Studias pli baterias davart fendidas dal palat e malfurmaziuns craniofacialas, zavrattadas tenor data da publicaziun. Cumplettà mintga mais da la pagina da perscrutaziun.
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Publicaziuns pli baterias, zavrattadas tenor data
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2025-08
Experiment TOPS: Tge che il pli grond experiment sin la fendida dal palat mussa davart il mument da l'operaziun
Fell M, Phippen G, van Eeden S, Swan MC, Carlin JB et al.
Cleft Palate Craniofac J. 2025;62(8):1436-1442
🔍Suenter 5 onns, nagina differenza clinicamain relevanta da linguatg era demonstraivla tranter operaziun cun 6 u 12 mais.
📋 Per geniturs e pazients
L'experiment TOPS ha cumpara la clausura dal palat cun 6 cunter 12 mais. Suenter 5 onns, las differenzas da linguatg eran messuraivlas, ma clinicamain lievas. Conclusiun: omadus muments sun defendaivels; la qualitad chirurgica e pli impurtanta che l'eta precisa.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Perspective article reviewing a randomised controlled trial (RCT)
Limitaziun: This article is a commentary on the TOPS trial, not a new original study; detailed results derive from the original 2023 publication.
Relevanza clinica: Both surgical timings (6 or 12 months) are medically defensible; surgical quality matters more than the exact timing.
The Timing of Primary Surgery (TOPS) trial was published August 2023 in the New England Journal of Medicine. This perspective article reviews the design and analysis of the trial, which compared palate closure at 6 months versus 12 months of age. After 5 years, speech differences were measurable but clinically modest.
LogopediaGenerà da l'IA, betg controllà professiunalmain2025-08
Tge tecnica chirurgica megliura meglra la linguatg? Survista sistematica 2025
Inchingolo AD, Inchingolo AM, Di Palma G et al.
Bioengineering. 2025;12(8):877 (Open Access)
🔍La clausura anterma dal palat dur megliura l'articlaziun – dentant nagin protocol è superjur sin tuts ils criters.
📋 Per geniturs e pazients
Quest'analisa sistematica (2014-2024) mussa ch'ina clausura anterma dal palat dur megliura tendenzialmaing l'articlaziun da consonants. La tecnica chirurgica e la logopedia influenzan considerabilmaing ils resultats. Nagin protocol e superjur sin tuts ils criters.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review (2014-2024)
Limitaziun: Substantial heterogeneity among included studies; no single protocol showed consistent superiority.
Relevanza clinica: Early hard-palate closure appears to favour consonant articulation, but technique alone is not decisive – speech therapy follow-up remains central.
This systematic review (2014-2024) investigates how different surgical techniques influence speech outcomes in children with cleft palate. Early closure of the hard palate was linked to improved consonant articulation. However, surgical technique and subsequent speech therapy substantially modulate these outcomes. No single protocol showed uniform superiority.
Nollet PJPM, Kalaykova S, Kuijpers-Jagtman AM et al.
Int J Oral Maxillofac Surg. 2024;53(9):789-801
🔍Protocol d'Oslo = meglra linguatg cun 5 onns; clausura retardada = meglra creschida cun 12 onns – nagin gudagnader global.
📋 Per geniturs e pazients
Quest'analisa cun 4 831 pazients ha cumpara il protocol d'Oslo cun la clausura retardada. Oslo mussava megliers resultats da linguatg cun 5 onns; la clausura retardada, ina meglra creschida ossea faziala cun 12 onns.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review & meta-analysis (n = 4831 pazients)
Limitaziun: Included studies varied in quality; direct head-to-head comparisons between protocols were rare.
Relevanza clinica: Choice of surgical protocol involves a trade-off between earlier speech outcomes (Oslo) and better midfacial growth (DHPCP) – no protocol is superior in every respect.
Systematic review and meta-analysis comparing the Oslo protocol and delayed hard palate closure protocols in 4,831 UCLP patients. Oslo protocol showed favourable speech outcomes at 5 years; DHPCP showed better midfacial growth at 12 years. No overall superior protocol was identified.
OrtodonziaGenerà da l'IA, betg controllà professiunalmain2025-11
SARPE tar pazients cun fendida e fehlbildaziuns craniofazialas: indicaziuns e resultats 2025
Hu AC, Tolley PD, Ryan IA, Han NA, Swanson JW, Taylor JA et al.
Cleft Palate Craniofac J. 2025 (epub)
🔍La SARPE po vegnir duvrada segir er en sindromans craniofazialas complexas.
📋 Per geniturs e pazients
Giuvenils ed adults cun fendida labiala-palatina sviluppan savens ina mascella superiura memia stretga. La SARPE corrigea quai cur che la KFO sulet na basta betg. Il studi mussa ch'ella po vegnir duvrada segir er en sindromans craniofazialas complexas.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective outcome study
Limitaziun: Patient group includes several diagnoses (clefts, craniosynostosis and others); results are not broken down by specific diagnosis.
Relevanza clinica: Supports SARPE as an option for transverse maxillary narrowing in craniofacial conditions.
SARPE (surgically assisted rapid palatal expansion) is performed to address transverse maxillary hypoplasia in patients with cleft and craniofacial diagnoses. This study analyses outcomes in patients with cleft lip and palate, craniosynostosis, and other craniofacial diagnoses undergoing SARPE.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2025-04
Trais protocols, 6 463 pazients: tge approche per la fendida palatina -- granda studia 2025
van Roey VL, Versnel SL, Heliovaara A et al. (Erasmus MC Rotterdam)
Int J Oral Maxillofac Surg. 2025;54(11):1043-1070
🔍OSPP ed Oslo han main fistlas palatinas che DHPCP, dentant dapli rinonalitad – nagin protocol gudogna sin tuts ils criters.
📋 Per geniturs e pazients
Quest'analisa gronda cun 6 463 pazients da 162 studis ha cumpara trais strategias chirurgicas. Result: il protocol d'Oslo e l'approche en ina giada han main fistlas palatinas, ma dapli rinonalitad averta. L'approche retardada aveva main VPI, ma dapli fistlas. Nagin protocol era superjur sin tuts ils puncts.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review & meta-analysis (162 studies) (n = 6463 pazients)
Limitaziun: Large number of included studies with varying methodology, limiting comparability between the three protocols.
Relevanza clinica: One-stage palatoplasty (OSPP) and the Oslo protocol appear overall favourable compared with delayed hard-palate closure (DHPCP).
This systematic review and meta-analysis compared three UCLP treatment protocols: one-stage palatoplasty (OSPP), Oslo protocol, and delayed hard palate closure (DHPCP) in 6,463 patients across 162 studies. VPI incidence was significantly higher in Oslo (24%) versus DHPCP (9%), with OSPP intermediate (14%). Oronasal fistula rates were lower for OSPP and Oslo. Overall, OSPP and Oslo are favoured over DHPCP.
Fasahat A, Omid M, Khanlar F, Maracy M (Isfahan Cleft Care Team)
Cleft Palate Craniofac J. 2026 (epub)
🔍La tecnica Furlow ha cumprochà il meglier taux da megliuramaint (85%), ma è associada cun in risico pli aut d'apnea.
📋 Per geniturs e pazients
Cur che in sun nasal persista suenter l'operaziun dal palat (VPI), in'autra operaziun po giuvar. Quest'analisa da 1 774 pazients mussa: la tecnica Furlow ha cumprocha ils megliers resultats (85%), seguida dal lambeau faringal (85%). Il lambeau faringal porta dentant in risico pli aut per apnea da sut.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review & meta-analysis (31 studies) (n = 1774 pazients)
Limitaziun: Inconsistent definitions of success across included studies complicate direct comparison of techniques.
Relevanza clinica: Furlow Z-plasty and pharyngeal flap show the highest improvement rates for hypernasality, though pharyngeal flap carries greater sleep-apnoea risk – relevant to technique choice.
Systematic review and meta-analysis of 1,774 VPI patients across 31 studies comparing five surgical techniques: pharyngeal flap, sphincter pharyngoplasty, Furlow Z-plasty, buccal flap, and buccinator flap. Furlow palatoplasty showed the highest average improvement rate (85%), followed by pharyngeal flap (84.5%). Pharyngeal flap was associated with higher obstructive sleep apnea rates.
🔍Il lambeau faringal augmenta il risico d'apnea da sut per 2.45 cunter las proceduras d'allunghezzar il palat.
📋 Per geniturs e pazients
Cur ch'in sun nasal persista suenter l'operaziun dal palat, vegn savens duvrà in lambeau faringal. Quest studi mussa: il lambeau faringal augmenta il risico per apnea da sut per 2.45. Las proceduras d'allunghezzar il palat han in risico considerabilmaing pli bass. Per uffants cun apnea preexistenta na stuess il lambeau betg esser la prima chaschun.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review & meta-analysis (4 studies) (n = 751 participants)
Limitaziun: Only 4 included studies; a relatively small overall evidence base for a meta-analysis.
Relevanza clinica: The increased sleep-apnoea risk after pharyngeal flap surgery should inform counselling and postoperative monitoring.
Systematic review and meta-analysis comparing the risk of obstructive sleep apnea (OSA) following pharyngeal flap versus non-pharyngeal flap VPI procedures (751 subjects, 4 studies). Pharyngeal flap use was associated with a significantly greater risk of OSA (pooled risk ratio 2.45). Palatal lengthening procedures had a significantly lower OSA risk.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2025-07
Curregir il nas en medem mument? L'autopercepziun dals scolars favurissa la rhinoplastica primara
Ryan IA, Ng JJ, Kim J, Tolley PD, Jackson OA, Bartlett SP, Taylor JA, Swanson JW. (CHOP Philadelphia)
Cleft Palate Craniofac J. 2025;63(7):1885-1894
🔍Uffants cun rhinoplastica primara han valuà lur aspecta nasala cun 10 onns considerabilmaing meglra (CLEFT-Q: 75 vs. 57).
📋 Per geniturs e pazients
Duess il nas vegnir curregì en medem mument sco l'operaziun da la lagrina? Quest studi cun 109 uffants da scola mussa: quellas cun correcziun nasala tar la prima operaziun han evaluà lur aspecta nasala cun 10 onns considerabilmaing pli positiv (CLEFT-Q 75 vs. 57). Els han era duvra main operaziuns secundarias.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective comparative study (patient-reported outcomes) (n = 109 pazients)
Limitaziun: Retrospective and single-centre; who received primary rhinoplasty was not randomised.
Relevanza clinica: Supports considering nasal correction already at primary lip repair to reduce the need for later secondary surgery.
Retrospective study of 109 patients with cleft lip comparing patient-reported outcomes (CLEFT-Q) in those who did or did not undergo primary rhinoplasty at time of lip repair. Primary rhinoplasty was associated with improved self-perception of nasal appearance in school-aged children (CLEFT-Q nose score 75 vs 57). Patients without primary rhinoplasty were significantly more likely to undergo secondary rhinoplasty later.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2025-06
Curregir il nas tar l'operaziun da la lagrina: granda meta-analisa confirma il proffit -- 65 studis
Alanazi F, Alonazi M, Hazazi MT, AlQahtani SM, Alenezi M
J Craniofac Surg. 2025;37(3-4):450-458
🔍La rhinoplastica primara è quasi duas giadas pli efficazia che la chirurgia dal lagrin sulet (RR 1.87); mo il 14% ha duvra in'autra operaziun nasala.
📋 Per geniturs e pazients
Quest'analisa gronda (65 studis, 4 337 cas) mussa: la correcziun nasala simultana tar l'operaziun da la lagrina e quasi duas giadas pli efficazia che la chirurgia dal lagrin sulet. In bun resultat vegn cumprobà en 73.6% dals cas unilaterals e 88% dals cas bilaterals. Mo il 14% dals cas unilaterals dovra dapli tard in'autra operaziun nasala.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review & meta-analysis (65 studies) (n = 65 studias)
Limitaziun: Wide range of included surgical techniques and follow-up periods across studies.
Relevanza clinica: Confirms, with a large evidence base, the benefit of primary rhinoplasty over lip repair alone.
Systematic review and meta-analysis of 65 studies (4,337 records screened) on primary rhinoplasty effectiveness in cleft lip. Primary rhinoplasty was significantly more effective than cleft repair alone (RR 1.87). Success rate 73.6% for unilateral, 88% for bilateral cases. Only 14% required additional surgeries for unilateral deformities.
LogopediaGenerà da l'IA, betg controllà professiunalmain2024-10
Cun cura gronda fiabladad vegn la linguatg da uffants cun fendida palatina mesurada? Register svedais, 121 da 10 onns
Klinto K, Schaar Johansson M, Andersson M et al. (Lund University, Schweden)
Cleft Palate Craniofac J. 2024;62(12):2167-2174
🔍La mesiraziun da l'articlaziun da consonants ha mussà ina eccellenta reproducibladad tranter differents valuadurs (ICC 0.93).
📋 Per geniturs e pazients
Per pudair cumparer ils resultats da tractament tranter clinicas, las verificaziuns da linguatg stuesson esser fidaivlas. Quest studi svedais examinisescha il register da linguatg per uffants cun fendida palatina sin 121 da diesch onns: la mesiraziun da l'articlaziun da consonants era eccellentamain reproducibla (ICC 0.93).
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Reliability study (registry data) (n = 121 uffants)
Limitaziun: Only one national registry (Sweden) was studied; generalisability to other countries/registries was not tested.
Relevanza clinica: Confirms that standardised speech metrics can be reliably used in quality registries – important for comparisons across centres.
Reliability study of speech variables in the Swedish quality registry for cleft lip and palate. 121 ten-year-olds with CLP assessed by 6 independent raters. Excellent reliability for percentage of consonants correct (ICC 0.93) and non-oral errors (ICC 0.80). Findings support use of standardised speech assessment in clinical quality registers.
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