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  1. Article: Palatoplasty: evolution and controversies.

    Leow, Aik-Ming / Lo, Lun-Jou

    Chang Gung medical journal

    2008  Volume 31, Issue 4, Page(s) 335–345

    Abstract: Treatment of cleft palate has evolved over a long period of time. Various techniques of cleft palate repair that are practiced today are the results of principles learned through many years of modifications. The challenge in the art of modern ... ...

    Abstract Treatment of cleft palate has evolved over a long period of time. Various techniques of cleft palate repair that are practiced today are the results of principles learned through many years of modifications. The challenge in the art of modern palatoplasty is no longer successful closure of the cleft palate but an optimal speech outcome without compromising maxillofacial growth. Throughout these periods of evolution in the treatment of cleft palate, the effectiveness of various treatment protocols has been challenged by controversies concerning speech and maxillofacial growth. This article reviews the history of cleft palate surgery from its humble beginnings to modern-day palatoplasty, and describes various palatoplasty techniques and commonly used modifications. Current controversial issues on the timing of cleft palate repair, and the effects on speech and maxillofacial growth are also discussed.
    MeSH term(s) Cleft Palate/surgery ; Humans ; Oral Surgical Procedures/methods ; Palate/surgery ; Surgical Flaps
    Language English
    Publishing date 2008-07
    Publishing country China (Republic : 1949- )
    Document type Journal Article ; Review
    ZDB-ID 1156932-3
    ISSN 2072-0939 ; 0255-8270
    ISSN 2072-0939 ; 0255-8270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Palatoplasty

    Lun-Jou Lo / Aik-Ming Leow

    Biomedical Journal , Vol 31, Iss 04, Pp 335-

    Evolution and Controversies

    2008  Volume 345

    Abstract: Treatment of cleft palate has evolved over a long period oftime. Various techniques of cleft palate repair that are practicedtoday are the results of principles learned through many yearsof modifications. The challenge in the art of modern palatoplastyis ...

    Abstract Treatment of cleft palate has evolved over a long period oftime. Various techniques of cleft palate repair that are practicedtoday are the results of principles learned through many yearsof modifications. The challenge in the art of modern palatoplastyis no longer successful closure of the cleft palate but anoptimal speech outcome without compromising maxillofacialgrowth. Throughout these periods of evolution in the treatmentof cleft palate, the effectiveness of various treatment protocolshas been challenged by controversies concerning speech andmaxillofacial growth. This article reviews the history of cleftpalate surgery from its humble beginnings to modern-daypalatoplasty, and describes various palatoplasty techniques andcommonly used modifications. Current controversial issues onthe timing of cleft palate repair, and the effects on speech andmaxillofacial growth are also discussed.
    Keywords history ; palatoplasty ; techniques ; controversies ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2008-08-01T00:00:00Z
    Publisher Chang Gung University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Surgical Timing and Fracture Type on the Outcome of Diplopia After Orbital Fracture Repair.

    Yu, De-Yi / Chen, Chih-Hao / Tsay, Pei-Kwei / Leow, Aik-Ming / Pan, Chun-Hao / Chen, Chien-Tzung

    Annals of plastic surgery

    2016  Volume 76 Suppl 1, Page(s) S91–5

    Abstract: Background: Orbital fractures and the concomitant soft tissue injuries within the bony orbit result in well-recognized complications such as diplopia and enophthalmos. Guidelines for timing and indications for surgery for achieving an optimal outcome ... ...

    Abstract Background: Orbital fractures and the concomitant soft tissue injuries within the bony orbit result in well-recognized complications such as diplopia and enophthalmos. Guidelines for timing and indications for surgery for achieving an optimal outcome remain elusive. This study examined the effects of timing and fracture type on the outcome of orbital fracture repair.
    Material and methods: Data on 255 patients treated for orbital fractures were retrospectively reviewed to determine the effects of the facial bones involved in the fractures, the types of orbital wall fracture, the timing of surgical repair, and diplopia evident before and after corrective surgery on surgical outcomes.
    Results: The incidence of posttraumatic diplopia increased with the number of orbital wall fractures (P < 0.001). The rate of diplopia resolution after corrective surgery was slow in the first 3 months irrespective of the severity of orbital wall fracture. The diplopia resolution rate for type I orbital wall fractures was significantly higher than that for type II and type III fractures. Patients treated within 2 weeks of sustaining an orbital fracture exhibited a higher diplopia resolution rate than did patients treated 2 to 4 weeks and more than 4 weeks after sustaining the fracture (58% vs 38.1%).
    Conclusions: A higher number of orbital wall fractures are associated with a higher incidence of diplopia and a poorer long-term result. The timing of surgical repair influences the diplopia outcome. Performing corrective surgery for orbital fractures with diplopia after 2 weeks tends to result in a slower complete recovery rate.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Diplopia/diagnosis ; Diplopia/etiology ; Female ; Follow-Up Studies ; Fracture Fixation ; Humans ; Male ; Middle Aged ; Orbital Fractures/complications ; Orbital Fractures/pathology ; Orbital Fractures/surgery ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000000726
    Database MEDical Literature Analysis and Retrieval System OnLINE

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