Galen Quinn

CONGENITAL ANHIDROTIC ECTODERMAL DYSPLASIA; REPORT OF TWO CASES.

From the Department of Plastic Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio,* and the Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, North Carolina.† ‡ Dr. Quinn is Prof. of Orthodontics at Duke Universitv. This study was conducted while Dr. Hartwell was a member of the Division of Plastic and Reconstructive Surgery of Duke University Medical Center, and was supported by NIH Grant No. CRT-5143 and DEO1899, National Institutes of Health, Bethesda 14, Maryland. COCKAYNE 1 lists nearly 20 different ~GI~._~’~~TE ~ types of hereditary ectodermal defects which may involve separately or in combination hair, teeth, nails and eyes. Disorders of sweat and sebaceous glands are included. One distinct category is that of patients suffering with the triad of anhidrosis, hypotrichosis, and anodontia or severe abnormalities of the teeth-

Treatment of cleft lip and palate patients

Abstract The multidisciplined treatment approach to the congenital cleft lip and palate problem is of great value to the patient and to the ultimate success of treatment. Treatment objectives were accomplished through surgical correction of developmental defects, proper direction of growth potential in establishing the most nearly normal tooth and arch relationship, and maintenance of tooth and arch relationships through sound restorative procedures. The patient now experiences a feeling of comfort, dental stability, and personal well-being.

Cinefluorographic analysis of tongue-thrusting

Abstract This report has consisted of a review of the use of cinefluorographic analysis in the detection of tongue-thrusting. One case was presented which included cinefluorographic tracings before and after therapy, as well as a review of pre- and postswallowing patterns as indicated by cinefluorographic tracings. The use of cinefluorographic analysis as a diagnostic aid to go along with other techniques for the diagnosis of tongue-thrusting is presented.

Treatment of mandibular prognathism in cleft palate patients

T he purpose of this article is to outline procedures for diagnosis and treatment of mandibular prognathism in patients with cleft lip and/or palate. Mandibular prognathism is mueh more common in the cleft lip/palate population than in the general population. Its appearance is often due more to the lack of soft-tissue balance than to the bone or skeletal profile relationship. With rare exceptions, however, all clefts are characterized by tissue hypoplasia. A deficiency of soft tissue is sometimes more difficult to demonstrate than a deficiency of hard tissue. We have had little success in treating true mandibular prognathism by orthodontic procedures alone,l? 2 but we have achieved most gratifying results in the orthodontic treatment of mandibular pseudo-prognathism in patients with clefts of the maxilla. In order to provide the most valuable service, the orthodontist should examine a cleft lip/palate infant at birth, in conjunction with the surgical review. The orthodontist and especially the restorative dentist will be treating the patient during and long after the surgical treatment period,

An abnormal speech pattern associated with an orofacial anomaly.

The speech of a 24-year old white female with multiple oralfacial anomalies was studied by articulations testing and connected speech samples. Speech physiological characteristics were investigated by using cinefluorographic analysis. The results of these studies, as well as the unique pattern of compensatory articulatory movements were reviewed.

Judging of Cleft Palate and Normal Neonatal Cries

High fidelity tape recordings were made of the cries of 8 babies with cleft palates and 8 babies with normal palates. Their ages ranged from 3 mo. to 24 mo. The 16 original tapes were recorded on a test tape in a counterbalanced order and were classified by 5 speech clinicians as to whether the cries were those of cleft palate babies. If the clinicians classified a cry as being that of a cleft palate baby, they were also to indicate if the cry was from a unilateral cleft lip/palate baby, a bilateral cleft lip/palate baby, or a baby with a cleft palate and no cleft lip. Spectrograms were also made of each of the 16 cries, with an overlay technique being used for the analysis.

Tongue-thrusting patterns and the lower incisors

Abstract In summary, the lingual patterns of three patients have been reviewed. These three patients were referred with a diagnosis of tongue thrusting. When their lingual patterns were compared with those of other patients referred because of tongue thrusting, it was noticed that their patterns were somewhat different. This aspect was reviewed with the aid of cinefluorographic tracings, orthodontic study models, and photographs of the relationship between upper and lower central incisors. Different therapeutic aspects were also discussed.