research centers


Search results: Found 10

Listing 1 - 10 of 10
Sort by

Article
Cleft Palate Repair without Fracture of the Pterygoid Hamulus

Author: Harith A Al Ani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 3 Pages: 260-264
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Cleft palate repair should be done with minimal tension across the suture line in order to avoid the development of palatal fistula. Fracture of the pterygoid hamulus is routinely done by many surgeons during cleft palate surgery to facilitate soft tissue approximation.OBJECTIVE:To demonstrate the actual need for fracturing the pterygoid hamulus in palatoplasty.PATIENTS AND METHODS:Seventy-one cleft palate patients were studied, their ages ranged between 16 months and 14 years .In all of them surgical repair was done by Veau-Wardill- Kilner operation without fracturing of the pterygoid hamulus .Dissection of the mucoperiosteal flaps from the underlying muscles was done to overcome the tension and the clefts were closed in layers . The patients were observed for the ease of the closure during surgery and the development of fistulas postoperatively.RESULTS:Closure can be obtained with minimal tension without fracturing the pterygoid hamulus even in wide clefts if the flaps are properly released from the underlying muscular attachment. Postoperatively three cases developed postoperative bleeding and 2 cases had palatal fistulas.CONCLUSION:Fracturing of the pterygoid hamulus is not indicated in repair of narrow to moderate clefts. In wide clefts successful closure can be obtained without fracturing if adequate release of the flaps from the muscles is done, otherwise fracturing might be justifiable to reduce the tension across the suture line.


Article
The role of intravelar veloplasty in primary cleft palate repair
دور veloplasty intravelar في إصلاح شق الحنك الأساسي

Authors: Sabir Osman Mustafa --- Hadal Kamal Malki
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 56-64
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objective: The presence of a cleft palate introduces feeding difficulties, problems in speech development, and the possibility of impaired facial growth. Intravelar veloplasty aids to gain functional repair of the palate. This study aimed to evaluate the effect of intravelar veloplasty on the function of velum in primarily repaired palates.Methods: A review study was done in Rizgary Teaching Hospital, Erbil. Clinical and nasopharyngeal endoscopic examination was done for patients who underwent primary palatal repair with intravelar veloplasty between 2009 to 2014. The study assessed the velopharyngeal port for adequacy of closure, hypernasality of speech, and oronasal fistula rate.Results: This study included 47 patients. The mean age of patients ± SD was 3.4±4 years (range 1- 20 years) at time of repair. Major improvement in intelligibility and production of pharyngeal sounds and velopharyngeal closure was noticed when using intravelar veloplasty in palatal repair. There was a significant association between defect type and degree of velopharyngeal port closure (P = 0.009), i.e., inadequate velopharyngeal closure was more common in the complete cleft palate.Conclusion: This study showed that intravelar veloplasty helps to improve the velopharyngeal closure and oropharyngeal sounds production. The poor velopharyngeal closure is more likely related to wide, complete cleft palate.


Article
Evaluation of cleft lip and palate management in Erbil
تقييم معالجة الشفة والحنك المشقوق في أربيل

Authors: Humam Sharif Ali --- Jalal Hamasalih Fattah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 1 Pages: 866-873
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and Objectives: Cleft lip and palate are congenital deformities that affect the primary and secondary palates during embryogenesis. The objectives of this study was to record the pattern of presentation of cleft lip and palate in Erbil, the types of surgical procedures, the outcome and complications, hence making recommendations to ensure improved care. Methods: This is a prospective study conducted in Erbil city, in the Department of Plastic Surgery at Rezgary Teaching Hospital and Rapareen Pediatric Hospital from March 2009 to May 2013. A total of 164 patients with cleft lip/palate were included in this study. Statistical package for the social sciences (version 18) was used for data entry and analysis. Results: The age ranged from birth to 24 years. The ratio of male to female was 1.4: 1. The combined cleft lip and palate was the commonest type (87 cases, 53%). The commonest risk factor was poor family (105 cases, 64%), followed by consanguinity (97 cases, 59%). The commonest procedure for cleft lip repair was Millard (67 cases) and that for cleft palate repair was Furlow palatoplasty (57 cases). The commonest complication of cleft lip repair was wide scar (9 cases, 7.5%) mostly below one year of age. Ninety-one percent of the parents were satisfied with the children’s appearance of the lip and 86% of parents were satisfied with palatoplasty result. Conclusion: The high degree of association of consanguinity with the cleft lip and palate emphasizes the importance of education about discouraging consanguineous marriage. Millard repair is still the commonest procedure for cleft lip repair.


Article
Nasal Layer Lengthening in Cleft Palate Repair Outcome of Two Techniques.

Authors: Zakaria Y. Arajy --- Dhafir Dawood Hanoon
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 2 Pages: 133-137
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Cleft palate repair aims at producing closure of the cleft with reasonably lengthy palate in order to have competent velopharyngeal closure. Various procedures have been described and used for this purpose. Primary lengthening of the nasal layer is one of these procedures.OBJECTIVE:The aim of this study is to evaluate two procedures of primary nasal layer lengthening, with or without a turned in buccal flap.METHODS:The total number of our patients is 36. Twelve patients of our study did not undergo nasal layer lengthening technique and considered as control ( group A). Twenty four patients underwent lengthening of nasal layer technique.In 12 of them (group B) the raw area of nasal layer was covered only by oral layer flaps and 12 cases of them (group C) the raw area of nasal layer was covered by unilateral buccal flap.RESULT:All patients who had this technique (group B&C) obtained an acceptable lengthening of the palate and it approached the posterior pharyngeal wall. Three patients to whom we used nasal layer lengthening technique without buccal flap developed complications; two fistulas and one case of infection, while patients with nasal layer lengthening with buccal flap and patient without nasal layer lengthening technique showed lower level of complications.CONCLUSION:Nasal layer lengthening technique is a favorable technique for palatal lengthening in cleft palate repair if accompanied by buccal flap.


Article
Incidence of Cleft Lip and Palate in Al-Ramadi City (Descriptive Epidemiological Study)

Authors: Saria Dhakir Mahmood سارية ذاكر محمود --- Ausama A. Al-Mulla اسامة احمد الملا
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2016 Volume: 28 Issue: 2 Pages: 139-144
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background Birth defects are one of the causes of pediatric disability and mortality in all around the world. Data onbirth defects from population-based studies originating from developing countries are lacking. Cleft lip (CL), cleft lipand palate (CLP), and isolated cleft palate (CP), collectively termed oral clefts, occur in all races, both sexes, and allsocioeconomic groups and vary internationally (1). The main aim of this research is to establish the frequency of cleftlip and/or palate in the population of the Al-Ramadi City, and to characterize the demographic features of affectedindividuals and find possible risk factors.Materials and methods We conducted a survey of the Educational Maternal and Pediatric Hospital in Al-Ramadi city.The sample population comprised all 5100 babies born at Al-Ramadi City during the 5 months period 1 January 2013to 31 May 2013. Statistical tests used Pearson’s chi-square test, Student’s t-test and Spearman’s correlation coefficienttest according to the type of parameter tested.Results: During the study period 15 babies were born with oro-facial cleft. The overall incidence of cleft lip and palatewas 2.94 per 1000. Cleft palate was significantly more frequent in male than female babies (P = 0.81).Conclusions: A high incidence of facial clefts in this city was seen. This change may be attributed to the wars thatoccur in Iraq in the last years so increased pollutions and decreased prenatal care in the Iraqi population as part ofsocial and health-related behavior changes


Article
Birth Prevalence of Cleft lip and/or Palate in Hawler City A retrospective Hospital based One year Study
معدل انتشار ولادة الشفة المشقوقة و / أو الحنك في مدينة هاولر - دراسة بأثر رجعي قائمة على سنة واحدة

Authors: Omed I. Shihab --- Muyesser A. Noori
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2009 Volume: 13 Issue: 2 Pages: 69-72
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and Objectives: The aim of this study was to report the prevalence of cleft lip and/or palate in two hospitals in Hawler city among children born from 1/1/2008 to 31/12/ 2008.Methods: In a retrospective study, birth records of 22387 children from two hospitals (Maternity and Raparin Hospitals) were used to identify all children born with cleft lip and/or palate. Information about prevalence, type of cleft, site, gender, family history, and associated anomalies were investigated.Results: The overall prevalence rate of cleft lip and palate was 0.58 per 1000 births. The prevalence of isolated cleft palate, isolated cleft lip and cleft lip and palate were 0.13, 0.09 and 0.36 per 1000 respectively. Male to female ratio was 1.6:1. Regarding the site of cleft 30.8% was on the right side, 7.7% was on the left side and 61.5% was bilateral. A positive family history was found in 15.4% of the cases and 38.5% of the cases were associated with anomalies.Conclusions: The prevalence rate of cleft lip and palate in Hawler obstetric hospitals during 2008 was lower than that reported in Asians and Europeans, and it was slightly higher than that reported in Africans. Male predominates in all types of clefts. Higher incidence of associated anomalies was observed compared with other studies in different populations.


Article
ANALYTIC RETROSPECTIVE STUDY OF CLEFT LIP & PALATE REFERRED TO PLASTIC UNIT IN BASRAH TEACHING HOSPITAL
الشق الولادي للشفة العليا و سقف الفم

Author: Zuhair F. Fathallah
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2005 Volume: 23 Issue: 2 Pages: 1-4
Publisher: Basrah University جامعة البصرة

Loading...
Loading...
Abstract

ABSTRACTThe data of this study of cleft lip & Palate are related to a sample of 638 patients who were born with this deformity andwere referred to the plastic unit between1994-2003. These patients were evaluated in respect to age at presentation,family history, and type of deformity, sex ratio, laterality and clinical severity. All patients were operated on then followedup for a period of 5 months to 2.5 years. The results of the analysis of the data show that there is steady increase in thenumber of referred cases each year. The bulk of the orofacial defect is the isolated cleft lip, which account for 44.4% ofthe cases with male predominance except in cleft palate. Left sided cleft with or with out palate was found to be as twicecommon as right side cleft lip. The unilateral cleft is three times as bilateral; while in cleft lip and palate it's twice ascommon. The increase in the number of referred cases may reflect the increase in the birth rate and also increase in thenumber of cases due to increase environmental pollution.

المعلومات الواردة في هذا البحث حول الشق الولادي للشفة العليا و سقف الفم مأخوذ من مجموعة 638 مريض ولدوا بهذا التشوه وتمت إحالتهم لشعبة الجراحة التقويمية من مختلف مناطق جنوب العراق خلال الفترة مابين 1994- 2003. تمت دراسة هؤلاء المرضى بالنسبة للعمر في المراجعة الأولى، وجود تشوه مماثل في العائلة، نوع التشوه، نسبة نوع التشوه بين الذكور و الإناث، النسبة لجهة اليمين أو اليسار وأخيرا شدة التشوه. كل المرضى المشمولين بالدراسة تم فحصهم وإجراء العملية اللازمة لهم ومتابعتهم للفترة ما بين خمسة شهور و سنتان ونصف من قبل نفس الجراح. وقد تبين من نتائج هذه الدراسة إن هناك زيادة سنوية في عدد المرضى المراجعين وان غالبية التشوهات هي شق الشفة العليا وحيدة الجانب (44.4%) وان الذكور يكونون الغالبية بين الجنسين إلا في شق سقف الفم حيث الغالبية من الإناث. وتبين أيضا أن شق الشفة العليا للجهة اليسرى مع أو بدون شق سقف الفم هو ضعف مثيلتها في الجهة اليمنى. و شق الشفة العليا للجهة الواحدة يعادل ثلاث مرات شق الشفة للجهتين ولكنها تعادل مرتين في حالة وجود فتحة في سقف الفم. إن الزيادة السنوية في عدد المرضى قد تعكس زيادة في عدد الولادات وقد تعكس أيضا زيادة في التلوث البيئي؟.


Article
THe role of feeding plate in reducing some nutrirional and health problems accompaniment to cleft palate
دور صفحة الرضاعة في تقليل بعض المشاكل التغذوية والصحية التي ترافق شق الحنك الولادي للرضع

Author: Huda Abid Al-Hameed Jassim هدى عبد الحميج جاسم
Journal: Baghdad Science Journal مجلة بغداد للعلوم ISSN: 20788665 24117986 Year: 2006 Volume: 3 Issue: 4 Pages: 708-712
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

The present study was designed to indicate the influence of the feeding plate on the nutritional and general health problems of the isolated cleft palate infants. For this study fourteen infants were taken, their ages between one day to one week, refered from cosmetic surgery and palate center to cleft lip and palate rehabilitation center in institute of technical medical / Baghdad for feeding plate purpose . Four infants put them as normal group; all those infants were subjected during (6th) month to evaluate the body weight, feeding problem and the respiratory infection. According to tables and figures this study showed a gradual improvement in nutritional problem including (feeding problem, body weight) and health problem (such as respiratory problem) of the cleft palate infants after the use of feeding plate starting from (4th) to (6th) month compared to normal group.


Article
Cleft Lip and Palate in Anbar Province
شق الشفة وفتحة اللهاة الولادية في محافظة الانبار

Author: Mohammed Kh. Al-Rawi محمد خضر الراوي
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2012 Volume: 10 Issue: 2 Pages: 92-95
Publisher: University of Anbar جامعة الانبار

Loading...
Loading...
Abstract

Background: Orofacial clefts are birth defects where the mouth or roof of the mouth (palate) does not grow together properly during development, Orofacial clefts include cleft lip [CL], cleft lip and palate [CLP], cleft palate [CP] alone, as well as median, lateral [transversal], oblique facial clefts(involved other parts of facial structures and classified by Tessier to 15 lines) are among the most common congenital anomalies at birth. Aim: To study the types of clefts lip and palate and its distribution in Al Anbar province. Patients and Methods: This descriptive study was carried out at Maxillofacial Unit, Ramadi Teaching Hospital from the period of August 2007 till June 2010. Result: 125 cases of clefts (of different types) were treated surgically. Children who have an orofacial cleft require several surgical procedures and complex medical treatments. The study showed that 81 of patients with cleft palate, 27 with cleft lip and 17 with cleft lip and palate.Conclusion: Increasing in number of cleft lip in female (60%). Increasing the percent of cleft palate may be related to environmental factors

الخلفية : تعتبر شقوق الوجه والفم من التشوهات الولادية الأكثر شيوعا من بين التشوهات الولادية الأخرى حيث تنمو فيه أجزاء الوجه والفم بطريقة غير منتظمة داخل الرحم يتسبب ذلك بعدم تلاصق هذه الأجزاء بطريقة نموذجية. تظهر بأشكال مختلفة تشمل شفة الأرنب وفتحة سقف الفم أو كليهما , بلأضافة إلى فتحات الوجه المائلة وصنفت إلى 15 نوع .الأهداف : البحث يهدف إلى وصف الأنواع المختلفة لفتحات الوجه والفم الولادية بالنسب المأوية في مستشفى الرمادي التعليميطريقة العمل : هذه الدراسة أجريت على 125 مريض يعانون من شفة الأرنب أو فتحة سقف الفم الولادية أو كليهما في مستشفى الرمادي التعليمي خلال الفترة من أب 2007 إلى حزيران 2010النتائج : 125 حالة لمختلف أنواع شقوق الفم والوجه الولاديه عولجت جراحيا على مراحل , الدراسة بينت أن هناك 81 حالة كانت تعاني من فتحت سقف الفم و 27 حالة من شق الشفة و 17 حالة من شق الشفة واللهاةالأستنتاجات : بينت النتائج أن هناك زيادة في عدد شق الشفة عند الإناث 60% , كما بينت أن هناك زيادة بعدد حالات فتحة سقف الفم المنسوبة غالبا إلى التأثيرات البيئية


Article
Speech Production Disorders Related to Cleft Palate and Velopharyngeal Inadequacy
إضطرابات النطق الناتجة عن أنشقاش سقف الفم وقصور البناء البلعومي اللهاتي دراسة حالة

Author: Amani Noori Sa'eed اماني نوري سعيد
Journal: ADAB AL-BASRAH آداب البصرة ISSN: 18148212 Year: 2013 Issue: 65 Pages: 109-163
Publisher: Basrah University جامعة البصرة

Loading...
Loading...
Abstract

Speakers with cleft palate show different speech production disorders due to the structural defect of the palate and the velopharyngeal mechanism. These disorders involve voice, resonance and articulation. The present study aims at investigating the speech performance of two school-age, Iraqi Arabic speaking children with cleft palate. Arabic cleft palate speech data are rare (Hardin-Jones, 2009, personal communication). Thus, this paper intends to study the different speech errors demonstrated by Arabic cleft palate speakers including resonance and articulation. It describes the 'compensatory articulation patterns ' used by them to compensate for velopharyngeal inadequacy. In addition, it compares these patterns with the patterns used by English cleft palate speakers and offers some findings in addition to observations.

يُظهِر المتكلمون المعتلون بإنشقاق سقف الفم إضطرابات لفظية مختلفة في النطق نتيجة للعوق العضوي الحاصل في سقف الفم وفي بناء المنطقة اللهاتية البلعومية. حيث تشمل هذه الإضطرابات الصوت والرنين والنطق. وتهدف هذه الدراسة لبحث الاداء اللفظي لطفلين عراقيين في سن التعليم الأبتدائي معتلينِ بإنشقاق سقف الفم, اذ لم تُبين حالات النطق الناتجة عن إنشقاق سقف الفم باللغة العربية إلا نادرا جدا (هاردن-جونز، 2009). إنَ هذا البحث يدرس أخطاء النطق المختلفة التي تظهر لدى الاطفال العرب المعتلين بإنشقاق سقف الفم نتيجة للعوق العضوي. وتصف هذه الدراسة أيضا أنماط النطق التعويضية التي يلجأ إليها هؤلاء المعتلون لتعويض القصور الحاصل في البناء اللهاتي البلعومي. فضلا" عن ماتقدم فهذه الدراسة تقارن هذه الأنماط مع تلك المستخدمة من قبل المتكلمين باللغة الانكليزية والمعتلين بإنشقاق سقف الفم وتقدم النتائج والملاحظات النهائية.

Listing 1 - 10 of 10
Sort by
Narrow your search

Resource type

article (10)


Language

English (9)

Arabic and English (1)


Year
From To Submit

2018 (1)

2016 (1)

2015 (1)

2013 (1)

2012 (1)

More...