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Publicaziuns pli baterias, zavrattadas tenor data
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-06
Co creschids cun ina fendida da la lavra e dal palat vivan la decisiun per in'operaziun da la lavra u dal nas
Ferguson J, De Boos D, Tickle A, Shepherd L.
Cleft Palate Craniofac J. 2026 Jun 3. Online ahead of print.
🔍Per bleras persunas creschidas cun ina fendida da la lavra e dal palat è la decisiun per in'operaziun da la lavra u dal nas che müda l'aspect lur emprima decisiun chirurgica autonoma.
📋 Per geniturs e pazients
Questa studia britannica ha interrogà 12 persunas creschidas (20-61 onns) cun ina fendida da la lavra e/u dal palat, che planisheivan, decidevan u avevan pauc temp avant subì in'operaziun da la lavra u dal nas per müdar lur aspect. Per bleras d'ellas era quai l'emprima chanza da prender ina decisiun chirurgica independentamain dals geniturs, influenzada da lur experientschas da tractament passadas e da las reacziuns socialas davart l'aspect. Ils auturs sottolinieschan l'impurtanza d'in accumpagnament psicologic durant questa fasa da decisiun.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Qualitative interview study with 12 adults (n = 12 creschids)
Limitaziun: Small, regionally limited sample from a single UK centre; findings may not generalise widely.
Relevanza clinica: Highlights the value of psychological support when adults with cleft independently decide about appearance-altering surgery.
This qualitative study explored the psychological experience of adults born with cleft lip and/or palate (CL/P) making decisions about appearance-altering lip and/or nose surgery. Twelve adults (aged 20-61) who had decided to pursue, were deciding about, or had recently undergone such surgery took part in semi-structured interviews at a UK regional cleft service. The findings describe this decision as often the person's first opportunity to make an independent surgical choice about their own appearance, shaped by past experiences of cleft-related care and social feedback. The authors highlight the importance of psychological support during this decision-making process.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-08
Creschids cun ina fendida da la lavra e dal palat: tge che conta anc suenter la emprima operaziun
Mahendran G, Cullinane RR, Shaye DA.
Curr Opin Otolaryngol Head Neck Surg. 2026;34(4):265-270
🔍Er sco creschids han bleras persunas cun ina fendida da la lavra e dal palat anc adina difficultads funcziunalas, esteticas e psicosocialas.
📋 Per geniturs e pazients
Quest artitgel da survista resumescha co ch'i va a creschids cun ina fendida da la lavra e dal palat suenter la fin dal tractament d'uffanza. Bleras persunas rapportan anc adina difficultads da discurrer, problems da l'udida pervia d'ina disfuncziun cronica da la ventilaziun da l'ureglia mesauna, ina respiraziun nasala impedida sco er posiziuns fallaivlas dals dents che pon pretender in'operaziun dal maxillar. Studias psicologicas mussan pli savens depressiuns, temours e stigmatisaziun sociala, dentant il sustegn da la famiglia e l'engaschament en la cuminanza da persunas pertutgadas pon agir protectivamain. La satisfacziun cun il resultat da l'operaziun differeschia tenor la fuorma da la fendida; fendidas bilateralas èn pli savens colligiadas cun ina satisfacziun pli bassa e cun ulteriuras operaziuns da correcziun.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Narrative review
Limitaziun: Narrative review without a systematic literature search; summarises existing evidence rather than presenting new primary data.
Relevanza clinica: A reminder that cleft care should continue beyond childhood, particularly regarding hearing, speech, jaw function and mental health.
This narrative review summarises the ongoing functional, aesthetic and psychosocial challenges faced by adults living with cleft lip and palate (CL/P) after childhood treatment. Many adults continue to experience speech difficulties, hearing loss from chronic eustachian tube dysfunction, nasal airway obstruction and dentofacial abnormalities that may require orthognathic surgery, together with higher rates of depression, anxiety and social stigma. Satisfaction with surgical outcomes varies by cleft type, with bilateral clefts associated with lower satisfaction and more revision procedures, while strong family and community support appear protective.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-02
Tractament da la craniosinostosa en ils pajais nordics: grondas differenzas nunostant diagnostica moderna
Henriksen KA, Wiig U, Nilsson D, Kölby L, Nowinski D et al.
J Craniofac Surg. 2026 Feb 2. Online ahead of print.
🔍In'inquesta en tut ils centers nordics che tractan craniosinostosa mussa grondas differenzas en l'organisaziun e las metodas d'operaziun.
📋 Per geniturs e pazients
Per questa studia èn vegnids interrogads tut ils 11 centers che tractan craniosinostosa en ils pajais nordics (radund 28 milliuns d'abitants); tut ils centers han partitschipà. Nunostant progress en la diagnostica, en metodas minimalmain invasivas ed en la planisaziun sustegnida dal computer mussan sa grondas differenzas en l'organisaziun da la tgira sco er en las metodas d'operaziun preferidas per la sinostosa sagittala isolada, che van da la craniectomia da stritga minimalmain invasiva cun terapia da casc enfin la restauraziun averta da la fuorma dal crani. Er en la suraveglianza posteriura, l'diagnostica per maletgs e l'diever da tests neurocognitivs existan grondas differenzas tranter ils centers.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Survey of all treatment centres in a region (health-services study)
Limitaziun: Captures centres' self-reported practice rather than direct patient outcomes; practice may have evolved since the survey.
Relevanza clinica: Shows that families may encounter different surgical approaches and follow-up concepts depending on the centre, underlining the value of shared standards.
This survey-based study by the Nordic Pediatric Neurosurgery Network examined current management of craniosynostosis across all 11 treatment centres in the Nordic region (28 million inhabitants), with a 100% response rate. Despite advances in diagnostics, minimally invasive techniques and computer-assisted planning, the survey found marked heterogeneity in organizational structures, preferred surgical techniques for isolated sagittal synostosis (ranging from minimally invasive suturectomy with helmet therapy to open cranial vault remodeling), and follow-up routines, including variable use of neurocognitive testing and patient-reported outcome measures.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-03
Mesirament 3D da la mandibla tar nunads cun sequenza da Pierre Robin greva
Bhatia SS, Hung PW, Velazquez AE, Prezelski K, Harrison LM et al.
Cleft Palate Craniofac J. 2026 Mar 27. Online ahead of print.
🔍Nunads cun sequenza da Pierre Robin greva han ina mandibla considerablamain pli lada e pli curta che nunads senza questa malsogna.
📋 Per geniturs e pazients
Questa studia da cas-controlla ha cumparegià maletgs CT da 25 nunads (mesadad 15 dis) cun sequenza da Pierre Robin greva betg sindromala, che dovravan ina distracziun da la mandibla, cun 25 controllas da la medema vegliadetgna. La micrognatia greva è vegnida caracterisada tras ina mandibla lada e curta dad avant vers davos en relaziun a sia autezza, cun differentas dimensiuns che differeschan constantamain tranter las gruppas. Ils resultats furneschan datas normativas che pon gidar a valitar pli precisamain il grad da sut-svilup da la mandibla tar nunads.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective case-control study (n = 25 uffants)
Limitaziun: Single-centre study with a limited sample size; only severe, non-syndromic cases were studied, so applicability to milder or syndromic forms is unclear.
Relevanza clinica: Normative data may help clinicians assess the severity of jaw underdevelopment in newborns with breathing difficulties more objectively and support surgical planning.
This case-control study compared 3D mandibular morphometrics on head CT scans between 25 neonates with severe non-syndromic Pierre Robin sequence (mean age 15 days) who required mandibular distraction osteogenesis and 25 age-matched controls. Severe micrognathia was characterised by a mandible that is wide and short front-to-back relative to its height; intercondylar distance, intergonial distance, pogonion-interdental distance, ramus height and ramus-height-to-body-length ratio were larger, while intercondylar angle and body length were smaller than in controls, providing normative 3D data for assessing micrognathia in neonates.
LogopediaGenerà da l'IA, betg controllà professiunalmain2026-05
Asimetria dal muscul dal vel palatin tar uffants cun microsomia emifaciala e sia colligiaziun cun la vusch nasala
Kotlarek KJ, Moriarty M, Kinter S.
Cleft Palate Craniofac J. 2026 May 27. Online ahead of print.
🔍Tar uffants cun microsomia emifaciala è ina pli gronda asimetria dal muscul dal vel palatin colligiada cun ina pli rara insufficienza velofaringeala.
📋 Per geniturs e pazients
Questa studia pilot ha examinà cun ina MRI il muscul levator veli palatini (dal vel palatin) tar 20 uffants cun microsomia emifaciala, dals quals 3 (15%) avevan ina insufficienza velofaringeala (IVF) – in serrament insuffizient tranter la bucca e il nas durant il discurs. Il muscul differiva considerablamain tranter la vart dal visadi pli fitg e main pertutgada en lunghezza, grossezza ed angul d'origin. In muscul pli curt, ina part centrala pli fina dal muscul e in faring pli profund eran mintgamai colligiads cun ina frequenza pli auta d'IVF, quai che renvia ad in rol dal tessì mol en la vusch nasala.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective pilot cohort study using MRI (n = 20 uffants)
Limitaziun: Small pilot sample (20 children, only 3 with VPI); findings need confirmation in larger, prospective studies.
Relevanza clinica: Suggests that muscle anatomy should be considered alongside pharyngeal anatomy when assessing the risk of nasal speech in hemifacial microsomia.
This pilot retrospective cohort study used head and neck MRI to quantify asymmetry of the levator veli palatini (LVP) muscle in 20 children with craniofacial microsomia (CFM), three of whom (15%) had velopharyngeal insufficiency (VPI). Significant left-right asymmetry was found in LVP length, thickness and angle of origin. Greater differences in total LVP length between the more- and less-affected sides were associated with lower VPI prevalence, greater pharyngeal depth predicted higher VPI prevalence, and increased midline LVP thickness was associated with lower VPI prevalence, suggesting a role for soft-tissue variation in velopharyngeal function.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-03
Enconuscher craniosinostosa avant la naschientscha: constataziuns en la sindrom d'Apert e da Pfeiffer
Karaman B, Sivrikoz TS et al.
Prenat Diagn. 2026 Mar. Online ahead of print.
🔍Tar la craniosinostosa fetala chaschunada da midadas dal gen FGFR2 èn egls sportgents, ina frunt prominenta ed ina fuorma agüzzada dal crani indizis impurtants en l'ecografia, ma betg adina preschents.
📋 Per geniturs e pazients
Questa studia descriva nov cas da craniosinostosa fetala cun chaschun genetica gsantgada – sis cun sindrom d'Apert e trais cun sindrom da Pfeiffer. Quatter cas d'Apert e dus cas da Pfeiffer èn vegnids diagnostitgads gia avant la naschientscha tras ecografia, ils auters pir suenter la naschientscha. Constataziuns preschentas savens avant la naschientscha eran ina quantitad augmentada dad aua fetala, ina frunt auta e plata sco er dets da maun u da pe cuolliads. Sche quests segns mancan, po la diagnosa esser pli difficila, en spezial sche existan ulteriuras malformaziuns.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective case series with pre- and postnatal and molecular genetic characterisation (n = 9 participants)
Limitaziun: Very small case number (9 cases) from specialised centres; not all forms of craniosynostosis are represented.
Relevanza clinica: Underscores that a normal ultrasound does not rule out craniosynostosis and supports careful genetic work-up when findings are suspicious.
This study describes nine fetal craniosynostosis cases with an established genetic cause (six with Apert syndrome, three with Pfeiffer syndrome), characterised clinically, radiologically and molecularly. Four Apert and two Pfeiffer cases were diagnosed prenatally by ultrasonography, while the remaining cases were identified postmortem. Common prenatal findings included polyhydramnios, a high flat forehead and syndactyly; the authors note that proptosis, frontal bossing and trigonocephaly are key prenatal indicators, but their absence, especially alongside systemic anomalies, can make diagnosis challenging.
OrtodonziaGenerà da l'IA, betg controllà professiunalmain2025-06
Migliurescha ina furmaziun dal nas avant l'operaziun da la lavra la simetria dal nas? In survestgiar da las studias
de Souza TM, Refaxo NA, Macari S, Abreu LG.
Cleft Palate Craniofac J. 2025 Jun 9. Online ahead of print.
🔍Las datas disponiblas indichan che ina furmaziun naso-alveolara avant l'operaziun da la lavra po meglierar la simetria dal nas tar bebs cun ina fendida da la lavra e dal palat.
📋 Per geniturs e pazients
Questa survista sistematica cun meta-analisa ha valità 9 studias davart la furmaziun naso-alveolara (NAM) avant l'operaziun cumbinada cun l'operaziun da la lavra tar bebs cun ina fendida da la lavra e/u dal palat, cumparond la simetria dal nas tar uffants cun NAM plus operaziun da la lavra envers uffants cun mo l'operaziun da la lavra. Endretgamain sustegnan ils resultats reunids in effect positiv dal tractament NAM sin la simetria dal nas, era sche la qualitad e la cumparabilitad da las studias singulas integradas era differenta.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Systematic review and meta-analysis (9 studies) (n = 9 studias)
Limitaziun: The included studies varied in methodology and quality, which limits the comparability and reliability of the pooled results.
Relevanza clinica: Supports the use of NAM treatment as an option to improve nasal symmetry before lip repair, while highlighting the ongoing need for higher-quality studies.
This systematic review and meta-analysis evaluated 9 studies on presurgical nasoalveolar moulding (NAM) combined with cheiloplasty in infants with cleft lip and/or palate, comparing nasal symmetry outcomes between infants treated with NAM plus cheiloplasty and those treated with cheiloplasty alone. Electronic searches were performed across 6 databases. Overall, the pooled results support a positive effect of NAM treatment on nasal symmetry, although the quality and comparability of the individual included studies varied.
OrtodonziaGenerà da l'IA, betg controllà professiunalmain2026-04
Formaturs nasals fabritgads digitalmain suenter l'operaziun da la lavra: emprims resultats d'ina studia pilot
Khodir MA, Osman SM, Ragab HR, AboulHassan MA, Oraby MS.
BMC Oral Health. 2026;26:735
🔍En ina pitschna studia pilot ha in formatur nasal fabritgà digitalmain individualmain, purtà suenter l'operaziun da la lavra, meglierà la simetria dal nas pli fitg che nagin tractament supplementar.
📋 Per geniturs e pazients
En questa studia pilot randomisada han 14 bebs cun ina fendida da la lavra unilaterala survegnì suenter l'operaziun da la lavra u in formatur nasal fabritgà digitalmain ed individualmain, purtà durant trais mais, u nagin tractament supplementar. Sis mais suenter l'operaziun mussava la gruppa cun il formatur pauc midadas tar la gronda part da las dimensiuns mesiradas, dentant en la gruppa da controlla sa midavan quasi tut las dimensiuns considerablamain; la simetria dal nas era en la gruppa cun formatur significativamain meglra. Ils auturs vesan en quai in access promettent e bain accessibel per meglierar l'aspect dal nas suenter l'operaziun da la lavra.
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Tip da la studia: Pilot randomised controlled trial (n = 14 pazients)
Limitaziun: Very small sample (14 infants) from a single centre; larger studies are needed to confirm the findings.
Relevanza clinica: Points to an accessible, non-invasive add-on measure that could improve nasal symmetry after lip repair.
In this pilot randomised controlled trial, 14 infants with unilateral cleft lip undergoing Fisher anatomic subunit repair were randomised to receive either a custom, digitally fabricated nasal conformer worn for three months after surgery, or no conformer. Digital anthropometric measurements at 6 months postoperatively (alar width, alar base width, columella length, nasal tip projection, columellar angle, nostril height/width ratio) showed little change in the conformer group but significant change across nearly all measurements in the control group, with significantly better nasal symmetry in the conformer group.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-05
Operaziun da la missella en l'adultadad: co las persunas cun ina fendida la vivan
Lundberg J, Sjöström M, Molin J.
Int J Qual Stud Health Well-being. 2026;21(1):2674347
🔍Per blers adults cun ina fendida da la lavra, missella e dal palat era l'operaziun da la missella in pass transfurmativ che ha rinforzà la fidanza en sasez -- dentant betg tar tuts e betg immediatamain.
📋 Per geniturs e pazients
En questa studia cun intervistas han 16 adults cun ina fendida da la lavra, missella e dal palat raquintà co ch'els han vivì in'operaziun che curregescha la missella. Per blers manava l'intervenziun ultra la funcziun e l'apparientscha e rinforzava cul temp la fidanza en sasez e la segirezza sociala. Quest effect n'era dentant betg il medem tar tuts e sa mussava savens mo pass per pass.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Qualitative interview study (n = 16 creschids)
Limitaziun: Small, self-selected sample; findings are subjective and not readily generalisable.
Relevanza clinica: Suggests psychological support around adult orthognathic surgery is valuable, since the benefit is experienced very differently from person to person.
This qualitative interview study explored how 16 adults born with cleft lip and/or palate experienced orthognathic (jaw-correcting) surgery. For many, surgery was a transformative process that went beyond functional and aesthetic correction, fostering greater self-confidence and social ease over time. However, empowerment was neither universal nor immediate, and some reported neutral or context-dependent outcomes.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-05
Models d'computer prognostitgeschan il basegn da sang tar operaziuns da craniosinostosa
Deng J, Gharavi A, Heybati K, Haile D, Ahn ES et al.
J Plast Reconstr Aesthet Surg. 2026;118:209-220
🔍Sviluppads or da datas da 8045 uffants han models d'emprendiment automatic prognostitgà cun precisiun moderada sche e quant sang vegn dovrà durant l'operaziun.
📋 Per geniturs e pazients
Tar operaziuns da sturas dal cranio schuldadas memia baud (craniosinostosa) po ina transfusiun da sang daventar necessaria. Spezialists han trenà cun datas da passa 8000 uffants models d'computer che stimeschan ordavant il basegn da transfusiun. La prognosa era duvraivla, ma anc betg madira -- avant in'utilisaziun en la pratica dovri ulteriuras verificaziuns.
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Tip da la studia: Retrospective study with machine-learning modelling (n = 8045 uffants)
Limitaziun: Only moderate predictive accuracy (AUC 0.77); external validation at other centres is still needed.
Relevanza clinica: Could eventually help plan blood products more precisely and avoid unnecessary transfusions in craniosynostosis surgery.
Using data from 8045 children up to 36 months of age undergoing craniosynostosis surgery, the authors developed machine-learning models to predict perioperative blood transfusion risk and volume. The models achieved moderate predictive accuracy (AUC 0.77 for transfusion risk). Such tools could support individualized blood-product planning and selective use of cell salvage, but external validation is needed before clinical use.
LogopediaGenerà da l'IA, betg controllà professiunalmain2026-05
Chapientschadad e stentar dad udir: la linguatg a cumparegliar tranter fendidas dal palat sindromalas e betg sindromalas
Hosseinabad HH, Xing Y.
Int J Lang Commun Disord. 2026;61(4):e70279
🔍Uffants cun ina fendida dal palat sindromala eran considerablamain pli mal a chapir e dovravan bler dapli stentar dad udir che uffants cun ina fendida betg sindromala.
📋 Per geniturs e pazients
En questa studia han 52 auditurs betg participants giuditgà la linguatg dad uffants (4-12 onns) cun ina fendida dal palat. Uffants cun ina malsogna sindromala supplementara eran pli mal a chapir e lur linguatg dovrava dapli stentar dad udir. Ils spezialists proponan dad utilisar il stentar dad udir sco masa supplementara, quai che pudess era gidar a chattar pli baud furmas sindromalas anc betg enconuschentas.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Blinded listener-rating comparison study (n = 52 auditurs)
Limitaziun: Findings rely on subjective listener ratings rather than instrumental speech measurement; severity of the underlying cleft was not specified.
Relevanza clinica: Listening effort could serve as an additional, easily collected measure to help identify previously unrecognised syndromic forms earlier.
This study compared speech intelligibility and perceived listening effort between children (aged 4-12) with syndromic and non-syndromic cleft palate, using 52 naive listeners. Children with syndromic clefts were significantly less intelligible and required substantially greater listening effort. The authors suggest that listening effort could serve as a complementary outcome measure and help flag previously undiagnosed syndromic cases.
LogopediaGenerà da l'IA, betg controllà professiunalmain2026-05
In nov test da linguatg spezial per uffants da trais onns cun ina fendida dal palat
Fitzpatrick B, Coad J, Sell D, Price M, Rihtman T.
Int J Lang Commun Disord. 2026;61(4):e70269
🔍Duas emprovas da linguatg adattadas als uffants èn sa mussadas praticablas ed adattadas per giuditgar unitariamain la linguatg dad uffants da trais onns cun ina fendida dal palat.
📋 Per geniturs e pazients
En Gronda Britannia vegn la linguatg dals uffants pertutgads examinada cun trais onns, ma enfin ussa mancava ina metoda unitara per questa gruppa d'etad. Spezialists han sviluppà duas curtas emprovas da linguatg adattadas als uffants e las han testadas cun 20 uffants cun e 5 senza fendida dal palat. Omaduas emprovas sa laschavan applitgar bain e pudessan pli tard permetter evaluaziuns cumparaziunablas tranter ils centers da tractament.
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Tip da la studia: Instrument development with pilot testing (n = 25 uffants)
Limitaziun: Small pilot sample; feasibility in routine everyday clinical practice not yet confirmed at scale.
Relevanza clinica: A standardised test for three-year-olds could for the first time enable uniform speech comparisons across different cleft treatment centres.
This UK study describes the first development stage of the West Midlands Assessment of Speech-Preschool (WAS-P), a speech assessment designed specifically for 3-year-olds with cleft palate with or without cleft lip. Two age-appropriate speech samples were piloted with 20 children with clefts and 5 without. Both samples proved feasible and were judged suitable for routine clinical use, enabling standardised comparison of speech outcomes across cleft units.
LogopediaGenerà da l'IA, betg controllà professiunalmain2026-05
Quant chargiala ina insuffizienza velofaringala? Survista davart la qualitad da vita e la psica
Lee J, Doctorman S, Alter N, Isber J, Li R et al.
J Plast Reconstr Aesthet Surg. 2026;118:99-110
🔍Uffants cun ina insuffizienza velofaringala suenter ina fendida dal palat portan avant l'operaziun ina considerabla chargia psicosociala che para da sa meglierar suenter.
📋 Per geniturs e pazients
Tar ina insuffizienza velofaringala na sa serra il palat betg cumplettamain durant il discurrer, quai che po impedir la vusch e la chapientschadad. Questa survista da 13 studias ha chattà che ils uffants pertutgads èn considerablamain chargiads psichicamain avant l'operaziun e che la qualitad da vita para da sa meglierar suenter. Perquai ch'i mancan datas a lunga vista fideivlas, vegnan dumandadas evaluaziuns pli unitaras.
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Tip da la studia: Systematic review (13 studies) (n = 13 studias)
Limitaziun: Longitudinal data were sparse and reporting was inconsistent across the included studies.
Relevanza clinica: The psychosocial burden of VPI should be actively assessed in follow-up care, not only functional speech improvement.
This systematic review of 13 studies synthesized patient-reported psychosocial outcomes of velopharyngeal insufficiency (VPI) treatment after cleft palate repair, using the VELO and PedsQL instruments. Children with cleft-related VPI showed a substantial psychosocial burden before surgery, with evidence of improvement afterwards, particularly on VELO. However, longitudinal data were sparse and reporting inconsistent, so more standardised outcome reporting is needed.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-04
Fendida dal palat submucosa: in tractament baud è decisiv per la linguatg
Wang C, Huang H, Li C, Wu M, Shi B et al.
J Craniomaxillofac Surg. 2026;54(7):104570
🔍En ina cohorta da 676 pertutgads era in'etad d'operaziun pli baud il factur il pli impurtant per ina buna funcziun velofaringala e cun quai per la linguatg.
📋 Per geniturs e pazients
Tar ina fendida dal palat submucosa è la musculatura dal palat spartida, schebain che la mucosa para serrada. En questa gronda analisa da 676 pertutgads dependeva il success surtut da l'etad tar l'operaziun: cun mintga onn da vita supplementar sa sbassava la schanza per in bun resultat per var 9 pertschient. Diagnosa baud e tractament a temp giavischà èn perquai ils pli impurtants per in bun svilup da la linguatg.
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Tip da la studia: Retrospective cohort study (n = 676 pazients)
Limitaziun: Retrospective design; surgical timing was not randomised, so unmeasured confounding is possible.
Relevanza clinica: Supports diagnosing and treating submucous cleft palate as early as possible, since each additional year of age worsens outcomes.
This retrospective cohort study analyzed 676 patients with submucous cleft palate treated between 2008 and 2025. Palatal morphology correlated with velopharyngeal function, but younger age at surgery was the single most important predictor of achieving velopharyngeal competence, with the odds of an unfavourable outcome rising about 9% per additional year. Early diagnosis and timely intervention were the most critical factors for good speech outcomes.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-04
Operaziun baud tar scafocefalia: main perdita da sang avant il 6. mais da vita
Riffaud L, Sorlin M, Le Bras E, Rousseau C, Aillet S et al.
J Craniomaxillofac Surg. 2026;54(7):104567
🔍Uffants ch'èn vegnids operads avant il 6. mais da vita han gì intervenziuns pli curtas sco era considerablamain main perdita da sang e transfusiuns che uffants pli vegls.
📋 Per geniturs e pazients
Tar scafocefalia (cranio en furma da barca pervia d'ina stura serrada memia baud) è il meglier mument d'operaziun cuntanschentà. En questa studia da cumparegliaziun han uffants operads avant il 6. mais gì intervenziuns pli curtas, main perdita da sang e main transfusiuns; la durada dal soggiorn a l'ospital na sa distingueva betg. In'operaziun baud purscheva uschia avantatgs cler.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective comparative study (single surgeon)
Limitaziun: Only one surgeon and one centre were studied; generalisability to other teams is not established.
Relevanza clinica: Supports operating before 6 months of age for sagittal synostosis where medically appropriate.
This study compared perioperative outcomes for sagittal craniosynostosis (scaphocephaly) in children operated before 6 months versus after 7 months of age by the same surgeon. Younger patients had significantly shorter anaesthesia and surgery times and less blood loss and transfusion, while hospital stay did not differ. Early surgery before 6 months of age offered clear perioperative advantages.
OrtodonziaGenerà da l'IA, betg controllà professiunalmain2026-03
Terapia cun elm tar deformaziun dal chau: in model prognostitgescha il resultat
Stanek K, Berry JG, Wynne JH, Stringfellow I, Balkin DM.
J Pediatr. 2026;294:115080
🔍In model sviluppà or da datas da 6694 pitschens uffants ha prognostitgà cun gronda precisiun il midament da la furma dal chau durant la terapia cun elm.
📋 Per geniturs e pazients
Ina deformaziun dal chau pervia da la posiziun vegn tractada tar pitschens uffants mintgatant cun in elm adattà. Spezialists han sviluppà or da datas da 6694 uffants in model d'computer che prognostitgescha bain il midament spetgà da la furma dal chau durant la terapia. In tal instrument pudess gidar spezialists e geniturs da stimar realisticamain il decurs e l'utilitad.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective study with machine-learning modelling (n = 6694 uffants)
Limitaziun: Model has not yet been tested in further, independent clinics.
Relevanza clinica: Could eventually help parents and care teams set more realistic expectations about likely helmet-therapy outcomes.
Using serial measurements from 6694 infants treated with cranial-orthosis (helmet) therapy for deformational plagiocephaly and/or brachycephaly, the authors developed a machine-learning model to forecast head-shape changes during treatment. The model predicted final cranial asymmetry and cranial index with high accuracy. Such a tool could aid clinical decision-making and parental counselling, though further study is needed.
ChirurgiaGenerà da l'IA, betg controllà professiunalmain2026-01
Microsomia hemifaziala: operaziuns da la missella meglieran las vias respiratoricas
Younis H, Song L, Zhou Z, Ye B, Li J.
Int J Oral Maxillofac Surg. 2026;55(7):789-796
🔍Suenter ina prolungaziun da la missella inferiura u ina operaziun da spustament han il volumen e la traversala da las vias respiratoricas superiuras creschì considerablamain tar uffants ed adults.
📋 Per geniturs e pazients
Tar la microsomia hemifaziala è ina mesadad dal visar sut-sviluppada, quai che po era stretgir las vias respiratoricas. Questa studia cun 40 pertutgads ha mussà ch'ina prolungaziun da la missella inferiura u ina operaziun da spustament engrondescha considerablamain il volumen e la largezza da las vias respiratoricas superiuras e diminuescha l'asimetria. I vegn recumandà da render las vias respiratoricas part da la planisaziun da l'operaziun.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Retrospective 3D imaging study (n = 40 pazients)
Limitaziun: No comparison with untreated controls; long-term course of airway improvement was not captured.
Relevanza clinica: Supports targeted airway analysis as part of surgical planning for hemifacial microsomia.
This 3D retrospective study assessed upper-airway changes after mandibular distraction osteogenesis and/or orthognathic surgery in 40 patients with hemifacial microsomia (16 children, 24 adults). Airway volume and cross-sectional area increased significantly after surgery in both groups, with reduced asymmetry. The findings suggest these procedures can improve upper-airway structure, supporting airway analysis in surgical planning.
OrtodonziaGenerà da l'IA, betg controllà professiunalmain2026-04
Direcziun da la creschientscha da la missella superiura: tgi po evitar pli tard in'operaziun da la missella?
Petruccelli J, Couto V, Faco R, Bastos RTRM, Normando D et al.
Am J Orthod Dentofacial Orthop. 2026;170(1):96-104
🔍Da 26 giuvenils tractads cun ina protracziun da la missella superiura ancorada a l'oss (BAMP) han var 46 pertschient pudì evitar in'operaziun posteriura, cun in resultat stabil a lunga vista.
📋 Per geniturs e pazients
Tar ina fendida unilaterala da la lavra, missella e dal palat resta la missella superiura savens memia enavos. En questa studia èn 26 giuvenils vegnids tractads durant 18 mais cun ina protracziun da la missella superiura ancorada a l'oss (BAMP) ed observads passa 5 onns. Var 46 pertschient han pudì far senza operaziun posteriura; percunter han in muster da creschientscha vertical marcà ed in surmors fitg negativ annunzià il basegn d'ina operaziun.
Anc betg disponibel en rumantsch — mussà en englais.
Tip da la studia: Prospective follow-up study (n = 30 pazients)
Limitaziun: Only unilateral, complete cleft forms were included; findings may not generalise to other cleft types. Note: the abstract states 30 patients, while the existing plain-language summary on this page says 26 – a pre-existing discrepancy in the legacy data, not introduced by this update.
Relevanza clinica: Growth pattern and overbite severity could eventually help predict early on who will need later jaw surgery.
This prospective study followed 30 patients with unilateral complete cleft lip and palate and moderate-to-severe midface deficiency treated with bone-anchored maxillary protraction (BAMP) for 18 months, with follow-up at least 5 years later. About 46% avoided orthognathic surgery, and results in this non-surgical subgroup remained stable long-term. A hyperdivergent growth pattern and more severe negative overjet predicted the eventual need for surgery.
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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