Publications by authors named "Jill Schechter"
Patients with cleft lip and palate (CLP) characteristically present with maxillary hypoplasia and class III malocclusion. Protraction headgear (PHG) is a commonly used treatment for this type of malocclusion, with the goal of reducing future surgical needs. The purpose of this study was to evaluate the long-term effects of PHG treatment and determine the pretreatment predictors of long-term PHG success in patients with CLP.
View Article and Find Full Text PDF: Postoperative management following primary cleft lip repair varies across institutions, cleft care teams, and individual surgeons. Postoperative precautions employed after cleft lip repair include dietary restrictions, pacifier limitations, and immobilization, with arm restraints long being used. Yet, restraint distress has led to the exploration of other forms of immobilization.
View Article and Find Full Text PDFChange in Lower Lip Position After Le Fort I Advancement in Patients with Bilateral vs. Unilateral Cleft Lip and Palate.
Cleft Palate Craniofac J
November 2024
Article Synopsis
- The study analyzed changes in the lower lip of patients with clefts after undergoing one-piece Le Fort I advancement surgery, focusing on those who had pre- and post-operative scans.
- A total of 64 skeletally mature patients (45 males, 19 females) were included, with improvements in lip position and reduction in their upper-to-lower lip discrepancy noted after surgery.
- The results showed significant posterior displacement of the lower lip, which correlated more with mandibular changes than maxillary advancements, affecting both BCLP and UCLP patients similarly.
Article Synopsis
- * Findings reveal a prevalence of 19.9 cases of OC per 10,000 live births, with the highest rates found among Asian and Native American populations, and lower rates in Black patients.
- * The study highlights a positive association between OC prevalence and poverty levels, while indicating that urban, suburban, and rural areas show no significant differences in OC rates, emphasizing the need for comprehensive prenatal care addressing social determinants of health.
BackgroundThe effectiveness of virtual-reality (VR) simulation-based training in cleft surgery has not been tested. The purpose of this study was to evaluate learners' acceptance of VR simulation in airway management of a pediatric patient post-cleft palate repair.MethodsThis VR simulation was developed through collaboration between BioDigital and Smile Train.
View Article and Find Full Text PDFAssociation of Commonly Prescribed Antepartum Medications and Incidence of Orofacial Clefting.
Cleft Palate Craniofac J
July 2025
BackgroundPharmacologic agents are often used in the antepartum period, however, studies on their effect on fetal development are limited. Thus, this study aims to examine the effect of commonly prescribed antepartum medications on the development of orofacial clefting.MethodsUtilizing EPIC Cosmos deidentified data from approximately 180 US institutions was queried.
View Article and Find Full Text PDFLeFort I Horizontal Osteotomy: Defining the Feasibility of the "High Osteotomy".
Cleft Palate Craniofac J
January 2025
Objective: To define "high osteotomy" and determine the feasibility of performing this procedure.
Design: Single institution, retrospective review.
Setting: Academic tertiary referral hospital.