Department of Plastic, Reconstructive and Aesthetic Surgery L. Pasteur´s University Hospital, P. J. Šafárik University , Faculty of Medicine
Principle contact details
| Contact name: | MUDr. Marianna Zábavníková, PhD., plastic surgeon, Head of Department |
| Address: | Department of Plastic, Reconstructive and Aesthetic Surgery L. Pasteur ´s University Hospital, P.J. Šafárik University Košice, Rastislavova str., No. 43, 040 01 Košice, Slovakia home adress : Výstavby 3 , 04011 Košice, Slovakia |
| Country: | Slovakia |
| Telephone: | +421556152620, home: +421903395606 |
| Email: | zabavnikova@unlp.sk, marianna.zabavnikova@upjs.sk |
| Web address: | Visit website |
Other team members
| Surgeon: | MUDr. Zuzana Hojstričová, MUDr. Viktor Jabur |
| Speech therapist: | PhDr. Eva Obšuthová, PaedDr. Eva Galová, Mgr. Eva Orémusová , others http:www.navstevalekara.sklekarilogopedia-s11045.html, http:www.sal.skindex.php?page=kontakt&sub=las |
| Orthodontist: | MUDr. Mária Eötvösová, PhD., MUDr. Janka Jenčová, PhD. |
| Clinical geneticist: | MUDr. Mária Andrejková, PhD. |
| Otolaryngologist: | MUDr. Andrej Koman |
| Specialist nurse: | Mgr. Martina Šteinová, Alžbeta Kendrová |
| Psychologist: | PhDr. Lívia Valová |
| Other: | Department of Stomatology and Maxillofacial Surgery – Dr.h.c. prof. MUDr. Andrej Jen?a, CSc. Paediatrics : MUDr. Alžbeta Bodnárová, MUDr. Mária Andrejková, PhD. |
| Patient follow up: | Members of Centre for Treatment of Cleft lip Palate and Other Congenital Facial Defects, L. Pasteur ´s University Hospital, Rastislavova str., No 43, 040 01 Košice, Slovakia |
Support group
| Support group address: | Telephone: +421556152620 E-mail: zabavnikova@unlp.sk MUDr. Marianna Zábavníková, PhD. Website: www.razstepovecentrum.sk E-mail address : poradna@razstepovecentrum.sk |
Annual case load
| Cleft palate: | 10 |
| Pierre Robin: | 1 - 2 |
| Cleft lip & palate (CLP) Unilateral (UCLP): | 25 |
| Bilateral (BCLP): | 14 |
| Cleft lip (CL) Unilateral (UCL): | 5 |
| Bilateral (BCL): | 1,4 |
| Number of syndromic cases: | with Anophtalmos, Apert sy, with Heart Congenital Defects |
Primary surgical protocol
Timing of first repair and type of operation.
| Complete UCLP: | 2 flap palatoplasty s. Bardach - at age from 6 - to l2 month |
| Complete BCLP: | One Stage primary Bilateral Cleft Lip Nose repair s. Black´s technique or Salyer ´s technique at age 3 month ,two stage bilateral Cleft Lip Nose repair is rare Primary bilateral cleft nose reconstruction : Stage 2 - is performed 1 year after the first operation Two - flap palatoplasty - Bardach´s technique at age from 6 – 18 month timing is dependent on actual health conditions of child, 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 |
| Isolated CP: | 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 |
Record collection protocol
| Are records routinely collected at specific ages? | Yes |
| Does this conform to WHO timing recommendations (birth, 5, 10, 15 and 20 years)? | Yes |
| What record taking protocol is used: | We perform examination and follow up of patients each year, and we use Eurocleft Project 1996-2000 Eurocleft Consensus Recommendations Timing of minimum records adapted to our conditions |
State coverage of costs
Are the costs of the following treatments covered by the state (free to the patient)?
| Surgery costs: | All |
| Orthodontic costs: | All |
| Speech and language therapy costs: | All |
| Comments 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 |
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 - |
Current research activity and data collection
| 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 |
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 clinical research activities
Clinical research activities interested in being involved in:
| Randomised clinical trials: | Yes |
| Inter-centre comparison of outcome: | Yes |
| Prospective study: | Yes |
| DNA collection: | Yes |
Potential laboratory based research activities
Laboratory based research activities interested in being involved in:
| Laboratory genetics/genomics research: | Yes |