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    Adherence frequency of CANDIDA ALBICANS on nasoalveolar molding (NAM) appliances
    (Elsevier, 2020) Yilmaz, Hanife Nuray; Hatipoglu, Sirin; Erdem, Buket; Can, Banu; Kadir, Tanju
    Background and Method: The aim of this prospective study was to evaluate the adherence frequency of Candida albicans and non-albicans Candida species in newborn babies with Cleft Lip and Palate (CLP) who receive presurgical orthopedic therapy with Nasoalveolar Molding (NAM) appliances. This study comprised of 25 CLP newborns including 8-right unilateral, 8-left unilateral and 7-bilateral CLP. First swab samples were taken from the hard palate when the baby was referred and renewed after 3 days. Following the 7th day of delivery of NAM appliance, the swab samples were retaken from both the hard palate and the NAM appliance. Samples were renewed with 2-month intervals. The last swab samples were taken one month after the surgery. Oral swabs were cultured on CHROMagar Candida medium for the growth of yeasts. Results: There were no statistically significant differences between the time points regarding C. albicans proliferation frequency and severity rates on the palate. No significant difference was found due to the type of cleft and sex in terms of candidal colonization. A constant increase in proliferation frequency of non-albicans on the palatal mucosa was observed between all of the time points. Although the results were insignificant, there was a constant increase in C. albicans proliferation which presented a decrease following primary lip surgery. Conclusion: The appliance might not only cause an increase in the colonization of C. albicans but also provide the continuation of the colonization. Therefore, mouth cleaning is important even after primary lip surgery. (C) 2020 Elsevier Masson SAS. All rights reserved.
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    Is Information for Surgically Assisted Rapid Palatal Expansion Available on YouTube Reliable?
    (W B Saunders Co-Elsevier Inc, 2020) Hatipoglu, Sirin; Gas, Selin
    Purpose: The purpose of the present study was to assess the quality and accuracy of the information provided by YouTube videos related to surgically assisted rapid palatal expansion (SARPE). Materials and Methods: In the present cross-sectional research, a systematic exploration of YouTube videos on SARPE was performed using the search phrase surgically assisted rapid palatal expansion (SARPE) in Google Trends. The first 200 videos were viewed, and 132 videos were included in the present study. The demographic data of the videos, including type, source, duration, date of upload, interaction index, and viewing rates, were recorded. Low-, moderate-, and high-content video groups were classified using a 22-point score scale for classification of the video content. Evaluation of the quality of videos was assessed using the video information and quality index (VIQI). Results: We graded 34 videos as having moderate and 98 as having low content. We found no high-content videos. Individual (vs corporate or professional) providers had uploaded most of the videos (94.7%). The topics most mentioned were facial changes/gap/smile (65.9%), swallowing/eating performance/diet (56.1%), swelling (49.2%), and pain (44.7%). Prognosis and survival (0.8%) and cost (3%) were the least mentioned. The moderate content scores for procedure, instructions, indications, advantages, complications, cost, pain, swelling, bruising, bleeding, tongue soreness, speech, swallowing/eating performance/diet, psychological and psychosocial impact, facial changes, pressure, breathing, and numbness were greater than the low content scores. The VIQI total scores were significantly greater in the moderate content category than in the low (P < .05). Conclusions: Although various videos concerning SARPE are available on YouTube, the quality of the content of the videos in our sample was generally low. Specialists performing SARPE procedures should be aware of the information currently available on the Internet and actively direct their patients toward the most accurate and up-to-date sites. (C) 2020 American Association of Oral and Maxillofacial Surgeons