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  • 1
    Online Resource
    Online Resource
    Facial Growth in Patients with Unilateral Clefts of the Lip and Palate: A Two-Center Study
    SAGE Publications ; 1996
    In:  The Cleft Palate-Craniofacial Journal Vol. 33, No. 6 ( 1996-11), p. 489-493
    Details
    In: The Cleft Palate-Craniofacial Journal, SAGE Publications, Vol. 33, No. 6 ( 1996-11), p. 489-493
    Type of Medium: Online Resource
    ISSN: 1055-6656 , 1545-1569
    URL: Article
    DOI: 10.1597/1545-1569(1996)033〈0489:FGIPWU〉2.3.CO;2
    RVK:
    XA 36625
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1996
    detail.hit.zdb_id: 2030056-6
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  • 2
    Online Resource
    Online Resource
    The Goslon Yardstick Applied to a Consecutive Series of Patients with Unilateral Clefts of the Lip and Palate
    SAGE Publications ; 1996
    In:  The Cleft Palate-Craniofacial Journal Vol. 33, No. 6 ( 1996-11), p. 494-496
    Details
    In: The Cleft Palate-Craniofacial Journal, SAGE Publications, Vol. 33, No. 6 ( 1996-11), p. 494-496
    Abstract: First described in 1987, the Goslon yardstick has been used since as a reliable and reproducible means of measuring dental arch relationships and, therefore, the quality of facial growth. The dental study models of a group of 32 consecutively treated patients with unilateral clefts of lip and palate, from the Frenchay Hospital, Bristol, U.K., were analyzed using the Goslon yardstick. More than 50% of the sample were in the unfavorable Goslon groups IV and V. Because of these results, we at Frenchay Hospital now base our related surgical procedures on the early vomerine closure of the anterior hard palate without nasal or alveolar repair at 3 months, followed by primary hard and soft palate closure at 6 months.
    Type of Medium: Online Resource
    ISSN: 1055-6656 , 1545-1569
    URL: Article
    DOI: 10.1597/1545-1569_1996_033_0494_tgyata_2.3.co_2
    RVK:
    XA 36625
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1996
    detail.hit.zdb_id: 2030056-6
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  • 3
    Online Resource
    Online Resource
    Centralization of Services: Standard Setting and Outcomes.
    SAGE Publications ; 2005
    In:  The Cleft Palate-Craniofacial Journal ( 2005)
    Details
    In: The Cleft Palate-Craniofacial Journal, SAGE Publications, ( 2005)
    Type of Medium: Online Resource
    ISSN: 1055-6656 , 1545-1569
    URL: Article
    DOI: 10.1597/04-198
    RVK:
    XA 36625
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2005
    detail.hit.zdb_id: 2030056-6
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  • 4
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    Online Resource
    A New Index for Assessing Surgical Outcome in Unilateral Cleft Lip and Palate Subjects Aged Five: Reproducibility and Validity
    SAGE Publications ; 1997
    In:  The Cleft Palate-Craniofacial Journal Vol. 34, No. 3 ( 1997-05), p. 242-246
    Details
    In: The Cleft Palate-Craniofacial Journal, SAGE Publications, Vol. 34, No. 3 ( 1997-05), p. 242-246
    Abstract: This study assessed the reproducibility, reliability, and predictive validity of a previously developed index by the authors for assessing surgical outcome in unilateral cleft lip and palate (UCLP) children aged 5. Methods Sixty randomly selected study models of 5- to 6-year-old complete UCLP subjects were obtained and the index was used to assess their surgical outcomes. Results Assessment of these study models using the new index demonstrated excellent intra-examiner agreement. The inter-examiner agreement was shown to be good. The corresponding longitudinal models at 16 to 18 years of 54 of the initial 5- to 6-year-old sample were also acquired. These subjects had undergone orthodontic treatment but not orthognathic surgery. The need for osteotomy amongst these models was assessed. Between 13% and 18% (depending on examiner) of 5-year-olds' models were scored in the groups likely to require orthognathic surgery. In the corresponding 16- to 18-year-olds' models, 9% were assessed as likely to benefit from an osteotomy. However, on an individual basis, it was not possible to predict future growth from study models at age 5. Conclusions This study has provided a reliable and reproducible index for assessing the outcome of surgery in UCLP subjects earlier than indices already available. True validation of the Index was not possible but it appears that it relies on face validity.
    Type of Medium: Online Resource
    ISSN: 1055-6656 , 1545-1569
    URL: Article
    DOI: 10.1597/1545-1569_1997_034_0242_anifas_2.3.co_2
    RVK:
    XA 36625
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1997
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  • 5
    Online Resource
    Online Resource
    The efficacy and safety of an office‐based polypectomy with a vacuum‐powered microdebrider
    Wiley ; 2013
    In:  International Forum of Allergy & Rhinology Vol. 3, No. 11 ( 2013-11), p. 890-895
    Details
    In: International Forum of Allergy & Rhinology, Wiley, Vol. 3, No. 11 ( 2013-11), p. 890-895
    Abstract: The waiting time for functional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) in the Canadian public healthcare system can be lengthy. Many such patients have significant nasal obstruction resulting in a poor quality of life. A simple and safe office‐based polypectomy device to debulk nasal polyps allows immediate alleviation of nasal obstruction and better access for topical medications. The aim of this study is to assess the efficacy, safety, and patient tolerability of a vacuum‐powered microdebrider in the outpatient clinic setting. Methods The clinical charts of patients with CRSwNP who underwent office polypectomy with a vacuum‐powered microdebrider between May 2012 and February 2013 were retrospectively reviewed. These patients were either awaiting surgery or had recurrent polyposis postsurgery that was amenable to office polypectomy. Previously completed procedural and clinical outcomes questionnaires by the patients and surgeon were analyzed. Results Sixty‐eight patients underwent office polypectomy in this case series. Fifty‐nine procedures (87%) were successfully completed. Failed complete polyp resections were due to fibrous polyps (n = 7; 10%), device failure (n = 1; 1.5%), and obstruction from a deviated nasal septum (n = 1; 1.5%). There was a 43% improvement in nasal obstruction score and significant reduction in polyp grade postpolypectomy. Majority of patients (n = 66; 97%) reported a comfort level of “fair” to “excellent.” Bleeding was “light” in 61 cases (90%). There were no complications encountered. Conclusion The vacuum‐powered microdebrider is a safe, effective, and well‐tolerated instrument to resect nonfibrous nasal polyps in the outpatient setting.
    Type of Medium: Online Resource
    ISSN: 2042-6976 , 2042-6984
    URL: Issue
    URL: Article
    DOI: 10.1002/alr.2013.3.issue-11
    DOI: 10.1002/alr.21198
    Language: English
    Publisher: Wiley
    Publication Date: 2013
    detail.hit.zdb_id: 2604059-1
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  • 6
    Online Resource
    Online Resource
    Randomized controlled trial: hybrid technique using balloon dilation of the frontal sinus drainage pathway
    Wiley ; 2015
    In:  International Forum of Allergy & Rhinology Vol. 5, No. 2 ( 2015-02), p. 167-173
    Details
    In: International Forum of Allergy & Rhinology, Wiley, Vol. 5, No. 2 ( 2015-02), p. 167-173
    Abstract: The objectives of this study were as follows: (1) to evaluate frontal sinus ostial patency following balloon dilation with the Ventera® Sinus Dilation System, compared with frontal sinusotomy (Draf 2a); and (2) to compare mean blood loss and mean surgical time for frontal sinusotomy using balloon dilation compared with traditional surgical methods. Methods A single blinded, randomized, controlled, prospective study was performed at St. Paul's Sinus Center, Vancouver, a tertiary referral rhinology center. Thirty patients undergoing functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS) were randomized to a hybrid approach with exposure of the frontal recess using standard instrumentation and then balloon dilation of 1 frontal sinus drainage pathway and traditional frontal sinusotomy for the opposite side. Blood loss and surgical time for opening the frontal sinus drainage pathway was recorded for each side. Patients acted as their own controls. Ostial patency and size were assessed 5 weeks and 3 months postoperatively using endoscopy. Ostial patency was also recorded at 1 year following surgery. Results All frontal sinus ostia in both groups (n = 30) were successfully opened and were patent with both techniques 3 months postoperatively. All frontal sinus ostia assessed at 1 year (73%) remained patent and none required revision frontal surgery. Balloon dilation showed a mean surgical time of 655 seconds compared to 898 seconds for traditional FESS ( p = 0.03). Mean blood loss was less with balloon dilation (58 mL vs 91 mL; p = 0.008). Conclusion A hybrid balloon technique successfully dilates the frontal sinus drainage pathway with reduced blood loss. Also, short‐term patency appears to be comparable to traditional frontal sinusotomy.
    Type of Medium: Online Resource
    ISSN: 2042-6976 , 2042-6984
    URL: Issue
    URL: Article
    DOI: 10.1002/alr.2015.5.issue-2
    DOI: 10.1002/alr.21432
    Language: English
    Publisher: Wiley
    Publication Date: 2015
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  • 7
    Online Resource
    Online Resource
    A survey on the provision of dental care for children with cleft lip and palate
    Springer Science and Business Media LLC ; 2000
    In:  British Dental Journal Vol. 189, No. 8 ( 2000-10), p. 428-428
    Details
    In: British Dental Journal, Springer Science and Business Media LLC, Vol. 189, No. 8 ( 2000-10), p. 428-428
    Type of Medium: Online Resource
    ISSN: 0007-0610 , 1476-5373
    URL: Article
    DOI: 10.1038/sj.bdj.4800789
    RVK:
    XA 33300
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2000
    detail.hit.zdb_id: 2027086-0
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  • 8
    Online Resource
    Online Resource
    A survey on the provision of dental care for children with cleft lip and palate
    Springer Science and Business Media LLC ; 2000
    In:  British Dental Journal Vol. 189, No. 8 ( 2000-10-28), p. 428-428
    Details
    In: British Dental Journal, Springer Science and Business Media LLC, Vol. 189, No. 8 ( 2000-10-28), p. 428-428
    Type of Medium: Online Resource
    ISSN: 0007-0610
    URL: Article
    DOI: 10.1038/sj.bdj.4800789a
    RVK:
    XA 33300
    Language: Unknown
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2000
    detail.hit.zdb_id: 2027086-0
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  • 9
    Online Resource
    Online Resource
    Comparing the Reverse Trendelenburg and Horizontal Position for Endoscopic Sinus Surgery : A Randomized Controlled Trial
    Wiley ; 2013
    In:  Otolaryngology–Head and Neck Surgery Vol. 148, No. 2 ( 2013-02), p. 308-313
    Details
    In: Otolaryngology–Head and Neck Surgery, Wiley, Vol. 148, No. 2 ( 2013-02), p. 308-313
    Abstract: To determine whether the 15‐degree reverse Trendelenburg position (RTP) during functional endoscopic sinus surgery improves endoscopic field of view and reduces intraoperative blood loss when compared with the horizontal position (HP). Study Design A prospective, randomized controlled trial. Setting St Paul’s Sinus Centre, Vancouver, Canada. Subjects Patients with chronic rhinosinusitis (CRS), with or without nasal polyposis, receiving functional endoscopic sinus surgery were included. Patients were excluded if they had severe or uncontrolled hypertension and cardiovascular disease, continued use of anticoagulants, impaired coagulation, or a sinonasal tumor. Methods Sixty‐four patients with CRS undergoing functional endoscopic sinus surgery (FESS) were randomized to either 15‐degree RTP (experimental arm) or HP (control arm) from October 2011 to February 2012. Boezaart endoscopic field‐of‐view grading system was the primary outcome measure. Lund‐Mackay computed tomography (CT) score, total blood loss, blood loss per minute, mean arterial pressure, heart rate, anesthetic technique, and surgery time were also recorded. Results There was a significant difference in mean Boezaart scoring between RTP and HP: 1.66 vs 2.33 ( P 〈 . 001), with RTP producing a better endoscopic field of view. There was also a lower total blood loss and blood loss per minute with RTP ( P =. 01, P =. 03). There was no significant difference in disease severity ( P 〉 . 05), time of surgery ( P 〉 . 05), or mean arterial pressure ( P 〉 . 05) between the 2 surgical positions. Conclusion The 15‐degree RTP improves the endoscopic field of view and reduces blood loss during FESS. We would therefore recommend its use.
    Type of Medium: Online Resource
    ISSN: 0194-5998 , 1097-6817
    URL: Article
    DOI: 10.1177/0194599812466529
    Language: English
    Publisher: Wiley
    Publication Date: 2013
    detail.hit.zdb_id: 2008453-5
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  • 10
    Online Resource
    Online Resource
    Fifteen‐Degree Reverse Trendelenburg Position for FESS
    Wiley ; 2012
    In:  Otolaryngology–Head and Neck Surgery Vol. 147, No. S2 ( 2012-08)
    Details
    In: Otolaryngology–Head and Neck Surgery, Wiley, Vol. 147, No. S2 ( 2012-08)
    Abstract: 1) To determine whether the 15‐degree reverse Trendelenburg position (RTP) during FESS improves endoscopic field of view compared to the horizontal position (HP). 2) To determine whether the 15‐degree RTP during FESS reduces intraoperative blood loss compared to the HP. Method Fifty CRS patients undergoing FESS were randomized to either 15‐degree RTP (experimental arm) or HP (control arm) from October 2011 to February 2012. Boezaart endoscopic field of view grading system was the primary outcome measure. Total blood loss, blood loss/minute, MAP, heart rate, anesthetic technique, and surgery time were recorded. Results The 43 patients currently studied show a significant difference in mean Boezaart scoring between RTP and HP: 1.698 vs 2.124 ( P =. 009), with RTP producing a better endoscopic field of view. There was also less blood loss per minute with RTP ( P =. 05). No significant difference was found in total blood loss ( P =. 236), time of surgery ( P =. 458), or mean arterial pressure ( P =. 825) between the 2 surgical positions. Conclusion The 15‐degree RTP improves the endoscopic field of view during FESS and also reduces blood loss per minute during surgery. We would therefore recommend its use.
    Type of Medium: Online Resource
    ISSN: 0194-5998 , 1097-6817
    URL: Article
    DOI: 10.1177/0194599812451438a221
    Language: English
    Publisher: Wiley
    Publication Date: 2012
    detail.hit.zdb_id: 2008453-5
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