Adopted children with cleft lip or palate, or both, require special needs cleft surgery.
Hansson, Emma LU ; Svensson, Henry LU and Becker, Magnus LU
(2012)
In Journal of Plastic Surgery and Hand Surgery
46(2).
p.75-79
- Abstract
- In recent years adoption of children with cleft lip, with or without cleft palate (CLP), and other birth defects has become more common. The aim of the present study was to describe the characteristics and initial care and treatment of adopted children with CLP. A total of 25 children were referred to our department between 2008 and 2010, 7 (28%) of whom had bilateral CLP and 16 (64%) had unilateral CLP. Two children had atypical clefts. Twenty of the patients (80%) had been operated on with a lip plasty in China before adoption. Most patients (n = 14) was seen by the cleft team within two months of arrival, and 13 were operated on within a month of the first visit at our department. In total, 22 primary palatoplasties, 6 lip plasties, and... (More)
- In recent years adoption of children with cleft lip, with or without cleft palate (CLP), and other birth defects has become more common. The aim of the present study was to describe the characteristics and initial care and treatment of adopted children with CLP. A total of 25 children were referred to our department between 2008 and 2010, 7 (28%) of whom had bilateral CLP and 16 (64%) had unilateral CLP. Two children had atypical clefts. Twenty of the patients (80%) had been operated on with a lip plasty in China before adoption. Most patients (n = 14) was seen by the cleft team within two months of arrival, and 13 were operated on within a month of the first visit at our department. In total, 22 primary palatoplasties, 6 lip plasties, and 1 lip adhesion were done. There were 5 fistulas (14%) three months after the palatoplasty. On arrival, 11 (44%) of the children were carriers of methicillin-resistant Staphylococcus aureus (MRSA). Adoption of children with CLP creates new challenges for the cleft teams, as we no longer have control over the overall treatment plan as regards preoperative and surgical treatment and timing of the operations. The patients are also often carriers of resistant bacteria, which create nursing challenges. In cases where the child is older than a year and has not been operated on, we advocate that the palatoplasty, or combined lip plasty and palatoplasty, is always given priority so that speech development is not compromised. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2519886
- author
- Hansson, Emma
LU
; Svensson, Henry
LU
and Becker, Magnus
LU
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Plastic Surgery and Hand Surgery
- volume
- 46
- issue
- 2
- pages
- 75 - 79
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000302369100004
- pmid:22471253
- scopus:84859296711
- pmid:22471253
- ISSN
- 2000-656X
- DOI
- 10.3109/2000656X.2012.668774
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Surgery Research Unit (013242220), Reconstructive Surgery (013240300)
- id
- 522ab9d6-f4aa-4819-9388-61733f5fcd11 (old id 2519886)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22471253?dopt=Abstract
- date added to LUP
- 2016-04-01 10:16:19
- date last changed
- 2023-08-30 22:21:20
@article{522ab9d6-f4aa-4819-9388-61733f5fcd11,
abstract = {{In recent years adoption of children with cleft lip, with or without cleft palate (CLP), and other birth defects has become more common. The aim of the present study was to describe the characteristics and initial care and treatment of adopted children with CLP. A total of 25 children were referred to our department between 2008 and 2010, 7 (28%) of whom had bilateral CLP and 16 (64%) had unilateral CLP. Two children had atypical clefts. Twenty of the patients (80%) had been operated on with a lip plasty in China before adoption. Most patients (n = 14) was seen by the cleft team within two months of arrival, and 13 were operated on within a month of the first visit at our department. In total, 22 primary palatoplasties, 6 lip plasties, and 1 lip adhesion were done. There were 5 fistulas (14%) three months after the palatoplasty. On arrival, 11 (44%) of the children were carriers of methicillin-resistant Staphylococcus aureus (MRSA). Adoption of children with CLP creates new challenges for the cleft teams, as we no longer have control over the overall treatment plan as regards preoperative and surgical treatment and timing of the operations. The patients are also often carriers of resistant bacteria, which create nursing challenges. In cases where the child is older than a year and has not been operated on, we advocate that the palatoplasty, or combined lip plasty and palatoplasty, is always given priority so that speech development is not compromised.}},
author = {{Hansson, Emma and Svensson, Henry and Becker, Magnus}},
issn = {{2000-656X}},
language = {{eng}},
number = {{2}},
pages = {{75--79}},
publisher = {{Taylor & Francis}},
series = {{Journal of Plastic Surgery and Hand Surgery}},
title = {{Adopted children with cleft lip or palate, or both, require special needs cleft surgery.}},
url = {{http://dx.doi.org/10.3109/2000656X.2012.668774}},
doi = {{10.3109/2000656X.2012.668774}},
volume = {{46}},
year = {{2012}},
}