Publications by authors named "T Rist"
Background: Children with cleft lip ± palate (CL/P) may undergo nasoalveolar molding (NAM) before surgery to achieve arch alignment and tension-free closure, yet the endpoint of arch dimensions has not been defined.
Objective: To characterize the size and shape of infant palates using anatomic landmarks on magnetic resonance imaging in infants without CL/P.
Methods: Magnetic resonance imaging of infants without cleft palate younger than 3 months were reviewed and 13 measurements were taken to define palatal shape: distance between incisive foramen (IF) and incisors (IN), IF and middle of canines (MOC), between MOCs, between first molars (FM), 2 depth and 4 angle measurements.
Indications and Evolution of the Butterfly Graft in Nasal Valve Repair.
Otolaryngol Clin North Am
September 2024
Persistent nasal airway obstruction from inadequately addressed nasal valve compromise is common. Many techniques exist to perform nasal valve repair. Historically, spreader grafts are the most commonly used, despite a relative lack of evidence demonstrating its superiority over other methods.
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- Laryngopharyngectomy defects can be reconstructed using various flaps, but the latissimus dorsi myocutaneous free flap (LDMFF) is highlighted as a strong option for high-risk patients with complex defects.
- A study involving 24 patients showed a 100% flap survival rate, with some complications such as pharyngocutaneous and tracheo-esophageal fistulas, but most patients were able to sustain some oral intake.
- The findings suggest that LDMFF is effective and has manageable complications, making it a viable choice for patients, especially those who have experienced radiation treatment.