Multidisciplinary Rehabilitation of Orofacial Clefts • HRB4071

 

RESPONSIBLE PROFESSORS:

Maria Inês Pegoraro-Krook

Daniela Gamba Garib Carreira

 

CREDITS: 3

 

COURSE LOAD:

Theoretical
(per week)
Practical
(per week)
Studies
(per week)
Duration Total
8h 4h 3h 3 weeks 45h

OBJECTIVE:

The purpose of this discipline is to widely study the principles of the treatment of cleft lip and palate, incluiding the diagnosis, the steps of treatment and the therapeutic procedures.

The objective is also to compare protocols of international centers of excelence; to critically analyze the methodology of evaluating the results; to stimulate and collaborate with the development of science in this field.

 

BACKGROUND:

The development of evidence-based studies which improves treatment of patients with cleft lip and palate is recognized as fundamental for the international community.

The main objective of this discipline is promoting the discussion of strategies and procedures according to the Health World Organization.

 

CONTENTS:

General principles of treatment of cleft lip and palate: multidisciplinary and interdisciplinary approach; the reconstructive plastic surgeries; complemetary procedures; the role of different specialties; complications and sequelaes.
Strategies for improving treatment effectiveness: evidence-based rehabilitation; the identification and dissemination of well-succeded interventions; the organization and quality of the service; decreasing costs and the development of methods for longitudinal follow-ups; the acess to treatment; strategies for improving the acess to high quality treatment of affected individuals; analysis of projects for national and international collaborations in craniofacial anomalies.

 

BIBLIOGRAPHY:

Abbott MM, Meara JG. Nasoalveolar molding in cleft care: is it efficacious? Plast Reconstr Surg. 2012 Sep;130(3):659-66.

Brattstrom V, Molsted K, Prahl-Andersen B, Semb G, Shaw WC. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Craniofacial form and nasolabial appearance. Cleft Palate Craniofac J 2005; 42(1):69-77.

Capelozza Filho L, Silva Filho OG. Abordagem interdisciplinar no tratamento das fissuras labiopalatais. In: Mélega JC, editor. Cirurgia plástica: fundamentos e arte, cirurgia reparadora da cabeça e pescoço. Rio de Janeiro: Medsi; 2002. p.59-88.

Daskalogiannakis J et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 3. Analysis of craniofacial form. Cleft Palate Craniofac J. 2011 May;48(3):252-8.

Freitas JAS, Neves LT, Almeida ALPF, Garib DG, Trindade-Suedam IK, Yaedú RYF, Lauris RCMC, Soares S, Oliveira TM, Pinto JHN. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) – part 1: overall aspects. J Appl Oral Sci. 2012;20(1):9-15.

Hathaway R et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 2. Dental arch relationships.Cleft Palate Craniofac J. 2011 May;48(3):244-51.

Landheer JA, Breugem CC, van der Molen AB. Fistula incidence and predictors of fistula occurrence after cleft palate repair: two-stage closure versus one-stage closure. Cleft Palate Craniofac J. 2010 Nov;47(6):623-30.

Liao YF, Cole TJ, Mars M. Hard palate repair timing and facial growth in unilateral cleft lip and palate: a longitudinal study. Cleft Palate Craniofac J. 2006 Sep;43(5):547-56.

Long RE Jr et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 1. Principles and study design. Cleft Palate Craniofac J. 2011 May;48(3):239-43. Gundlach KK, Bardach J, Filippow D, Stahl-de Castrillon F, Lenz JH. Two-stage palatoplasty, is it still a valuable treatment protocol for patients with a cleft of lip, alveolus, and palate? J Craniomaxillofac Surg. 2013 Jan;41(1):62-70.

Mercado A et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 4. Nasolabial aesthetics. Cleft Palate Craniofac J. 2011 May;48(3):259-64.

Molsted K, Brattstrom V, Prahl-Andersen B, Shaw WC, Semb G. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Dental arch relationships. Cleft Palate Craniofac J 2005; 42(1):78-82.

Murthy J, Sendhilnathan S, Hussain SA. Speech outcome following late primary palate repair. Cleft Palate Craniofac J. 2010 Mar;47(2):156-61.

Russell K et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 5. General discussion and conclusions. Cleft Palate Craniofac J. 2011 May;48(3):265-70.

Semb G, Brattstrom V, Molsted K, Prahl-Andersen B, Shaw WC. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Introduction and treatment experience. Cleft Palate Craniofac J 2005; 42(1):64-8.

Semb G, Brattstrom V, Molsted K, Prahl-Andersen B, Zuurbier P, Rumsey N, Shaw WC. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Relationship among treatment outcome, patient/parent satisfaction, and the burden of care. Cleft Palate Craniofac J 2005; 42(1):83-92.

Shaw WC, Brattström V, Mølsted K, Prahl-Andersen B, Roberts CT, Semb G. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Discussion and conclusions. Cleft Palate Craniofac J 2005; 42(1): 93-8.

Shaw WC, Semb G. Princípios e estratégias da reabilitação: recomendações da Organização Mundial da Saúde (OMS). In: Trindade IEK, Silva Filho OG (coord.). Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Editora Santos, 2007. p. 1-16.

Silva MLN, Silva Filho OG, Freitas JAS. Abordagem interdisciplinar no tratamento das fissuras labiopalatinas. In: Campos CAH, Costa HOO, editor. Tratado de otorrinolaringologia. São Paulo: Roca; 2003. p. 534-66.

Trindade IEK. Scientific research and Latin America: experiences of collaborative projects on craniofacial anomalies. Cleft Palate Craniofac J 2006; 43(6):722-5.

Willadsen E.Influence of timing of hard palate repair in a two-stage procedure on early language development in Danish children with cleft palate. Cleft Palate Craniofac J. 2012 Sep;49(5):574-95.

Williams WN et al. Prospective clinical trial comparing outcome measures between Furlow and von Langenbeck Palatoplasties for UCLP.Ann Plast Surg. 2011 Feb;66(2):154-63.

World Health Organization. Addresing the global challenges of craniofacial anomalies. Geneva: report of a who meetings on international collaborative research on craniofacial anomalies. Geneva: Who Graphics; 2004.

World Health Organization. Global strategies to reduce the health-care burden of craniofacial anomalies:report of who meetings on international collaborative research on craniofacial anomalies. Geneva: Who Graphics; 2002.

 

 

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Seção de Pós-Graduação HRAC-USP

Horário de atendimento: de segunda a sexta-feira, das 8h às 12h30 e das 13h30 às 18h (exceto feriados) | e-mail: secpghrac@usp.br | telefone: (14) 3235-8434 | endereço: rua Sílvio Marchione, 3-20 • Vila Universitária • CEP 17.012-900 • Bauru - SP (piso superior da Unidade I, no corredor acadêmico)