V současnosti se u nás se rodí v průměru jedno dítě s rozštěpem na 500 až 700 zdravých dětí. Aby tyto děti mohly přežít a začlenit se do běžného života, potřebují ke svému přežití specializovanou péči; s jednou její nezbytnou součástí seznamuje čtenáře tato kniha.

• Klíčová slova
• Stomatologie,
• MeSH
• ortodontické aparáty MeSH
• rozštěp patra komplikace   MeSH
• rozštěp rtu komplikace   MeSH

• NLK Obory
• ortodoncie

Publikace se zaměřuje na léčbu ortodontických nemocí u pacientů s orofaciálním rozštěpem. Určeno odborné veřejnosti.

• MeSH
• ortodontické aparáty MeSH
• rozštěp patra komplikace   MeSH
• rozštěp rtu komplikace   MeSH
• Publikační typ
• monografie MeSH

• Konspekt
• Stomatologie
• NLK Obory
• ortodoncie

• Klíčová slova
• protokol Toronto-Melbourne, protokol Jeruzalém, protokol Belfast-Hamburg, protokol Bronx,
• MeSH
• audiometrie MeSH
• dítě MeSH
• dospělí MeSH
• fixní ortodontický aparát MeSH
• genetické nemoci vrozené MeSH
• genetické testování MeSH
• kleidokraniální dysplazie * chirurgie   diagnóza   terapie   MeSH
• klinické protokoly MeSH
• kraniofaciální abnormality MeSH
• lidé MeSH
• mladiství MeSH
• ortognátní chirurgické výkony MeSH
• protein PEBP2alfaA analýza   MeSH
• rentgendiagnostika MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• ženské pohlaví MeSH

The degree of deviation of palatal shape from the norm may reflect facial growth disturbance in cleft lip and palate (CLP). The objective of this study was to compare the palatal morphology in children treated with different surgical protocols. Palatal shape was assessed with geometric morphometrics (GM) including Procrustes superimposition, principal component analysis (PCA), and permutation tests with 10,000 permutations, in 24 children treated with two-stage repair with a late palatoplasty (Prague group; mean age at assessment 8.9 years), 16 children after two-stage repair with early palatoplasty (Bratislava group; mean age 8.2 years), and 53 children treated with a one-stage repair (Warsaw group, mean age 10.3 years). The non-cleft control group comprised 60 children at 8.6 years. The first five principal components (PCs) accounted for a minimum of 5% of the total shape variability (65.9% in total). The Procrustes distance was largest for the Prague vs. Control pair and smallest for the Prague vs. Bratislava pair. Nonetheless, all intergroup differences were statistically significant (p < 0.01). One can conclude that variations in palatal shape roughly correspond to cephalometric and dental arch relationship findings from prior research. Among the children who underwent a one-stage repair of the complete cleft, their palatal morphology most closely resembled that of the non-cleft controls. Conversely, children who received late palatoplasty exhibited the greatest degree of deviation.

• Publikační typ
• časopisecké články MeSH

• Publikační typ
• abstrakt z konference MeSH

• MeSH
• elektronová mikroskopie MeSH
• lidé MeSH
• ortodontické zámky škodlivé účinky   MeSH
• premolár MeSH
• zubní nástroje MeSH
• zubní sklovina * ultrastruktura   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• klinická studie MeSH

• Publikační typ
• abstrakt z konference MeSH

• Publikační typ
• abstrakt z konference MeSH

Aim: The aim of the presented study was to compare differences in craniofacial morphology with a focus on the degree and intensity of mandible growth in patients with Pierre Robin sequence, patients with isolated cleft palate, and healthy population. Material and method: Growth changes were measured in 40 patients with isolated cleft palate and in 20 patients with Pierre Robin sequence in 2 cephalograms taken at the interval of at least two years. The first cephalogram was taken at the age of 9-12 (T0), and it was clear from the OPG that it was performed prior to a growth spurt. The second cephalogram was taken after at least 2 years under the same technical conditions, i.e. at the age of 12.5–16 years (T1). The values were compared with reference values of healthy population of the same age taken from the study by Riola (1974). Results: In patients with Pierre Robin sequence the mandible is hypoplastic compared to patients with isolated cleft palate and healthy individuals. At T0 the mandible in patients with Pierre Robin sequence reached 92.8 % of the average length of the mandible in patients with isolated cleft palate (p = 0.001), at T1 it was 92 % (p = 0.0002). A comparison with healthy population revealed greater discrepancy. At T0 the mandible of patients with Pierre Robin sequence reached 91.3 % of the length of the mandible in healthy individuals (p < 0.0001), at T1 it was 91 % (p < 0.0001). The most significant discrepancy contributing to the mandible hypoplasia in patients with Pierre Robin sequence was found in the length of the mandible body. Conclusion: In patients with Pierre Robin sequence the mandible is permanently insufficient. The growth appears constant, it does not accelerate or decelerate during a growth spurt.

• MeSH
• dítě MeSH
• kefalometrie přístrojové vybavení   statistika a číselné údaje   MeSH
• kohortové studie MeSH
• lidé MeSH
• mandibula * patologie   růst a vývoj   MeSH
• mladiství MeSH
• Pierre Robinův syndrom * diagnostické zobrazování   patologie   MeSH
• retrospektivní studie MeSH
• rozštěp patra diagnostické zobrazování   patologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• klinická studie MeSH

Aim: The aim of the presented study was to establish whether we can find differences in facial soft tissues morphology in patients with cleft palate compared to normal population using 3D facial scan, and to present a non-invasive examination method of 3D morphometrics. Material and method: The sample of patients included 22 men and 26 women. The most frequent in the patients was cleft hard and soft palate (83%), followed by submucous cleft palate (15%), and cleft soft palate (2%). The age of patients was within the interval 8 years and 1 months and 13 years and 11 months. The sample was subdivided into three groups according to the age. Measurements were performed with optical scanner 3dMDface System. The shape of cleft patient’s face was compared with physiologically average face of the controls of the given age and sex with SD score. Deviations between the scans were visualized with colour score in each patient. Results: In most patients the extent of cleft defect correlates with the extent of morphological changes of facial soft tissues. The mean deviation comparing facial maps of patients with cleft palate and the control group is 1.5 (SD). Conclusion: The results suggest that changes in facial soft tissues in patients with cleft palate are expressed.

• MeSH
• anatomická značka MeSH
• dítě MeSH
• fotografie zubní metody   přístrojové vybavení   MeSH
• kefalometrie metody   přístrojové vybavení   MeSH
• lidé MeSH
• obličej * diagnostické zobrazování   patologie   MeSH
• rozštěp patra * diagnostické zobrazování   patologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• klinická studie MeSH