No. of Cases Seen in a Year

  • Total Referrals: 56
  • Unilateral (one sided) cleft lip only: 25
  • Bilateral (Two sided) cleft lip only: 14
  • Unilateral cleft lip and palate: 5
  • Bilateral cleft lip and palate: 1
  • Cleft palate only: 10
  • Pierre Robin Sequence: 1

Treatment Funded by State for National Residents

  • Surgery costs: All
  • Speech and Language Therapy costs: All
  • Orthodontic costs: All

Comment on the service provision:

If patients choose other orthodontist who has office more closely to the home adress, maybe they cover part of orthodontics treatment costs

Primary surgical protocol


Cleft Lip Repair:

  • Timing: 3 months
  • Type of operation: Black´s technique or Salyer ´s technique

Bilateral Cleft Lip Repair:

  • Timing: 3 months

Cleft Palate Repair:

  • Timing: 6-18 months
  • Type of operation: Two flap palatoplasty s Bardach, 2 laterally placed mucoperiosteal flaps and one anterior triangular shaped flap, in cases of very wide cleft and short soft palate we use Furlow's Technique in combination with uvular pad from Salyer's modification of Two - Flap Palatoplasty. If the premaxilla is displaced anteriorly - the anterior one third of hard palate is reconstructed later, after the premaxillary repositioning in the course of growths after 4 - 5 years

Record collection protocol


Are records routinely collected at specific ages? Yes

Does this conform to WHO recommendations for different cleft types? Yes

Research

Want to particpate in research? yes

Participation in inter-centre studies?

Current Research

Type(s) of software used: We use mentioned types of software Excel, Word, PDF
Published research papers: Yes
Details of publications: 1.The Effect Earlier or Later Timing of Cleft Lip / Palate Surgery to Functional and Aesthetic Results in Adult Age
Kipikaša, Hovancová, Szitašová, Zábavníková,Research Work in Slovakia, 1/VI/ 1992, Košice,
3.Unilateral Cleft Lip / Palate Repair Decisions, Graduant Work, Zábavníková,Košice 2005, Faculty of Medicine, UPJŠ
4. Surgical Treatment of Cleft Lip and Palate, Guzanin et al.
in Folia Faculty Medicine Universitatis Šafarikianae Cassoviensis Part. II, 53/1996/p. 269-275
5. Late Results of Early Cleft Lip and Palate, Repair Part III. Guzanin, Hovancová, Kipikaša, Matuščak, Szitašova, Zábavníková,
in: Folia Facultatis medic. Universitas Šafarikianae Cassoviensis -53, /1996/ p.276-286
6. Wide Cleft Palate Reconstruction Zábavníková, in : Slovenský lekár, ISSN 1335-0234,15,/29/ č.3-4,/2005/ p.76-79
7.Our Experience with very Wide Cleft Palate Repair-Using Combination of Original Surgical Techniques, Zábavníková in: 80.výročie založenia LF FNLP. Košice, 14.okt. 2004, Zborník referátov Košice 2004,
ISBN 80-969218-4-3 p.84-94
8. Correction of Facial Skeletal Variations by Permanent Implants Zábavníková In: Biomedicinske postupy – Zborník ref. Košice ,UPJŠ, 2010 ISBN 9788070978580 p.38-46
9. Primary and Secondary Correction of Nasal Tip Deformation-Nasal Retainers Aplication, Zábavníková In: l. Kongres biomedicíny, zborník ref. 8.10.2009, Košice, 2009, p. 135-142
10. Looking for Optimal Surgical Solution to Prevention Velopharyngeal Incompetency and Dysfunction of Wide Cleft Palate, Zábavníkova,
In: l. Kongres biomedicíny, zborník ref. 8.10.2009 Košice 2009, Equilibria 2009, ISBN 9788089284375 p.273-283
11. Histologic and Electronlightmicroscopic Study of Soft Tissue at Unilateral Cleft Lip / Zibrin, Holovská, Jenča, Komorová, Pivko, Tomajková, Zábavníková, Zborník prác z ved. konferencie Košice 2004 , ISBN 80-969143-2-4 p.84-86
12. Non Neuronal Degeneration of Skeletal Muscle Fibers in Congenital Unilateral Cleft Lip : Light and Electron Microscopic Observations In: Programmme and Abstracts New Approaches in Morphology 42 and Congress of the Slovac Anatomical Society with International Participation UVL Košice 2004 p.102
13. Myons Degeneration and Ultrastructure of Soft Tissues in Unilateral Cleft In: 7. Košický morfologický deň zborník referátov, Zibrin, Holovská, Jenča, Komorova, Pivko, Zábavníková, 2004, Košice ISBN 80-8077-006-9 p. 103-104
14.Orofacial Clefts and MTHFR Gene Polymorphisms in Slovak Population Behunová, Zábavníková, Klimčaková, Podracká, In: European J. of Human Genetics ISSN 1018-4813 vol.19 suppl.2/2011/p.309
15. Regenerative Medicine Possibilities of Orofacial Skeletal Defects Reconstruction, Jenča et al. VEGA 1-3370-06 In: Biomedicínske postupy-zborník ref. 2008, Košice ISBN9788089361281, p.228-236
16.Surgical Importance of Simmonart Band Histologic Characteristics in Light and Electron Microscopy Image, Zábavníková, et al.VEGA 1-3370-06 In Biomedicínske postupy, Košice, 2008, ISBN9788089361281

Clinical research activities interested in being involved in:

Randomised clinical trials: Yes
Inter-centre comparison of outcome: Yes
Prospective study: Yes
DNA collection: Yes




Clinical research

Clinical team members who are or would like to be involved in clinical research:
Member details: MUDr.M.Zábavníková,PhD, MUDr. V. Jabur, MUDr. Z. Hojstričová - Plastic Surgeons -

prof.MUDr. A. Jenča, CSc. - Maxillofacial Surgeon -

MUDr. J. Jenčová ,PhD., MUDr. M. Eötvösová,PhD. - Orthodontists

MUDr. M. Andrejková, PhD. - Paediatrist, Geneticist -

Non-clinical and laboratory research

Non-clinical and laboratory team members who are or would like to be involved in clinical research:
Member details: RN Dr. L. Klimčákova, PhD. - biology, research specialist, Dept. of Medical biology -

EU Biobank

Stored CLP DNA samples available for use in future studies:
Number for CP: 23 - just patients
Number for CLP: 99 - just patients

Potential laboratory based research activities

Laboratory based research activities interested in being involved in:
Laboratory genetics/genomics research: Yes