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Neonatal cheiloplasty as the first surgery in patients with orofacial clefts, its benefits and possible risks
Kordačová, Karolína ; Velemínská, Jana (advisor) ; Hoffmannová, Eva (referee)
Neonatal cheiloplasty is the first plastic surgery performed in patients with orofacial clefts, usually carried out at the age of 1 to 8 days. A modified protocol for standard cheiloplasty, performed at the age of 3 to 6 months, is used. Neonatal cheiloplasty is currently a predominant method for lip surgery in cleft lip patients in the Czech Republic. Advantages of this method are better scar healing associated with better aesthetic results, reduced psychological and sociological pressure on the family and the infant, better quality of feeding and breastfeeding, and possibly reduced need of secondary repair. There is no documented direct negative consequence of the early timing. Nevertheless, possible risks can be associated with general anaesthesia at such low age, as it could have a negative effect on future IQ of the patient, and a possibility of reduced growth and development of jaws and impaired facial aesthetic outcomes. Further, compared to classical cheiloplasty, early surgery is more expensive and demands higher skills and experiences of the surgeon and the whole team performing the procedure. Main goals of this work were to evaluate the benefits and possible risks of neonatal cheiloplasty as the first surgery performed in patients with orofacial clefts using available studies on this...
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Neonatal cheiloplasty as the first surgery in patients with orofacial clefts, its benefits and possible risks
Kordačová, Karolína ; Velemínská, Jana (advisor) ; Hoffmannová, Eva (referee)
Neonatal cheiloplasty is the first plastic surgery performed in patients with orofacial clefts, usually carried out at the age of 1 to 8 days. A modified protocol for standard cheiloplasty, performed at the age of 3 to 6 months, is used. Neonatal cheiloplasty is currently a predominant method for lip surgery in cleft lip patients in the Czech Republic. Advantages of this method are better scar healing associated with better aesthetic results, reduced psychological and sociological pressure on the family and the infant, better quality of feeding and breastfeeding, and possibly reduced need of secondary repair. There is no documented direct negative consequence of the early timing. Nevertheless, possible risks can be associated with general anaesthesia at such low age, as it could have a negative effect on future IQ of the patient, and a possibility of reduced growth and development of jaws and impaired facial aesthetic outcomes. Further, compared to classical cheiloplasty, early surgery is more expensive and demands higher skills and experiences of the surgeon and the whole team performing the procedure. Main goals of this work were to evaluate the benefits and possible risks of neonatal cheiloplasty as the first surgery performed in patients with orofacial clefts using available studies on this...
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Cleft As a Stigma
GAJEROVÁ, Eva
The thesis deals with the impact of orofacial cleft (cleft lip and palate) on family psychosomatics within the psycho-social-ethical framework. It summarises the history, classification and treatment of cleft disorders, followed by an analysis of real-life problems occuring in the process of taking care of a baby with orofacial cleft, specifies terms frequently used when discussing orofacial cleft as a stigma: stigma and stigmatisation, norm and normality, beauty and ugliness.The phenomena of fear and pain, difficulty in communication with the child{\crq}s and the parents{\crq} immediate social surroundings and, the barriers between experts and the parents are dealt with in the thesis. The thesis focuses on orofacial cleft anomalies in connection with Christian ethics. It analyses the relation of abortion and orofacial disorders and the role of hope in the process of taking care and upbringing of a child suffering from this disorder.
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