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I ABSTRACTS I BARD Cosmaan, M.D., EDITOR NATIONAL COMMITTEE Oscar E. Beder, D.D.S. Andrew Blitzer, M.D. Robert M. Briggs, M.D. W

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I ABSTRACTS I BARD Cosmaan, M.D., EDITOR NATIONAL COMMITTEE Oscar E. Beder, D.D.S. Andrew Blitzer, M.D. Robert M. Briggs, M.D. W I ABSTRACTS I BARD CosmaAN, M.D., EDITOR NATIONAL COMMITTEE Oscar E. Beder, D.D.S. Stephen Glaser, M.D. Norman J. Lass, Ph.D. Andrew Blitzer, M.D. Alexander Goldenberg, D.D.S. Dennis O. Overman, Ph.D. Robert M. Briggs, M.D. John B. Gregg, M.D. Dennis M. Ruscello, Ph.D. William Cooper, M.D. Jerry Alan Greene, D.V.M. F. T. Sporck, M.D. Jack C. Fisher, M.D. Daubert Telsey, D.D.S. INTERNATIONAL COMMITTEE Paul Fogh-Andersen, M.D., Copenhagen, Denmark Seiichi Ohmori, M.D., Tokyo, Japan Jean L. Grignon, M.D., Nevilly, France Anthony D. Pelly, M.D., Sydney, Australia Jose Guerrero-Santos, M.D., Guadalajara City, Helen Peskova, M.D., Prague, Czechoslovakia Mexico H. Reichert, M.D., Stuttgart, West Germany Stewart B. Heddle, M.D., Ontario, Canada W. H. Reid, M.D., Glasgow, Scotland Junji Machida, D.D.S., Shiojiri City, Japan E. Schmid, M.D., Stuttgart, West Germany Francesco Minnervini, M.D., Rome, Italy Jean Claude Talmant, M.D., Nantes, France Beninceton, I. C., and C1irroRrp, T., An injec- the inconveniences. A great deal of patience tion technique for palatal defects, ]. is required to properly communicate with Prosth. Dent., 47: 414-418, 1982. these patients. (Goldenberg) To further retention of prosthetic devices obturating palatal defects, advantage is taken FuKupa, T., Goto, T., Wapa, T., and Mrya- of undercuts, Extension of borders are made ZAKI, T'., Maternal mentality for the chil- with flexible arms into the undercuts without dren with clefts, /J. Jap. Cleft Palate Assoc., undue impingement, and the prosthesis can 6(2): 55-62, 1981. be tolerated by the patient. Impressions are _ The Osaka University Cleft Palate Team taken with rubber base impression material, 'has presented the orientation class to the utilizing a syringe technique. The elasticity of - --ijthers to inform more about the rehabili- the material allows for great latitude in- tation program of the cleft lip and/or palate impression taking. The excellent quality and ° and to promote their co-operation in the pro- elasticity of this material has proven to be a gram. A series of questionnaires were filled great asset where impingement into undercut out by 100 mothers of children, aged from 2 areas aids retention greatly. (Goldenberg) to 4 years. Most of the mothers reported that they had a little knowledge about clefts, and CuEn, M. S., Upagama, A., and DranE, J. B., had known the word "harelip" and had met Evaluation of facial prostheses for head repaired cleft lip before they had cleft babies. and neck cancer patients. J. Prosth. Dent., It was a severe shock for them to meet their 46: 538-544, 1981. babies for the first time, and many of them Patients forced to wear facial prostheses, - considered to kill the babies, themselves, or reveal criticisms with relation to color, fit, both. Though most of them could realize the stability, adhesive quality. Apparently, adhe- rationale for treatment of the cleft, many sives could be improved. Present day knowl- wanted more delicate counseling especially edge of the chemistry of the materials, skin for future management of their problems. tone, color shading, are open to constant in- (Machida) vestigation. Patients do have to understand the technical problems, and in doing so, ac- GrEwirtTz, J. M., CaspE, W. B., Dauey, T. J., cept the inadequacies, and shrug off some of and Dt Carro, S., Airway obstruction in 288 ABSTRACTS 289 infectious mononucleosis in young chil- CLAP groups when compared with the CLA dren, C/in. Pediatr., 21: 370-372, 1982. ones. The long axis of the upper deciduous Upper airway obstruction is known to be a incisor was inclined lingually in the CLA and serious complication of infectious mononucle- CLAP groups than in the unilateral CL. The osis in older children and adolescents, but its craniofacial morphology was very similar in occurrence in children under three years of the three groups of the incomplete unilateral, age has not been documented except for the the complete unilateral and the incomplete publication of two case reports, both prior to bilateral CLAP. (Machida) 1950. In a recent two-month period the au- thors encountered three children, under three Gourp, H. J., and CarparELLI, D. D., Hear- years of age, with symptoms and signs of ing and Otopathology in Apert Syn- upper airway obstruction secondary to infec- drome, Arch. Otolaryng., 108: 347-349, tious mononucleosis due to hyperplasia of the 1982. lymphoid tissue in the oropharynx and naso- The authors studied the otologic and au- pharynx. (Glaser) diometric information from 19 patients who GoTo, M., Multivariate analysis of craniofa- had phenotypic characteristics of type I Apert cial morphology in infants with clefts of syndrome. In five there were velar anomalies the lip and/or palate by means of roent- ranging from bifid uvula to incomplete cleft- genographic cephalometry, J. Jap. Cleft ing. No important differences were found clin- Palate Assoc., 6: 1-28, 1981. | ically between patients with and without ve- lar anomalies. Frontal cephalometric radio- Roentgen cephalograms of 278 infants with graphs were available on 18 patients. Results unoperated cleft lip with or without cleft pal- from this study indicate that individuals with ate were analyzed to reveal the effects of the Apert syndrome are at risk for long term cleft types on the craniofacial morphology. middle ear disease and conductive hearing The numbers of the cases in the cleft types loss, from birth. The hearing loss is primarily were 36 incomplete unilateral cleft lip (CL), the result of stiffening of the middle ear system 46 incomplete unilateral cleft lip and alveolus from otitis media and its sequellae and the (CLA), 41 complete unilateral CLA, 11 in- otopathology is similar to that with cleft pal- complete bilateral CLA, 21 incomplete uni- ate. Contrary to middle ear disease with cleft lateral cleft lip, alveolus and palate (CLAP), palate, that with Apert syndrome does not 84 complete unilateral CLAP, 12 incomplete resolve with growth or long term manage- bilateral CLAP, and 27 complete bilateral ment. Serial cephalometric studies of patients CLAP. Angular and linear measurements with Apert syndrome showed alterations from the lateral and postero-anterior roent- which contributed to a diminution of the genocephalograms, body height, body weight nasopharyngeal space which becomes more and age were used for the multivariate anal- severe as the individual matures. Potentially ysis of the craniofacial morphology. Some of this unusual growth may cause deleterious the results were as follows. From a stepwise effects upon Eustachian tube function. discriminant function analysis of thirty three (Gregg) variables, thirteen were selected as the best discriminators. In those, the length of the cranium and the heights of the maxilla were Hear, D. P., HeEunms, P. J., DinwipptE, R., and well affected by the general body size. Orbital, Mattuew, D. J., Nasopharyngeal air- nasal and maxillary arch widths were wider ways in Pierre Robin Syndrome, J. Pe- in the CLAP groups than in the CLA ones. diatr., 100: 698-703, 1982. The nasal and maxillary arch widths of the Nasopharyngeal airways have been assessed CLA groups were broader than that of the in the management of infants with severe incomplete unilateral CL. A deficiency of Pierre Robin syndrome. In 12 such infants the maxillary forward growth was found in the positioning and subsequent maintenance of CLAP groups except the complete bilateral these tubes were found to be important in CLAP one. The downward growth of the ensuring adequate relief of the airway ob- posterior maxillary base was inhibited in the struction. In five infants measurements of 290 Cleft Palate Journal, October 1982, Vol. 19 No. 4 lung mechanics demonstrated the benefits of three; both complete, both incomplete, and nasopharyngeal tube placement and con- one side complete and the other incomplete. firmed the observed improvements in cy- The- plaster models were measured on several anotic episodes, heart failure, electrocardi- points of the lip, nose and eye. When com- - ograms, and arterial gas tensions. In a retro- pared with the control group of ten normal spective survey of 40 infants with Pierre Ro- infants, the experimental groups showed fol- bin syndrome, failure to thrive was found to lowings. The distance between the entokan- be significantly correlated with the severity of thion was longer. The deviation of.the vertical airflow obstruction. This failure to thrive was length of the measured points was little. The reversed in the infants managed with naso- anterior deviation of the columella base and pharyngeal tubes in comparison with an age- the midpoint of the cupid's bow were much matched group nursed while prone. The lack prominent due to the protrusion of the pre- of significant complications with the nasopha- maxilla. The sideward deviation of the meas- ryngeal airway and its acceptability to nurs- ured points, especially of the transverse width, ing staff, patients, and their parents suggest was remarkable, but the symmetry of the face that this method deserves more widespread was good. The deviation of the nose tip, col- use in Pierre Robin syndrome and perhaps umella base, and the midpoint of the cupid's in other situations in which high upper bow were very small except in the group of respiratory tract obstruction is predominant. one side complete and the other incomplete. (Glaser) The height of the nose tip was not lower, but it gave the impression of a saddle nose. It IrEzor, J., Sone, S., Hicasninara, T., Mor- might be suggested that the forward displace- moto, S., Yorota, K., Onnminr, H., Fu- ment of the columella base, the midpoint of cHinatTA, H., and NisHinara, H., Chest the cupid's bow, and the cheek made this- x-ray appearance of the thymus of in- impression.
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