永末書店は古都京都にて古くより歯科関係書籍を刊行している出版社です。

【編著】Nagato Natume

ISBN　978-4-8160-1449-9

販売価格 2,546円(税込2,800円)

CONTENTS

CHAPTER 1. BASIC INFORMATION ABOUT CLEFT LIP AND PALATE

　Q1. WHAT IS A CLEFT LIP?

　Q2. DOES THE FETUS HAVE CLEFT LIP DURING DEVELOPMENT?

　Q3. WHAT SYNDROMES ARE ASSOCIATED WITH CLEFT LIP AND PALATE?

　Q4. WHAT IS A SYNDROME?

　Q5. WHAT IS THE CAUSE OF CLEFT LIP AND PALATE?

　Q6. CAN CLEFT LIP AND PALATE BE PREVENTED?

　Q7. HOW ABOUT TAKING MEDICINES DURING PREGNANCY?

　Q8. WHAT IS THE RELATIONSHIP BETWEEN THE ENVIRONMENT AND CLEFT LIP AND PALATE?

　Q9. PLEASE EXPLAIN ABOUT RELATIONSHIP BETWEEN THE MENTAL AND PHYSICAL STATE OF EXPECTANT MOTHERS AND CLEFT LIP/PALATE

　Q10. HOW TO GET GENETIC COUNSELLING APPOINTMENT (IN JAPAN)?

　Q11. PLEASE TELL US REGARDING GENETIC COUNSELING

　Q12. PLEASE EXPLAIN REGARDING PLANNED PREGNANCY?

　Q13. PLEASE TELL ME ABOUT PRENATAL TESTING?

　Q14. IS JAPANESE MEDICAL TREATMENT BEHIND OTHER COUNTRIES?

　Q15. WHAT SHOULD BE PREPARED BEFORE SURGERY?

　Q16. EVEN AFTER SURGERY, WILL THE CLEFT LIP OR PALATE STILL BE NOTICEABLE?

　Q17. PLEASE EXPLAIN THE TREATMENT AND SURGICAL PROCEDURES FOR CLEFT LIP AND PALATE FROM INFANCY TO ADULTHOOD

　Q18. CAN YOU EXPLAIN THE SURGICAL PROCEDURE FOR CLEFT LIP REPAIR?

　Q19. PLEASE TELL ABOUT CLEFT PALATE SURGERY

　Q20. WHY CAN’T SURGERY BE DONE IMMEDIATELY AFTER BIRTH?

　Q21. I HAVE BEEN TOLD THAT MY CHILD HAS A HEART CONDITION. CAN MY CHILD STILL HAVE SURGERY FOR CLEFT LIP AND PALATE?

　Q22. HOW MANY SURGERIES ARE NEEDED FOR CLEFT LIP AND PALATE?

　Q23. PLEASE TELL ME ABOUT PREOPERATIVE CORRECTION FOR THE FIRST SURGERY

　Q24. CAN GENERAL ANESTHESIA CAUSE ANY OTHER PROBLEMS?

　Q25. WHAT ARE THE EFFECTS OF X-RAYS TAKEN FOR THE TREATMENT OF CLEFT LIP AND PALATE ON THE BODY?

　Q26. CAN I BORROW X-RAYS AND TEST RESULTS FROM THE FACILITY I AM CURRENTLY VISITING WHEN GETTING A SECOND OPINION AT ANOTHER FACILITY?

　Q27. HOW TO HELP YOUR CHILD GAIN WEIGHT BEFORE PALATE SURGERY

　Q28. MY CHILD SUCKS THEIR THUMB. HOW CAN WE ADDRESS THIS BEFORE SURGERY?

　Q29. WHY IS VACCINATION BEFORE CLEFT LIP AND PALATE SURGERY RESTRICTED, AND HOW SHOULD POST-SURGERY VACCINATIONS BE MANAGED?

　Q30. WHEN HOSPITALIZED, IS IT BETTER TO HAVE A PRIVATE ROOM OR A SHARED ROOM?

　Q31. FREQUENTLY ASKED QUESTIONS: ARM RESTRAINTS

　Q32. IT HAS BEEN A MONTH SINCE MY CLEFT LIP SURGERY, BUT THE REDNESS OF MY SCARS HAS NOT FADED, AND I STILL HAVE VISIBLE SCARS. WHAT SHOULD I DO?

　Q33. PLEASE TELL ME HOW TO FEED MY CHILD AFTER CLEFT LIP SURGERY

　Q34. WHAT EFFECT DOES A RETAINER NOSTRIL HAVE?

　Q35. WHY IS A PROTECTIVE PLATE USED AFTER CLEFT PALATE SURGERY?

　Q36. WHAT PRECAUTIONS SHOULD PARENTS TAKE AFTER THE CHILD IS DISCHARGED?

　Q37. WHAT IS VESTIBULOPLASTY, AND WHY IS IT PERFORMED?

　Q38. WHEN IS REVISION SURGERY FOR CLEFT LIP OR PALATE NECESSARY?

　Q39. WHAT TREATMENTS ARE AVAILABLE FOR PRESCHOOL AND SCHOOL-AGE CHILDREN?

　Q40. WHAT KIND OF TREATMENTS ARE AVAILABLE FOR HIGH SCHOOL AND COLLEGE STUDENTS?

　Q41. IS IT POSSIBLE TO PERFORM BONE GRAFTING OR DISTRACTION OSTEOGENESIS SIMULTANEOUSLY WITH REVISION SURGERY?

　Q42. PROVIDE INFORMATION ON THE ADVANTAGES AND DISADVANTAGES OF PHARYNGEAL FLAP SURGERY, INCLUDING THE PROCEDURE, RECOVERY TIME, AND POTENTIAL RISKS

　Q43. ALVEOLAR BONE GRAFTING, ADVANTAGES AND LIMITATIONS AND THE TIMING OF THE PROCEDURE

　Q44. WHAT IS ALVEOLAR CLEFT BONE GRAFTING?

　Q45. IS IT POSSIBLE TO PUT IMPLANTS IN REPLACEMENT BONES? PLEASE EXPLAIN THE ACTUAL METHOD?

　Q46. IS IT POSSIBLE TO HAVE BONE GRAFTING FOR ADULTS?

　Q47. PLEASE SHARE ABOUT REGENERATIVE TREATMENT AND ITS ADVANTAGES DURING ALVEOLAR BONE TRANSPLANTATION

　Q48. CAN YOU TELL ME ABOUT THE TIME AND SURGICAL METHOD OF CLOSING PALATAL FISTULA?

　Q49. WOULD IT BE AVAILABLE FOR ADULTS, WHO HAS CROSSBITE TO BE TREATED?

　Q50. WHAT IS CORRECTIVE SURGERY? WHAT TYPES OF SURGERIES ARE EXIST?

　Q51. TELL US ABOUT WHAT IS BONE LENGTHENING SURGERY, ITS INSTRUMENTS AND METHODS AND TIME?

　Q52. IS IT POSSIBLE TO MAKE SCARS FROM CLEFT LIP SURGERY LESS NOTICEABLE?

　Q53. IS PATIENTS WITH CLEFTS SUSPECTED TO HAVE CROSSBITE?

　Q54. WILL A CHILD WITH CLEFT LIP AND PALATE DEVELOP TEETH MISALIGNMENT, AND IS ORTHODONTIC TREATMENT INEVITABLE?

　Q55. I WAS TOLD NOT TO LET MY CHILD GET CAVITIES FOR THE SAKE OF FUTURE ORTHODONTIC TREATMENT. WHY IS THAT?

　Q56. PLEASE PROVIDE INFORMATION ABOUT THE COST OF ORTHODONTIC TREATMENT AND AVAILABLE PUBLIC SUBSIDIES

　Q57. WHEN IS THE OPTIMAL TIME TO BEGIN ORTHODONTIC TREATMENT FOR CHILDREN WITH CLEFT LIP AND PALATE, AND HOW LONG WILL IT TAKE?

　Q58. SHOULD TEETH WITH ABNORMAL MORPHOLOGY OR MALPOSITION THAT HAVE ERUPTED IN THE CLEFT AREA BE EXTRACTED EARLY?

　Q59. DOES ORTHODONTIC TREATMENT CREATE OR ENLARGE A HOLE IN THE PALATE?

　Q60. PLEASE TELL ME ABOUT IMPLANTS FOR CLEFT LIP AND PALATE

　Q61. HOW SHOULD I PROCEED IF I NEED TO CHANGE ORTHODONTIC CLINICS DUE TO A TRANSFER? WHAT WILL HAPPEN TO THE TREATMENT COSTS UP UNTIL THAT POINT AND THE FUTURE COSTS?

　Q62. PLEASE TELL ME ABOUT DEVELOPMENTAL AND PSYCHOLOGICAL TESTS

　Q63. FOR CHILDREN WITH A CLEFT LIP, IS THERE A POSSIBILITY OF SPEECH OR LANGUAGE DISORDERS?

　Q64. IF THE SURGERY FOR CLEFT LIP IS DELAYED, WILL IT AFFECT SPEECH AND LANGUAGE?

　Q65. IF A CHILD WITH A CLEFT PALATE IS DELAYED IN RECEIVING SURGERY DUE TO LOW WEIGHT, WILL IT AFFECT THEIR LANGUAGE OR ACADEMIC DEVELOPMENT IN THE FUTURE?

　Q66. DO CHILDREN NEED SPEECH THERAPY AFTER CLEFT PALATE SURGERY?

　Q67. PLEASE ADVISE ON WHAT TO BE MINDFUL OF REGARDING LANGUAGE AT HOME BEFORE THE SURGERY

　Q68. YOU WERE ADVISED NOT TO CORRECT THE PRONUNCIATION, BUT WHY IS THAT?

　Q69. AFTER CLEFT PALATE SURGERY, IS THERE ANY TRAINING THAT CAN BE DONE AT HOME?

　Q70. MY CHILD HAS A HOLE AFTER CLEFT PALATE SURGERY. WILL THIS AFFECT THEIR SPEECH IN THE FUTURE?

　Q71. PLEASE LET ME KNOW ABOUT SPEECH AND LANGUAGE TRAINING

　Q72. WHAT IS VELOPHARYNGEAL DYSFUNCTION?

　Q73. PLEASE TELL ME ABOUT HYPERNASALITY

　Q74. WHAT IS ABNORMAL ARTICULATION?

　Q75. WHAT CAN BE UNDERSTOOD FROM A FIBER SCOPE EXAMINATION?

　Q76. WHAT CAN BE DETERMINED FROM A CEPHALOMETRIC EXAMINATION?

　Q77. WHAT ARE SPEECH AIDS AND PALATAL LIFT PROSTHESES (PLP)? AND WHEN ARE THEY USED?

　Q78. DOES SURGERY ON THE ADENOIDS AFFECT SPEECH?

　Q79. IS IT POSSIBLE FOR PRONUNCIATION TO WORSEN AFTER ENTERING ELEMENTARY SCHOOL?

　Q80. IF THERE IS AN ABNORMALITY IN PRONUNCIATION, COULD IT BE DUE TO A CLEFT PALATE, EVEN IF THERE IS NO VISIBLE EXTERNAL ABNORMALITY?

　Q81. I AM STRUGGLING WITH HOW TO COMMUNICATE WITH MY SON, WHO WAS BORN WITH A CLEFT PALATE. AT ONE AND A HALF YEARS OLD, HE IS NOT SAYING ANY WORDS OTHER THAN “MAMA” AND IS COMMUNICATING THROUGH GESTURES AND SIGNS. WHAT SHOULD I DO?

　Q82. IS IT TRUE THAT CHILDREN WITH CLEFT LIP AND PALATE EXPERIENCE SLOWER PHYSICAL GROWTH?

　Q83. DOES A CHILD WITH CLEFT LIP AND PALATE EXPERIENCE DELAYED SPEECH DEVELOPMENT, LEADING TO LOWER INTELLIGENCE OR SLOWER MENTAL DEVELOPMENT?

　Q84. ARE THERE ANY RESTRICTIONS FOR CHILDREN WITH CLEFT LIP AND PALATE WHEN IT COMES TO SPORTS (E.G., ACTIVITIES THEY SHOULD AVOID)? ALSO, ARE THERE ANY AREAS THEY MIGHT STRUGGLE WITH?

　Q85. IS IT NECESSARY TO WRITE “CLEFT LIP AND PALATE” IN THE DISEASE COLUMN OF THE PRE-VACCINATION MEDICAL QUESTIONNAIRE? ARE THERE ANY PRECAUTIONS TO TAKE WHEN RECEIVING VACCINATIONS?

　Q86. SHOULD I CONSULT WITH KINDERGARTEN OR SCHOOL TEACHERS?

　Q87. HOW SHOULD I EXPLAIN THE POSTOPERATIVE SCAR TO MY CHILD?

　Q88. HOW SHOULD I EXPLAIN TO MY CHILD’S FRIENDS?

　Q89. “I WOULD LIKE TO HEAR ABOUT THE EXPERIENCE OF RAISING A CHILD WITH THE SAME CONDITION...”

　Q90. “I WOULD LIKE TO CORRESPOND WITH MOTHERS OF CHILDREN WITH CLEFT LIP AND PALATE ABROAD...”

　Q91. ARE THERE ANY CLEFT LIP AN PALATE NGO’S OVERSEAS?

　Q92. DO CHILDREN WITH CLEFT LIP AND PALATE PASS GAS A LOT?

　Q93. IS THERE A MOVIE TO HELP UNDERSTAND CLEFT LIP AND PALATE?

　Q94. PLEASE TELL ME ABOUT THE INSURANCE SYSTEMS AVAILABLE FOR PATIENTS WITH CLEFT LIP AND PALATE

　Q95. WHAT PROCEDURES SHOULD BE APPLIED FOR AFTER THE BIRTH OF A CHILD WITH A CLEFT LIP AND PALATE?

　Q96. CAN YOU TELL ME ABOUT MEDICAL AID FOR SELF-RELIANCE? DOES IT MAKE MEDICAL EXPENSES FREE IF APPLIED? ALSO, UNTIL WHAT AGE IS IT APPLICABLE?

　Q97. WHAT IS THE COST OF THE FIRST AND CORRECTIVE SURGERIES? ALSO, ARE THE MEDICAL AID FOR SELF-RELIANCE OR HEALTH INSURANCE SYSTEMS APPLICABLE?

　Q98. FOR INDIVIDUALS AGED 18 AND OLDER, WHAT IS THE COST OF SECONDARY SURGERIES?

　Q99. WHAT IS THE COST OF ORTHODONTIC TREATMENT, PROSTHETIC DENTAL TREATMENT, AND IMPLANT TREATMENT? ALSO, ARE MEDICAL AID FOR SELF-RELIANCE AND HEALTH INSURANCE SYSTEMS APPLICABLE?

　Q100. WHAT IS THE COST OF SPEECH THERAPY? ALSO, ARE MEDICAL AID FOR SELF-RELIANCE AND HEALTH INSURANCE SYSTEMS APPLICABLE?

　Q101. CAN A DISABILITY CERTIFICATE BE RECEIVED IN THE CASE OF CLEFT LIP AND PALATE?

　Q102. DOES OBTAINING A DISABILITY CERTIFICATE DISADVANTAGE YOU WHEN SEEKING EMPLOYMENT?

　Q103. WHAT IS A REHABILITATION HANDICAPPED PERSON’S HANDBOOK?

　Q104. WHY DO MEDICAL COST SUBSIDIES DIFFER BETWEEN MUNICIPALITIES?

　Q105. PLEASE TELL ME ABOUT THE EDUCATIONAL INSURANCE THAT CHILDREN WITH CLEFT LIP AND PALATE CAN GET

　Q106. PLEASE TELL ME ABOUT LIFE INSURANCE THAT CHILDREN WITH CLEFT LIP AND PALATE CAN ENROLL IN

　Q107. EVEN WITH A CONGENITAL DISEASE, IS IT POSSIBLE TO JOIN MEDICAL INSURANCE IN THE FUTURE?

　Q108. PLEASE TELL ME ABOUT FEEDING CHILDREN WITH CLEFT LIP AND PALATE

　Q109. WHEN SHOULD WE START INTRODUCING SOLID FOODS, AND HOW SHOULD WE PROCEED?

　Q110. PLEASE TELL ME ABOUT THE DIET (EATING HABITS) AFTER SURGERY FOR CLEFT LIP AND CLEFT PALATE. ALSO, WILL THE BABY BE ABLE TO BREASTFEED IMMEDIATELY AFTER THE SURGERY?

　Q111. CAN A 9-MONTH-OLD CHILD WITH A CLEFT PALATE DRINK FROM A STRAW?

　Q112. EVEN AFTER UNDERGOING CLEFT PALATE SURGERY, FOOD IS LEAKING FROM MY CHILD’S NOSE...

　Q113. WHAT IS ESOPHAGEAL REFLUX DISEASE?

　Q114. WHEN SHOULD WE START VISITING AN ENT (EAR, NOSE, AND THROAT) SPECIALIST?

　Q115. IS THERE ANYTHING TO BE AWARE OF FROM AN ENT PERSPECTIVE BEFORE THE SURGERY?

　Q116. PLEASE TELL ME ABOUT OTITIS MEDIA WITH EFFUSION

　Q117. I WOULD LIKE TO HAVE A HEARING TEST. FROM WHAT AGE IS IT POSSIBLE TO UNDERGO THE TEST?

　Q118. DOES HAVING A CLEFT PALATE AFFECT THE SENSE OF SMELL?

　Q119. IS IT TRUE THAT CHILDREN WITH CLEFT LIP AND PALATE HAVE A FOUL-SMELLING NOSE?

　Q120. ARE CHILDREN WITH CLEFT LIP AND PALATE MORE PRONE TO CAVITIES?

　Q121. ARE THERE ANY SPECIAL CONSIDERATIONS WHEN BRUSHING THE TEETH OF CHILDREN WITH CLEFT LIP AND PALATE? COULD YOU ALSO EXPLAIN THE EFFECTIVENESS OF FLUORIDE IN PREVENTING CAVITIES?

　Q122. IS SEVERE TEETH GRINDING AFFECTING MY TEETH? IS THERE A WAY TO STOP IT?

　Q123. DOES GETTING CAVITIES AFFECT PRONUNCIATION?

　Q124. IS IT POSSIBLE TO APPLY FLUORIDE TREATMENT IN THE CASE OF CLEFT LIP AND PALATE?

　Q125. WILL A TOOTH GROW IN THE AREA WHERE THERE WAS A CLEFT?

　Q126. PLEASE TEACH ME HOW TO BRUSH TEETH IN THE AREA OF THE ALVEOLAR CLEFT

　Q127. IS IT EASIER TO DEVELOP PERIODONTAL DISEASE IF YOU HAVE A CLEFT LIP AND PALATE?

　Q128. WHAT IS THE CONSULTATION AND TELEPHONE SUPPORT SYSTEM?

　Q129. WHEN SHOULD I CONSULT A CLINICAL PSYCHOLOGIST?

　Q130. HOW CAN BULLYING BE PREVENTED OR ERADICATED?

　Q131. HOW DO THE GENERAL PUBLIC RECOGNIZE SPEECH DISORDERS RELATED TO CLEFT LIP AND CLEFT PALATE?

　Q132. IS IT POSSIBLE TO EXPERIENCE DISCRIMINATION DURING EMPLOYMENT OR MARRIAGE?

　Q133. WHEN A POTENTIAL PARTNER FOR MARRIAGE APPEARS, SHOULD YOU TELL THEM ABOUT YOUR CLEFT LIP AND PALATE?

　Q134. AS A PATIENT WITH CLEFT LIP AND PALATE, YOU MAY WANT TO HAVE A PARTNER OR GET MARRIED, BUT YOU MIGHT WORRY THAT YOUR APPEARANCE OR GENETIC CONCERNS WILL EVENTUALLY DISAPPOINT YOUR PARTNER, MAKING YOU FEEL THAT YOU CANNOT BE “THE BEST PARTNER” FOR THEM. WHAT SHOULD YOU DO?

　Q135. IF THE PERSON YOU DECIDED TO MARRY, OR THEIR FAMILY, HAS CLEFT LIP AND PALATE, AND YOU ARE CONSIDERING BREAKING OFF THE MARRIAGE DUE TO PARENTAL OPPOSITION, WHAT SHOULD YOU DO?

　Q136. I SAW A TV BROADCAST SHOWING CHILDREN FROM DEVELOPING COUNTRIES WITH CLEFT LIPS, AND MY CHILD STARTED CRYING. IS IT ETHICALLY ACCEPTABLE FOR TV STATIONS TO AIR SUCH FOOTAGE?

　Q137. IT IS SOMETIMES SEEN THAT OLDER INDIVIDUALS HAVE SCARS ON THEIR UPPER LIPS. IS IT POSSIBLE TO TREAT THIS EVEN NOW?

　Q138. MY BOYFRIEND, WHO HAS A CLEFT LIP AND PALATE, INTERRUPTED HIS TREATMENT WHEN HE WAS YOUNG, AND IS NOW 20 YEARS OLD. IT IS LIKELY THAT SURGERY COULD IMPROVE HIS CONDITION, BUT HE IS NOT UNDERGOING THE PROCEDURE. ADDITIONALLY, HE HAS POOR DENTAL ALIGNMENT, CAVITIES, AND HAS RECENTLY STARTED TO NOTICE BAD BREATH. WHAT SHOULD BE DONE?

　Q139. PLEASE TELL ME ABOUT THE JAPANESE CLEFT PALATE FOUNDATION

　Q140. PLEASE TELL ME ABOUT THE INTERNATIONAL CLEFT LIP AND PALATE FOUNDATION: ICPF