TY - JOUR
T1 - Is an isolated cleft lip an isolated anomaly?
AU - Deelder, J. D.
AU - Breugem, C. C.
AU - de Vries, I. A. C.
AU - de Bruin, M.
AU - Mink van der Molen, A. B.
AU - van der Horst, C. M. A. M.
PY - 2011
Y1 - 2011
N2 - Introduction: It is well known that patients with cleft lip/palate or cleft palate can have associated anomalies. However, there is a relative paucity of information about the possible anomalies associated with an isolated cleft lip. A recent study (Vallino et al., 2008) showed that children with cleft lip and/or alveolus often develop cleft palate-related issues. This inspired us to investigate our population. Methods: A questionnaire was sent to the parents of 214 children with cleft lip and/or alveolus; 161 questionnaires were returned (response rate (RR): 75%) and included in our study. The study consisted of 91 boys and 70 girls (0.3-13.1 years: mean 6.8 +/- 3.5 years). Results: Speech and/or language problems were reported in 34% and ventilation tube insertion in 21% of children with >= 6 years' follow-up. Of the children in that group, 33% reported to have undergone an episode of acute otitis media and 11% reported five episodes or more. Additional congenital anomalies were found in 4% of children with a cleft lip and in 16% of children with a cleft lip/alveolus. Conclusion: Our results demonstrate that an isolated cleft lip can often be described as an isolated anomaly, although children with cleft lip and/or alveolus develop cleft palate-related issues more often than anticipated. Therefore, we suggest an intensive monitoring and treatment of children with these types of clefts. (C) 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved
AB - Introduction: It is well known that patients with cleft lip/palate or cleft palate can have associated anomalies. However, there is a relative paucity of information about the possible anomalies associated with an isolated cleft lip. A recent study (Vallino et al., 2008) showed that children with cleft lip and/or alveolus often develop cleft palate-related issues. This inspired us to investigate our population. Methods: A questionnaire was sent to the parents of 214 children with cleft lip and/or alveolus; 161 questionnaires were returned (response rate (RR): 75%) and included in our study. The study consisted of 91 boys and 70 girls (0.3-13.1 years: mean 6.8 +/- 3.5 years). Results: Speech and/or language problems were reported in 34% and ventilation tube insertion in 21% of children with >= 6 years' follow-up. Of the children in that group, 33% reported to have undergone an episode of acute otitis media and 11% reported five episodes or more. Additional congenital anomalies were found in 4% of children with a cleft lip and in 16% of children with a cleft lip/alveolus. Conclusion: Our results demonstrate that an isolated cleft lip can often be described as an isolated anomaly, although children with cleft lip and/or alveolus develop cleft palate-related issues more often than anticipated. Therefore, we suggest an intensive monitoring and treatment of children with these types of clefts. (C) 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved
U2 - https://doi.org/10.1016/j.bjps.2010.10.018
DO - https://doi.org/10.1016/j.bjps.2010.10.018
M3 - Article
C2 - 21146482
SN - 1748-6815
VL - 64
SP - 754
EP - 758
JO - Journal of plastic, reconstructive & aesthetic surgery
JF - Journal of plastic, reconstructive & aesthetic surgery
IS - 6
ER -