Abstract
Cleft lip and palate (CLP) is a genetic and environmental malformation of the face. The resulting interruption of the tissue in the mouth and nasal cavity undoubtedly impairs basic physiological functions, which impacts the quality of life (Qol) of such patients. To assess orofacial dysfunction using the Nordic Orofacial Test-Screening (NOT-S) in a group of Polish children with unilateral CLP (UCLP). The following hypotheses were presented: 1) orofacial dysfunction is more common in children with UCLP and 2) patients with UCLP have a worse QoL than the control group. Seventy children at the age of 7-13 years took part in the study. The inclusion criterion was a diagnosis of UCLP. The control group (non-UCLP) was matched by gender and age to the cleft group. The research used the NOT-S questionnaire. In the cleft group, there were statistically significantly more disorders of functions, such as breathing, chewing and swallowing, and drooling; in the NOT-S examination, there were more disorders of the face at rest, facial expression and speech in the cleft group. Comparing the NOT-S total scores, it was found that in the cleft group, there a disorder of at least 1 function was statistically significantly more prevalent than in the control group. Likewise, the median results in the cleft group were 3 points higher than in the control group. Using the NOT-S survey, it was possible to confirm both hypotheses. Orofacial dysfunction is more common in children with UCLP and this contributes to a worse QoL for them than for children without UCLP.
Highlights
Cleft lip and palate (CLP) is a genetic and environmental face malformation.[1]
The following hypotheses were presented: 1) orofacial dysfunction is more common in children with unilateral CLP (UCLP) and 2) patients with UCLP have a worse quality of life (QoL) than the control group
Orofacial dysfunction is more common in children with UCLP and this contributes to a worse QoL for them than for children without UCLP
Summary
Cleft lip and palate (CLP) is a genetic and environmental face malformation.[1]. According to WHO data, it occurs once per approx. 1,100 births around the world.[2]. According to WHO data, it occurs once per approx. Facial deformities include a disruption of soft and hard tissues, and asymmetry. Scientific studies have shown that asymmetry is present in the maxilla, but can apply to the orbital, zygomatic and frontal bones.[3]. Dental anomalies among these patients include hypodontia, supernumerary teeth, microdontia, taurodontism, and transposition of teeth,[4] while occlusal disorders are most often cross-bite and class III malocclusion.[5]. In some cases, fluid and food refluxes often occur and swallowing is difficult.[8]. The resulting interruption of the tissue in the mouth and nasal cavity undoubtedly impairs basic physiological functions, which impacts the quality of life (Qol) of such patients
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