Orofacial Functions in Different Types of Cleft Lip and Palate
DOI:
https://doi.org/10.21270/archi.v12i1.5470Keywords:
Cleft Lip, Cleft Palate, Breathing, Suction, Deglutition, SpeechAbstract
Introduction: cleft lip and palate (CLP) is an orofacial congenital malformation, with high incidence and multifactorial etiology, being generally classified into three groups, affecting: only lip; just palate; lip and palate. Objective: to analyze what the speech-language literature presents about findings related to orofacial functions in different types of cleft lip and palate. Methods: a literature review was carried out on orofacial functions in individuals with CLP, in the BVSalud and PubMed databases, on the central theme, excluding review studies, case reports and that did not specify the type of cleft in the casuistry, as well as including the association of CLP with other syndromes/comorbidities. Results: due to the search strategy, 39 publications were included, predominantly originating from BVSalud. It was found, mostly, regarding the type of cross-sectional observational study and regarding the type of cleft, cleft lip and palate, with fewer studies addressing submucosal cleft. Regarding the orofacial functions and types of CLP, the findings were predominantly found related to the breathing function and, to a lesser extent, the swallowing function. Conclusion: It was possible to identify those individuals with cleft had consequences in all orofacial functions.
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Figueiredo MC, Pinto NF, Silva DDF, Oliveira M. Fissura bilateral completa de lábio e palato: Alterações dentárias e de má oclusão-Relato de caso clínico. Ci biol saúde. 2008;14:7-14.
Silva RN, Nascimento EM, Santos G. Ocorrência de alterações da motricidade oral e fala em indivíduos portadores de fissuras labiopalatinas. RBPS. 2004; 17(1):27-30.
Salari N, Darvishi N, Heydari M, Bokaee S, Darvishi F, Mohammadi M. Global prevalence of cleft palate, cleft lip and cleft palate and lip: A comprehensive systematic review and meta-analysis. J Stomatol Oral Maxillofac Surg. 2022 ;123(2):110-20.
Spina V, Psillakis JM, Lapa FS, Ferreira MC. Classificação das fissuras labio-palatinas: sugestão de modificação. Rev Hosp Clin Fac Med. 1972; 27:5-6.
Graziani AF, Félix GB, Genaro KF. Avaliação miofuncional orofacial na fissura labiopalatina: revisão integrativa da literatura. Rev CEFAC. 2019; 21(1):6418.
Yi LC, Jardim JR, Inoue DP, Pignatari SSN. The relationship between excursion of the diaphragm and curvatures of the spinal column in mouth breathing children. J Pediatr. 2008; 84(2):171-7.
Pimenta LA. Three-dimensional evaluation of nasopharyngeal airways of unilateral cleft lip and palate patients. Laryngoscope. 2015;125(3):736-9.
Marques IL, Thomé S, Peres SP. Aspectos pediátricos. In: fissuras labiopalatais: uma abordagem interdisciplinar. Santos. 2007; 51-71.
Jabur LB. Avaliação fonoaudiológica. In: Ferreira FV. Ortodontia, diagnóstico e planejamento clínico. Artes Médicas. 2001; 275-301.
Oncins MC, Freire RMAC, Marchesan IQ. Mastigação: análise pela eletromiografia e eletrognatografia. Seu uso na clínica fonoaudiológica. Disturb comun. 2006; 18(2):155-65.
Campillay PL, Delgado SE, Brescovici SM. Avaliação da alimentação em crianças com fissura de lábio e/ou palato atendidas em um hospital de porto alegre. Rev. CEFAC. 2010; 12(2):257-66.
Ramos LMN. Padrão mastigatório em sujeitos com fissura labiopalatina operados [dissertação]. Universidade Tuiti do Paraná. 2009.
Schmidt M, Slavicek G, Slavicek F, Schulz MC, Aretxabaleta M, Effert J, et al. Masticatory Efficiency in Orthodontic Patients with Craniofacial Disorder. Int J Environ Res Public Health. 2023;20(5):4324.
Sakamoto T, Ohtsuka K, Harazaki M, Isshiki Y. An electromyogram study on mandibular movement in unilateral cleft lip and palate patients before and after orthodontic treatment. Bull Tokyo Dent Coll. 1999; 40(4):195-202.
Silva DP, Dornelles S, Paniagua LM, Costa SS, Collares MVM. Aspectos patofisiológicos do esfíncter velofaríngeo nas fissuras palatinas. Int Arch Otorrinolaryngol. 2008; 12:426-35.
Altmann EBC, Ramos ALNF, Khoury RBF. Avaliação fonoaudiológica, fissuras labiopalatinas. Pró-fono. 2005; 325-66.
Whitehill TL, Chau CHF. Singleword intelligibility in speakers with repaired cleft palate. Clinical linguistics e phonetics. 2004; 18:4-5.
Cavalheiro MG, Corrêa CC, Andrade LKF, Maximino LP. Phonetic and phonological aspects in children with operated cleft lip and palate. International Archives of Communication Disorder. 2018;1(1):1-4.
Maximino LP, Marcelino FC, Cavalheiro MG, Abramides DVM, Caldana ML, Corrêa CC, et al. Auditory and language skills in children with cleft lip and palate. Acta Otorrinolaringol Esp (Engl Ed). 2021:S0001-6519(20)30193-X.
Santos CMC, Pimenta CAM, Nobre MRC. A estratégia pico para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-am Enfermagem. 2007;15(3).
Clarren SK, Anderson B, Wolf LS. Feeding infants with cleft lip, cleft palate, or cleft lip and palate. Cleft Palate J. 1987;24(3):244-9.
Warren DW, Hairfield WM, Dalston ET, Sidman JD, Pillsbury HC. Effects of cleft lip and palate on the nasal airway in children. Arch Otolaryngol Head Neck Surg. 1988;114(9):987-92.
Hairfield WM, Warren DW. Dimensions of the Cleft Nasal Airway in Adults: A Comparison With Subjects Without Cleft. 1989; (26):1.
Warren DW, Hairfield WM, Dalston ET. Nasal Airway Impairment: The Oral Response in Cleft Palate Paticnts. Am. J. Orthod. Dentofac. Orthop. 1991; (99):4.
Li W, Lin J, Fu M. Electromyographic investigation of masticatory muscles in unilateral cleft lip and palate patients with anterior crossbite. Cleft Palate Craniofac J. 1998;35(5):415-8.
Sell D, Grunwell P, Mildinhall S, Murphy T, Cornish TA, Bearn D, et al. Cleft lip and palate care in the United Kingdom--the Clinical Standards Advisory Group (CSAG) Study. Part 3: speech outcomes. Cleft Palate Craniofac J. 2001;38(1):30-7.
van Lieshout PH, Rutjens CA, Spauwen PH. The dynamics of interlip coupling in speakers with a repaired unilateral cleft-lip history. J Speech Lang Hear Res. 2002;45(1):5-19.
Dalben GS, Costa B, Gomide MR. Breast-Feeding and Sugar Intake in Babies With Cleft Lip and Palate. Cleft Palate-Craniofacial Journal. 2003; (40):1.
Masarei AG, Sell D, Habel A, Mars M, Sommerlad BC, Wade A. The nature of feeding in infants with unrepaired cleft lip and/ or palate compared with healthy noncleft infants. Cleft Palate Craniofac J. 2007; (44):3321-8.
Reid J, Reilly S, Kilpatrick N. Sucking Performace of Babies With Cleft conditions. Cleft Palate Craniofac J. 2007; (44):3:312-20.
Sipert CR, Sampaio AC, Trindade IE, Trindade AS Jr. Bite force evaluation in subjects with cleft lip and palate. J Appl Oral Sci. 2009;17(2):136-9.
Girelli K. Caracterização do Posicionamento e Ação Motora de Língua em Pacientes com Fissura Labiopalatina em um Serviço de Referência de Porto Alegre. 2011.
Whitaker ME, de Souza Freitas JA, Pegoraro-Krook MI, Ozawa TO, de Cássia Moura Carvalho Lauris R, Lauris JR, et al. Relationship between occlusion and lisping in children with cleft lip and palate. Cleft Palate Craniofac J. 2012;49(1):96-103.
Morén S, Mani M, Lundberg K, Holmström M.Nasal symptoms and clinical findings in adult patients treated for unilateral cleft lip and palate. J Plast Surg Hand Surg. 2013;47(5):383-9.
Bossi VZ. Ressonância de fala e complicações cirúrgicas após palatoplastia primária com veloplastia intravelar em pacientes com fissura de lábio e palato. São Paulo, 2014. Universidade de São Paulo.
Lopez Soto OP, Lopez Soto LM, Osorio Forero A, Restrepo De Mejia F. Lado de preferencia masticatoria en niños con fisura palatina: concordancia de tres métodos. Rev Fac Odontol Univ Antioq. 2014;26(1):89-105.
Starbuck JM, Friel MT, Ghoneima A, Flores RL, Tholpady S, Kula K. Nasal airway and septal variation in unilateral and bilateral cleft lip and palate. Clin Anat. 2014;27(7):999-1008.
Van Lierde KM, Bettens K, Luyten A, Plettinck J, Bonte K, Vermeersch H, et al. Oral strength in subjects with a unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2014;78(8):1306-10.
Trindade IEK, Gomes AOC, Fernandes MBL, Trindade SHK, Filho OGS. Nasal Airway Dimensions of Children With Repaired Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2015; (52):512-16.
Prandini EL. Força e Mobilidade da Língua na Fissura Lábio Palatina. Bauru, 2014. Universidade de São Paulo. Dissertação de Mestrado.
Košková O, Vokurková J, Vokurka J, Bryšova A, Šenovský P, Čefelínová J, et al. Treatment outcome after neonatal cleft lip repair in 5-year-old children with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2016;87:71-7.
Maclean JE, Fitzsimons D, Fitzguald D, Waters K. Comparison of Clinical Symptoms and Severity of Sleep-Disordered Breathing in Children With and Without Cleft Lip and or Palate. Cleft Palate Craniofac J. 2016; (1):7.
Menegueti KI. Perfil da fala de pacientes submetidos à palatoplastia primária [dissertação]. São Paulo, Universidade de São Paulo; 2016.
Prathanee B, Pumnum T, Seepuaham C, Jaiyong P. Five-Year Speech and Language Outcomes in Children With Cleft Lip-Palate. J Craniomaxilofac Surg. 2016;(16):51-82.
Totta T. Análise do padrão mastigatório em indivíduos com fissura labiopalatina[tese] Bauru: Universidade de São Paulo;2016.
Szyszka-Sommerfeld L, Woźniak K, Matthews-Brzozowska T, Kawala B, Mikulewicz M. Electromyographic analysis of superior orbicularis oris muscle function in children surgically treated for unilateral complete cleft lip and palate. J Craniomaxillofac Surg. 2017;45(9):1547-51.
Szyszka-Sommerfeld L, Woźniak K, Matthews-Brzozowska T, Kawala B, Mikulewicz M, Machoy M. The electrical activity of the masticatory muscles in children with cleft lip and palate. Int J Paediatr Dent. 2018;28(2):257-65.
da Costa LMR, Graciosa MD, Coelho JJ, Rocha R, Ries LGK. Motor behavior of masticatory muscles in individuals with unilateral trans-incisive foramen cleft lip and palate. Cranio. 2018;36(4):257-63.
Freitas JS, Cardoso MCAF. Sintomas de disfagia em crianças com fissura labial e/ou palatina pré e pós-correção cirúrgica. CoDAS [online]. 2018; 30(1):e20170018.
Montes ABM, de Oliveira TM, Gavião MBD, de Souza Barbosa T. Occlusal, chewing, and tasting characteristics associated with orofacial dysfunctions in children with unilateral cleft lip and palate: a case-control study. Clin Oral Investig. 2018;22(2):941-50.
Trettene AS, Maximiano TO, Geraldo CC, Mendonça JSC, Luiz AG, Costa B. Aleitamento Materno em Lactantes com Fissura Labiopalatina. Rev. Enferm. UFPE. 2018;12(5):1390-6.
Sabbag A. Atividade eletromiográfica dos músculos masseter e temporal de portadores de fissura labiopalatina unilateral. Análise comparativa de dois protocolos cirúrgicos [dissertação] Piracicaba: Universidade Estadual de Campinas;2016.
Iwasaki T, Suga H, Minami-Yanagisawa A, Hashiguchi-Sato M, Sato H, Yamamoto Y, et al. Upper airway in children with unilateral cleft lip and palate evaluated with computational fluid dynamics. Am J Orthod Dentofacial Orthop. 2019;156(2):257-65.
Jahanbin A, Ahrari F, Saeidi M, Moeinifar A, Sharifi F. The Electrical Activity of Masseter and Anterior Temporal Muscles in Patients With Unilateral Cleft Lip and Palate. J Craniofac Surg. 2019;30(6):e547-e51.
Mariano NCR, Sano MN, Neppelenbroek KH, Almeida ALPF, Oliveira TM, Soares S. Orofacial Dysfunction In Cleft And Non-Cleft Patients Using Nordic Orofacial Test - A Screening Study. Braz Dent J. 2019;30(2):179-84.
Montes ABM, Oliveira TM, Gavião MBD, Barbosa TS. Orofacial functions and quality of life in children with unilateral cleft lip and palate. Braz Oral Res. 2019;33:e0061.
Kaczorowska N, Markulak P, Mikulewicz M. Assessment of orofacial dysfunction in a group of Polish children with unilateral cleft lip and palate: A preliminary report. Adv Clin Exp Med. 2020;29(11):1331-336.
Szyszka-Sommerfeld L, Machoy ME, Wilczyński S, Lipski M, Woźniak K. Superior Orbicularis Oris Muscle Activity in Children Surgically Treated for Bilateral Complete Cleft Lip and Palate. J Clin Med. 2021;10(8):1720.
Brant TCS, Parreira VF, Mancini MC, Becker HMG, Reis AFC, Brito RR. Breathing pattern and thoracoabdominal motion in mouth-breathing children. Rev Bras Fisioter. 2008;12(6):495-501.
Lang IM. Brain stem control of the phases of swallowing. Dysphagia. 2009;24(3):333-48
Grote V, Theurich M, Luque V, Gruszfeld D, Verduci E, Xhonneux A et al. Complementary feeding, infant growth, and obesity risk: timing, composition, and mode of feeding. Nestle Nutr Inst Workshop Ser. 2018;89:93-103.
Manda Y, Kodama N, Maeda N, Minagi S. Effect of food properties and chewing condition on the electromyographic activity of the posterior tongue. J Oral Rehabil. 2019;46(6):511-17.
Szyszka-Sommerfeld L, Budzyńska A, Lipski M, Kulesza S, Woźniak K. Assessment of Masticatory Muscle Function in Patients with Bilateral Complete Cleft Lip and Palate and Posterior Crossbite by means of Electromyography. J Healthc Eng. 2020;2020:8828006.
