CMF Clinic 2 April, 2004

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CMF Clinic2 April, 2004

Shantelle SHEATHER DOB 19/09/94 Age 9
years FAVS Mandibular distraction? Joshua
HAYDEN DOB 19/09/1996 Age 7 years UCLP Stenosis
of right nostril For discussion
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Shantelle SHEATHER DOB 19/09/94 Age 9 years

• Diagnosis FAV spectrum
• Clinical features
• bilateral facial involvement LtgtRt
• orbits level, normal auricles
• bilateral preauricular skin tags/hillocks
• preserved cranial nerve functions
• Snoring and apnoeic episodes - sleep study May
  2000
• marked Angle Class II malocclussion

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Shantelle SHEATHER

• Surgery
• excision preauricular skin tags Feb 1996
• adenotonsillectomy Sept 2000
• Progress
• going well at school(year 4)
• no teasing

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Shantelle SHEATHER
Photographs
15 October 2003
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Shantelle SHEATHER
Occlusal intraoral photographs
15 October 2003
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Shantelle SHEATHER
Dental models
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Shantelle SHEATHER
Cephalographs
QQ
24.11.03
24.11.03
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Shantelle SHEATHER
OPG
24.11.03
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Joshua HAYDEN DOB 19/09/1996

• Diagnosis
• Unilateral cleft lip and palate
• ?Tessiers cleft 2-12
• Clinical Features
• right complete cleft lip
• widely separated cleft palate
• proboscis right medial canthus -tied-off at
  birth
• markedly hypoplastic right alar rim

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Joshua HAYDEN

• Surgery
• 28.11.96 - primary lip and alveolar repair and
  cleft rhinoplasty
• Tennison-Randall lip repair, Muir and vomerine
  flaps
• 23.02.97 - cleft palate repair and repair of
  anterior fistula, z-plasty right nostril and
  nasal stenting

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Joshua HAYDEN

• Surgery
• 11.9.97 - dilation and buccal mucosa graft to
  right nasal vestibule
• 23.10.97 - dilation and insertion of stent
• 10.11.97 - dilation and replace stent
• 28.4.99 - cruciate incisions and nasal lining
  flaps for complete stenosis, insertion of
  stent
• 12.5.99 - replace stent
• 1.6.99 - replace stent
• 14.6.99 - stent replaced following extrusion
• 28.7.99 - replace stent
• 30.7.99 - stent replaced following extrusion
• 6.8.99 - stent changed
• 30.8.99 - stent replaced

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Joshua HAYDEN

• Surgery
• 10.10.99 - stent changed
• 10.11.99 - stent replaced
• 5.11.99 - open rhinoplasty, chondrocutaneous
  composite graft o right alar base, pedicle
  upper sulcus flaps
• represented 26.11.99 with restenosis.
• 5.12.01 - closure of alveolar fistula,
  intravelar veloplasty, rerepair cleft palate

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Joshua HAYDEN
Photographs
12 November 2003
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Joshua HAYDEN
Photographs
12 November 2003
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Joshua HAYDEN
Occlusal intraoral photographs
10 March 2003
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Joshua HAYDEN
Dental models
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Joshua HAYDEN
Lateral Cephalographs
7.8.02
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Joshua HAYDEN
OPG
7.8.02
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Joshua HAYDEN
CT Nose
14.1.04