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Accuracy in identification of patients with 22q11.2 deletion by likely care providers using facial photographs.
Numerous facial characteristics are associated with velocardiofacial syndrome. Care providers may use these facial characteristics to identify patients who may benefit from fluorescence in situ hybridization genetic testing to determine the…
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The effect of surgeon experience on velopharyngeal functional outcome following palatoplasty: is there a learning curve?
There is little information in the cleft palate literature concerning the relationship between surgeon volume and clinical outcomes. It is unknown whether such a relationship applies specifically to velopharyngeal dysfunction and the need f…
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Bilateral cleft lip. An unorthodox management.
Successful repair of bilateral cleft lip requires attention to the soft-tissue anomalies of the lip and nose and the hard-tissue defects of the maxilla. An algorithm for the management of the infant with bilateral cleft lip is presented. A …
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When is enough enough? Secondary surgery for cleft lip and palate patients.
Secondary cleft surgery differs from the primary surgery in two important respects: (1) the patient can participate in the choices of whether and how to proceed and (2) there is no universal consensus among professionals and lay persons ali…
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Pediatric facial free flaps.
Facial soft tissue deficiency in children has components of both congenital and apparently acquired processes, such as craniofacial microsomia, facial clefts, and Romberg's hemifacial atrophy. Correction of these deficiencies has traditiona…
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Computerized imaging for soft tissue and osseous reconstruction in the head and neck.
Recent developments in computer-aided medical imaging coupled with the related emergence of computer-aided design and manufacturing technology have had a significant effect on our management of patients with congenital and acquired head and…
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The longitudinal orbital CT projection: a versatile image for orbital assessment.
The newer generation of CT scanners allows reconstruction of images in coronal, sagittal, and oblique planes from a single set of axial scans. These computer-generated images are described as reformatted. We have found an oblique image refo…
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Periosteal pennant lateral canthoplasty.
A periosteal pennant method of primary lateral canthoplasty is described, and it effectively maintains surgical correction of the axis of the palpebral fissure and the position of the lateral canthus. In using it more than 50 times, we have…
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Razabrasion: An alternative approach to perioral rhytides.
Persistence of perioral rhytides is a frequent source of patient concern following standard rhytidectomy. Dissatisfaction with the limited results and occasional complications that result from mechanical, manual, and chemical abrasive metho…
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Results of surgical lengthening of the short nose in the bilateral cleft lip patient.
Some children with bilateral cleft lips do not grow a long enough nose and require surgical lengthening of the nose. We review our 12-year experience with a one-stage slide operation to achieve this. Seven males and 5 females had this opera…
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Blepharo-canthal deformities in patients following craniofacial surgery.
Functional problems and deformities of the eyes have become a major concern in the surgical treatment of ortital hypertelorism and craniofacial dysostosis, as experience with skeletal relocation for these disorders has been gained. Comprehe…
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Surgical reconstruction for congenital auriculomandibular deformities.
The patient with ear, jaw, and cephalofacial soft tissue deformity presents a challenge, the resolution of which requires a careful program of surgical reconstruction. Restoration of the concavity in the ear region caused by the underdevelo…