Objective: To assess the aesthetics of the nasolabial appearance of patients with cleft lip and palate aged 8-12 years by experienced and inexperienced professionals.
Methods: A cross-sectional study was conducted on 32 patients with cleft lip and palate, who underwent surgery and follow-up treatment at the Cleft Center. The research tools included a parent-completed survey providing GO graphic data and two-dimensional frontal view photographs of patients from both left and right sides.
Introduction: The objectives of this study were to obtain the birth prevalence of cleft lips and/or cleft palates (CL±P) and to identify potential associated risk factors in the population of the Northeast (NE) region of Thailand.
Methods: The data were collected from October 1, 2012, to September 30, 2013, for infant deliveries with nonsyndromic CL±P in all hospitals of 4 provinces in the region. Workshops were conducted to establish diagnostic criteria, treatment guidelines, referral systems, data collection, and data reporting.
Objective: Post-surgical hypertrophic scar is more frequently reported in Asians. Many modalities can treat scars but there have not been any publications to define the efficacy of silicone gel plus herbal extracts for scar prevention or amelioration.
Design: 48 patients, who underwent median sternotomy were randomized and double-blinded to 2 groups to use topical silicone gel plus herbal extract gel or placebo for 6 months.
Objective: Silicone gel has been shown effective in improving healing post-sternotomy scars. It remains to be determined whether adding herbal extracts to the gel would augment the healing effect.
Method: After median sternotomy, patients were randomised into two groups.
Objective: To evaluate the aesthetic outcomes of surgery in preschool-aged bilateral complete cleft lip patients by comparing their nasal aesthetic parameters with those of normal children.
Setting And Sample Population: Twenty-six 4 to 6-year-old (preschool age) patients with bilateral complete cleft lip who underwent primary cheiloplasty and a control group of 30 children in Northeast Thailand of the same age were enrolled.
Materials And Methods: Nasal aesthetic parameters were analyzed in terms of 3 ratios and 1 angle using three-dimensional photographs.
Background: Clinical assessment of indeterminate burn wounds has been reported to yield poor accuracy, even when performed by burn experts. Indocyanine green (ICG) dye angiography has been found to be highly accurate in assessing burn depth, but there is still limited evidence of its use in indeterminate burn wounds. This study aims to compare the accuracy of ICG angiography to that of clinical assessment in assessing indeterminate burn wounds.
View Article and Find Full Text PDFPlast Reconstr Surg
November 2018
Osteoradionecrosis (ORN) is a common consequence resulting from radiation in patients with cancer. Presently, hyperbaric oxygen therapy (HBOT) is proposed to have a role in improving wound healing in ORN patients. There is no strong scientific evidence to confirm the benefits of HBOT for treatment of ORN as an adjunctive treatment.
View Article and Find Full Text PDFEvid Based Complement Alternat Med
September 2018
Objective: This study was performed to evaluate the efficacy of extract in cream, a preparation for the prevention of scar development of the split-thickness skin graft (STSG) donor site.
Methods: A prospective randomized, double-blind control study was performed to evaluate the efficacy of Centella cream in 30 patients who underwent a STSG operation. Both Centella cream and placebo were applied equally to the donor site at least 2 weeks after epithelialization was completed.
Plast Reconstr Surg Glob Open
May 2016
Background: Reconstruction of extensive lower lip defects is challenging, and functional outcomes are difficult to achieve.
Methods: A modified bilateral neurovascular cheek (MBNC) flap has been described. The data of patients with cancer of the lower lip treated with wide excision and reconstructed with the MBNC flap in the Plastic Surgery Unit, Srinagarind Hospital, Khon Kaen University, from 1966 to 2012 were reviewed.
Background: The prevalence of 22q11.2 deletion in patients presenting with isolated cleft palate has not been systematically assessed.
Objective: To assess the evidence in the literature for the prevalence of 22q11.
Background: A birth prevalence of chromosome 22q11.2 deletion syndrome among population-based reports has been documented to vary, however, a systematic assessment is lacking.
Objective: To assess the evidence in the literature for the birth prevalence of chromosome 22q11.
Objective: In this study we conducted the vascular anatomy of sural flap to determine the peroneal artery perforator contribution relative to anatomical landmark of tip of lateral malleolus, include the first peroneal artery perforator to identify safely pivot point of the flap.
Material And Method: A retrospective study of an anatomical study of Vascular supply of the Distally Based Sural Artery Flap was performed by dissection on 12 fresh adult cadavers legs. We recorded number of the perforator, location of each perforators in relationship to the tip of lateral malleolus and location of first peroneal artery perforator.
Background: The Dorsalis pedis perforator flap is a thin and pliable fasciocutaneous tissue. No previous study has demonstrated the surgical anatomy among Asians.
Material And Method: Demonstrate the surgical anatomy of Dorsalis pedis perforator flap in 12 limbs from Thai cadavers.
Objectives: To report the treatment expenses of the congenital malformations of craniofacial of in-patients of Srinagarind Hospital between 2010 and 2014
Material And Method: The expenses of congenital malformations of craniofacial in-patients of Srinagarind Hospital were studied by analyzing the actual amount charged and the reimbursement of treatment expenses.
Results: One thousand eight hundred forty five in-patients were treated 2,144 times. The average treatment was about once or twice per person.
Objective: Evaluate the clinical outcomes regarding the time needed for Eustachian tube recovery and evaluate associated factors for the recovery in children with cleft palate undergoing primary 2-flap palatoplasty with intravelarveloplasty at Srinagarind Hospital.
Material And Method: This was a retrospective descriptive study of 82 consecutive non-syndromic cleft palate patients with/without cleft lip, who underwent primary palatoplasty at Srinagarind Hospital between January 2007 and December 2010. Demographic data were collected including sex, cleft type, age of palatoplasty, operating surgeon, type of tympanogram, oronasal fistula, ventilation tube insertion, age of ventilation tube insertion, and number of ventilation tube insertion.
Background: Cleft lip and palate (CLP) is a congenital anomaly of the lip and palate that is caused by several factors. It was found in approximately one per 500 to 550 live births depending on nationality and socioeconomic status. The Tawanchai Center and out-patients surgical room of Srinagarind Hospital are responsible for providing care to patients with CLP (starting from birth to adolescent) and their caregivers.
View Article and Find Full Text PDFBirth Defects Res A Clin Mol Teratol
July 2016
Background: One infant in 700 is born with an oral cleft. Prior studies suggest low micronutrient status is associated with an increased risk of oral clefts. Environmental factors such as passive smoke exposure or supplement use may also affect oral cleft risk.
View Article and Find Full Text PDFUnlabelled: This study aimed to obtain epidemiological data of birth incidences of cleft lips and/or cleft palates (CLP) in the Thai population with associated risk factors.
Methods: The data were collected for a period of 12 months between 2003 and 2004 for infants' deliveries with CLP and associated risk factors in all hospitals of 6 provinces from 4 regions of Thailand. The birth incidence, related factors with cleft birth, and linkage with geographical area were analyzed by the geographic information system.
J Med Assoc Thai
August 2015
The objective of this study was to determine the levels of patient-satisfaction on facial and dental appearance compared with clinician ratings. Participants included 61 patients with repaired unilateral cleft lip and palate (UCLP), aged 14-25 years. Raters comprised three cleft team clinicians.
View Article and Find Full Text PDFBackground: Congenital deformities, such as cleft lips and/or cleft palates (CLP), have high incidences in the Northeast of Thailand. These birth defects can affect patient's quality of life. CLP patients need crucial and long-term treatments by a multidisciplinary team starting from prenatal stage to late adulthood.
View Article and Find Full Text PDFBackground: Cleft lips and cleft palates have the most incidences in the Northeast of Thailand (2.49/1,000 newborns). Cleft lips and cleft palates (CLP) can affect patients and families both physically and mentally.
View Article and Find Full Text PDFBackground: Cleft lip and palate (CLP) congenital anomalies have a high prevalence in the Northeast of Thailand. A care team's understand of treatment plan would help to guide the family of patients with CLP to achieve the treatment.
Objective: To examine the impact of the empowering volunteer project, established in the northeast Thailand.