Cleft Lip and Palate in the Arts: A Critical Reflection

2012 ◽  
Vol 49 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Masoud Saman ◽  
Justin Gross ◽  
Alexander Ovchinsky ◽  
Donald Wood-Smith

Background The aesthetics of facial structure are used by humans to measure one's beauty, character, and overall “goodness.” Individuals born with cleft lip and/or palate are often stigmatized and face much psychosocial adversity. Social attitudes and beliefs have a direct impact upon the psychological development of these individuals. Such social norms are in large part shaped by the physical representations of “good” and “attractive” in various art media including films, advertisements, and paintings. Objective Individuals born with a cleft have been portrayed in the artworks of different eras. The light in which they are portrayed stems from the prevalent beliefs of each period and sheds light on the social attitudes of each epoch toward clefts. Here we discuss the social and psychological ramifications of these works. We then review several artworks representing cleft lip and/or palate and propose an active role for the artist in shaping social attitudes regarding facial deformities. Methods Numerous articles and works of arts were examined and inspected for signs of facial deformity, with particular attention to cleft lip and/or palate. Conclusion Social media have an important role in defining the norms of society. Much of the art of the past has depicted negatively individuals born with cleft lip and/or palate deformity, thus excluding them from the norm. In order to decrease the negative social stigmas of cleft lip and/or palate, it is now the responsibility of society to widen its range of norms to include individuals born with these deformities through “normal” representations in the various media.

2014 ◽  
Vol 3 (06) ◽  
pp. 19-34
Author(s):  
Luis Mauricio Escalante Solís ◽  
Carlos David Carrillo Trujillo

Las sociedades comparten un serie de formas a través de las cuales se pueden identificar, conocerse y re-conocerse, sin hacer mucho caso a la especificidad, latitud o cultura que las caracterizan y las unen. Lo primero que comparten es una memoria social, entendida como un significado compartido por los miembros que lo conforman, sin importar su veracidad o autenticidad. El recuerdo es necesario para mantener unido a los integrantes de un grupo, es por ello que se manifiesta constante e intermitentemente en el transcurso de la existencia del grupo social, se vuelve un significado adoptado por dicho colectivo que debe ser manifiesto en las actividades y la cotidianidad.El presente trabajo describe y analiza tres prácticas sociales de conmemoración denominadas alternativas que se realizan en países latinoamericanos (Argentina, Chile y México), se fundamentan sus orígenes, causas sociales y formas de organización, así como sus acciones principales. El eje rector que unifica a estas tres prácticas conmemorativas es el hecho de que reivindican la lucha social y ejemplifican mecanismos contrahegemónicos de demanda social, antes las falencias, omisiones y acciones del Estado. El estudio y el análisis de las conmemoraciones abren la posibilidad de entender distintos usos del pasado. Los eventos históricos construyen un relato que otorga identidad y sentimiento de unidad. Sin embargo, recuperar el pasado a través de la conmemoración no elimina el surgimiento de grupos contrahegemónicos que proponen una reflexión crítica sobre lo sucedido. The societies share a number of ways through which they can identify and meet. However, often irrelevant specifics of culture. It is much more important social memory. Social memory is something that is shared by members of a group regardless of their veracity or authenticity. The memory is needed to hold together the members of a group. Therefore, the memory becomes a meaning adopted by the collective manifested in everyday activities.This paper describes and analyzes three social practices of commemoration taking place in Latin American countries (Argentina, Chile and Mexico), describing their origins, social causes, forms of organization and main actions. The guiding principle that unifies these three commemorative practices is claimed that exemplify the social struggle and counter-hegemonic mechanisms of social demand, given the failures, omissions and actions of the state. The study and analysis of the commemorations open the possibility of understanding different uses of the past. Historical events construct a story that gives identity and togetherness. However, recovering the past, through the commemoration does not eliminate the emergence of counter-hegemonic groups that propose a critical reflection about what happened.


2021 ◽  
pp. 0142064X2110647
Author(s):  
Katja Kujanpää

When Paul and the author of 1 Clement write letters to Corinth to address crises of leadership, both discuss Moses’ παρρησία (frankness and openness), yet they evaluate it rather differently. In this article, I view both authors as entrepreneurs of identity and explore the ways in which they try to shape their audience’s social identity and influence their behaviour in the crisis by selectively retelling scriptural narratives related to Moses. The article shows that social psychological theories under the umbrella term of the social identity approach help to illuminate the active role of leaders in identity construction as well as the processes of retelling the past in order to mobilize one’s audience.


2008 ◽  
Vol 33 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Sharat Chandra Pani ◽  
Amitha Hegde

Though the field of presurgical orthopedics for the management of children with cleft Lip and Palate (CLAP)has made great advances over the past few decades, little is found in literature regarding the imressions required to fabricate these appliances. The purpose of this paper is to describe a novel two stage technique utilizing greenstick compound and addition silicone impression material to provide a safe, economical and accurate method for recording impressions in children with cleft lip and palate.


2019 ◽  
Vol 57 (5) ◽  
pp. 646-655 ◽  
Author(s):  
Puneet Batra ◽  
Bruno Frazāo Gribel ◽  
B. A. Abhinav ◽  
Anika Arora ◽  
Sreevatsan Raghavan

Presurgical infant orthopedics (PSIO) is done to reduce the size of the cleft defect along with improving the arch alignment and nasolabial aesthetics in patients with cleft lip and palate, leading to an improvement of nasolabial aesthetics allowing for a tidier and more aesthetic reparative procedure and postsurgical scar. Since the 2000s, clear aligners have slowly and steadily treaded their way as an acceptable orthodontic modality, with their usage and acceptability increasing considerably over the past decade. Thus, from the knowledge gathered in its 10 years working with 3-dimensional (3-D) diagnosis, treatment planning, and 3-D Printing services, Compass 3D (Belo Horizonte, Brazil) developed the OrthoAligner NAM system. This case series highlights one of the world’s first documented cases of PSIO treated with a series of clear aligners.


2009 ◽  
Vol 46 (5) ◽  
pp. 549-554 ◽  
Author(s):  
Elżbieta Gawrych ◽  
Joanna Janiszewska-Olszowska ◽  
Anna Walecka ◽  
Maria Syryńska ◽  
Hanna Chojnacka

Holoprosencephaly is a congenital abnormality of the prosencephalon associated with median facial defects. Its frequency is 1 in 250 pregnancies and 1 in 16,000 live births. The degree of facial deformity usually correlates with the severity of brain malformation. Early mortality is prevalent in severe forms. This report presents a child with lobar holoprosencephaly accompanied by median cleft lip and palate. The treatment and 9 months’ follow-up are presented. This unique case shows that holoprosencephaly may present different manifestations of craniofacial malformations, which are not always parallel to the severity of brain abnormalities. Patients with mild to moderate brain abnormalities may survive into childhood and beyond.


2020 ◽  
Vol 57 (9) ◽  
pp. 1093-1099
Author(s):  
Alexandra S. Hudson ◽  
Alexander D. Morzycki ◽  
Regan Guilfoyle

Objective: Studies have begun analyzing how the world converses on social media platforms about medical/surgical topics. This study’s objective was to examine how cleft lip and palate, two of the most common birth defects in the world, are discussed on the social media platform Twitter. No study to date has analyzed this topic. Methods: Tweets were identified using any of the following: cleft, cleft lip, cleft palate, #cleft, #cleftlip, #cleftpalate. Eight months between 2017 and 2018 were analyzed. Main Outcome Measures: The primary outcome was the tweet subject matter. Secondary outcomes were author characteristics, tweet engagement, multimedia, and tweet accuracy Results: A total of 1222 tweets were included. #Cleft was the most common hashtag (71%), and it was significantly associated with more retweets ( P = .03). Twenty-seven countries tweeted, with the United States (34%) and India (27%) producing the most. Charities (36%), hospitals (14%), and physicians (13%) were the most common authors. Over three-quarters of tweets were self-promotional. The top content included charity information (22%) and patients’ cleft stories (14%). Tweets about patient safety/care and surgical service trips generated the most engagement. The accuracy of educational tweets was 38% low accuracy and 1% inaccurate. One hundred forty-nine tweets (12%) discussed a published research article, but 41 tweets did not share a link. Conclusions: Charities dominate the cleft lip/palate “Twitterverse.” Most tweets were self-promotional, and over a third of educational tweets were low accuracy. As the cleft social media community continues to grow, we recommend using the hashtag #cleft to reach a wider audience.


2020 ◽  
pp. 105566562093848
Author(s):  
Kyung Hoon Chung ◽  
Nobuhiro Sato ◽  
Pang-Yun Chou ◽  
Lun-Jou Lo

Background: Primary reconstruction of complete bilateral cleft lip and palate (BCLP) with protruding premaxilla in one-stage surgery is challenging because of the tension on muscle repair. Such patients are also common in the developing countries. For this condition, we have applied intraoperative “rapid premaxillary molding (RPM)” technique and obtained satisfactory results. Methods: We reviewed the data of patients with complete BCLP with protruding premaxilla applying intraoperative RPM including both our institution and cleft missions to developing countries in the past 20 years. Selection criteria were patients receiving either no or insufficient preoperative molding presenting with significant protruding premaxilla, had consecutive follow-ups after surgery. To perform this technique, the surgeon holds the patient’s face with both hands and compresses the protruding premaxilla with both thumbs. An intermittent but stable backward pressure is applied to the premaxilla until the segment is gradually flexible. Repeated compression is performed prior to tying the muscle sutures, at which time the premaxilla is retro-positioned and aligned with the lateral maxillary segments. Pre- and postoperative data were evaluated. Results: We have treated a total of 60 patients with complete BCLP with protruding premaxilla applying intraoperative RPM. All patients tolerated the operations and there were no major intra- and postoperative complications including lip dehiscence and vomer fracture. All of them had satisfactory results such as adequate muscle repair and symmetry of the lip and nostrils. Conclusion: The RPM is a reliable and valuable intraoperative adjunct procedure for patients with complete BCLP presenting the protrusive premaxilla.


2019 ◽  
Vol 15 (S367) ◽  
pp. 235-244
Author(s):  
Alejandro M. López

AbstractIn the past, Western academic astronomy has conceived in a very specific way its interests. However, in recent decades there has been a promising openness to the rest of the society, in the context of areas such as education, heritage and outreach. Despite this, there has not been an adequate scientific approach to do it, which would imply taking into account the social sciences and a truly interdisciplinary perspective. Here we want to develop the idea that this interdisciplinary approach already exists and it is called: Cultural Astronomy. Unfortunately, in the context of academic astronomy it has been only seen as a study of the “astronomies of others”, intended as previous stages or failed attempts of Western academic astronomy. We will seek to show that Cultural Astronomy, as a critical reflection on the social character of the astronomical knowledge, is key to the success of these opening efforts.


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