduction: To verify the prevalence, in a specialized medical center, of the different morphological varieties of orofacial clefts and classify them with details of the affected anatomical structures. Methods: Observational, cross-sectional, retrospective study, based on a review of medical records of children born between 1989 and 2014 who had some kind of cleft lip and/or palate. The type of cleft was analyzed regarding the incisive foramen. Besides, details on the involvement of the lip, dental arch, nasal filter, soft palate, and/or hard palate and uvula were also collected. Results: 1078 medical records of patients with cleft lip and palate were analyzed. When comparing genders, in females, there was a predominance of post-foramen cleft (16.7%), while in males, trans-foramen was more prevalent (25.2%). Separating the cleft as unilateral or bilateral, unilateral ones appeared in more than 75% of patients. Regarding the pre, post, and trans-foramen position, the first two appeared similarly, about 30% each, while the trans-foramen appeared in about 40%. As for the side, the unilateral slits on the left were predominant in both sexes (62% of the unilateral ones). Regarding the anatomical details of the structures involved, the most common injuries were those that involved from the lip to the soft palate. Conclusion: The most prevalent type of cleft was unilateral trans-foramen. In the female gender, the post-foramen cleft, and in the male, the transformation was the most frequent. Unilateral fissures were more common than bilateral fissures, and when unilateral, there was a predominance of lesions on the left.http://www.rbcp.org.br/export-pdf/2833/en_v35n4a02.pdfcleft palatechildcleft lipcraniofacial abnormalitiessurgery, plastic |
| spellingShingle | José Fernando Polanski Bruno Saty Kliemann Emanuelly Freyhardt Rita de Cassia Tonocchi Renato da silva freitas Study of the prevalence of morphological varieties of cleft lip and palate in a tertiary medical center Revista Brasileira de Cirurgia Plástica cleft palate child cleft lip craniofacial abnormalities surgery, plastic |
| title | Study of the prevalence of morphological varieties
of cleft lip and palate in a tertiary medical center |
| title_full | Study of the prevalence of morphological varieties
of cleft lip and palate in a tertiary medical center |
| title_fullStr | Study of the prevalence of morphological varieties
of cleft lip and palate in a tertiary medical center |
| title_full_unstemmed | Study of the prevalence of morphological varieties
of cleft lip and palate in a tertiary medical center |
| title_short | Study of the prevalence of morphological varieties
of cleft lip and palate in a tertiary medical center |
| title_sort | study of the prevalence of morphological varieties of cleft lip and palate in a tertiary medical center |
| topic | cleft palate child cleft lip craniofacial abnormalities surgery, plastic |
| url | http://www.rbcp.org.br/export-pdf/2833/en_v35n4a02.pdf |
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