Cleft lip and palate: evaluation of the psychological impact using the Rosenberg self-esteem scale

Introduction: Cleft lip and palate is the most frequent malformation of the head region and affects more than 10 million people worldwide. This study aims at evaluating the self-esteem in patients with cleft lip and palate and comparing that with the self-esteem of non-affected individuals during follow-up at the Department of Craniomaxillofacial Plastic Surgery of the Hospital de Clínicas of Porto Alegre. Methods: This is a cross-sectional, contemporary study with 160 participants, comprising 80 patients with cleft lip and palate who have already undergone surgical procedures for correcting the condition and 80 non-affected students and employees of the public-school system as a control group. We used a questionnaire to characterize the group and the Rosenberg self-esteem scale for data collection. Results: There was a significant difference between groups in terms of marital status, schooling, and school retention. Patients with a cleft lip and palate had lower levels of self-esteem than non-affected individuals. Among them, the individuals with bilateral clefts or complete clefts; female gender; economic strata of D/E; low level of schooling; families reconstituted during childhood; and with unsatisfactory results concerning communication, dentition, and lip scar also showed lower levels of self-esteem. Conclusion: There was a significant relationship between cleft lip and palate and low self-esteem

Cleft lip and palate and nutrition

As fissuras labiopalatinas são uma malformação do terço médio da face que se deve à falta de fusão dos processos maxilares e palatinos. Situam-se entre o terceiro e o quarto defeito congênito mais frequente. No Brasil, segundo a Organização Mundial da Saúde, há 13,9 casos em cada 10.000 nascimentos. Seus portadores, além de grave problema estético, apresentam distúrbios funcionais, desde a alimentação até a fonação, que são perfeitamente tratáveis. As maiores dificuldades dos bebês que apresentam essa anomalia são a alimentação, a respiração e o ganho de peso. Seu tratamento consiste em cirurgia, assim como acompanhamento interdisciplinar e diversos cuidados no pré e no pós-operatório.Cleft lip and palate is a malformation of the midface caused by the absence of fusion of the maxillary and palatine processes. It is the fourth most common birth defect. According to the World Health Organization, its prevalence in Brazil is 13.9/10,000 live births. In addition to causing severe aesthetic problems, cleft lip and palate also generates functional disorders such as eating and speech problems. Most of the functional disorders are treatable. The biggest challenges for babies who are born with this condition involve the eating process, breathing, and weight gain. Treatment consists of surgery, as well as interdisciplinary follow-up and several pre-and postoperative care measures

Portuguese translation of Patient and Observer Scar Assessment Scale (POSAS)

INTRODUCTION: The scar assessment is a useful tool in surgical intervention and other treatments by documenting efficacy and making possible to improve them. There is no record of a standard scale in Portuguese to scar evaluation, and the Patient and Observer Scar Assessment Scale (POSAS) was chosen to translation and validation for having received the best evaluations in reviews, and because it contemplates the patients' perception. METHODS:We translated the POSAS scale from English to Portuguese. The translation was based on orientations from the World Health Organization, with permission from the main author of the original scale. Before the pre-testing, the translated scale was sent to the authors of the original scale for analysis, and adjusts were made. RESULTS: The pre-testing version was applied by three examiners in five patients each (n = 15), and difficulties were reported to the authors. No alterations were necessary during the pre-test. CONCLUSION: In this manuscript, we present the translation process of POSAS, and its validation is now in progress

Management of Stahl’s ear: a case report

Stahl's ear deformity was first described in the 19th century and it consists of a rare auricular deformity characterized by hypoplasia of the antihelix crus with enlargement of its base and a third crus of the antihelix connected to posterior portion of helix crus, which deforms the posterolateral wall of the external auditory canal. Reconstructive surgery is the definitive treatment, however, because of the diversity of clinical presentations, no standard technique exist for all cases. The method described in this report is another treatment option and entails the resection of the third crus and reconstruction of superior crus of the antihelix

Fissuras lábio-palatinas : incidência e prevalência da patologia no Hospital de Clinicas de Porto Alegre : um estudo de 10 anos

As fissuras lábio-palatinas estão entre as anomalias congênitas mais comuns. Realizou-se um estudo no Hospital de Clínicas de Porto Alegre (HCPA) com o objetivo de avaliar a sua prevalência e analisar possíveis fatores predisponentes. Foram estudados todos os casos de Hssura lábio-palatiria nascidos no hospital no período de fevereiro de 1983 até julho de 1993. Foram utilizados dados do Estudo Colaborativo Latino-Americano de Malformações Congênitas (ECLAMC) e do Serviço do Arquivo Médico e Informação de Saúde (SAMIS) do H CP A. Ocorreram 41 casos de fendas lábiopalatinas em 31.058 nascimentos, correspondendo a uma prevalência de 1/757,5 nascimentos. Os casos foram descritos pelo método LAHSHAL, um novo sistema de documentação, que, por ser simples e facilmente memorizado, facilita a descrição clínica e seu uso em trabalhos de pesquisa.The cleft lip and palate is among the most frequent congenital anomalies. This study was done at the ''Hospital de Clínicas de Porto Alegre (HCPA)" aiming to evaluate possible risk factors involved in its genesis and its prevalance. All cases of cleft lip and palate, who were born at the hospital during the period of February,1983 until July, 1993, were accepted at the study. Data was provided by the ''Estudo Colaborativo Latino-Americano de Malformações Congênitas (ECLAMC)" and the "Serviço do Arquivo Médico e lnformação de Saúde (SAMJS)" at the HCPA. We found 41 cleft cases in 31.058 children born, corresponding to a prevalence of 1/757,5 deliveries. The cleft forms were described using the LAHSHAL method, a new description system that is simple and quickly memorized. It provides good clinical description and makes research easier