Publications by authors named "Angela P M C Martinelli"

Objective : To study the growth of children with complete unilateral cleft lip and palate (UCLP) from 2 to 10 years of age and to assess whether growth varied from that of children without UCLP (typical children). Design : Physical growth was one of the outcome measures of a National Institutes of Health-sponsored longitudinal, prospective clinical trial conducted by the University of Florida and the University of São Paulo. Setting : Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC-USP), Bauru, Brazil.

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Article Synopsis
  • The study aimed to evaluate speech outcomes and the presence of palatal fistulas in cleft patients using two surgical techniques: the von Langenbeck repair and the Furlow procedure.
  • The trial utilized a factorial design, randomizing participants into 8 groups based on the type of lip and palatal repair, plus the timing of surgery.
  • Results indicated that the Furlow procedure improved speech-related velopharyngeal function, but it had a higher rate of palatal fistula occurrence, particularly in patients with wider clefts and when specific surgical techniques were not applied.
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Objective: Cleft palate increases the risk of chronic middle ear disease and hearing loss. The goal of this report was to determine which of two palate surgeries and which timing of palate surgery were associated with better otologic and audiologic outcomes in children with unilateral cleft lip and palate at 5 to 6 years of age.

Design: Subjects were randomly assigned to the von Langenbeck with intravelar veloplasty or Furlow palate repair, to palate surgery at 9 to 12 months or 15 to 18 months of age, and to the Spina or Millard lip repair.

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Objective: To study the growth of children with complete unilateral cleft lip and palate (UCLP) from birth to 2 years of age and to construct specific UCLP growth curves.

Design: Physical growth was a secondary outcome measure of a National Institutes of Health-sponsored longitudinal, prospective clinical trial involving the University of Florida (United States) and the University of São Paulo (Brazil).

Patients: Six hundred twenty-seven children with UCLP, nonsyndromic, both genders.

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