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Associations between severity of clefting and maxillary growth in patients with unilateral cleft lip and palate treated with infant orthopedics.
Cleft Palate Craniofac J 2001; 38(6):582-6CP

Abstract

OBJECTIVE

The purpose of this study was to examine possible associations between severity of clefting in infants and maxillary growth in children with complete unilateral cleft lip and palate.

DESIGN

This was a retrospective study of measurements made on infant maxillary study casts and maxillary cephalometric variables obtained at 5 to 6 years of follow-up.

SETTING

The study was performed at the Institute of Reconstructive Plastic Surgery of New York University Medical Center, New York, New York.

PATIENTS

Twenty-four consecutive nonsyndromic unilateral complete cleft lip and palate patients treated during the years 1987 to 1994.

INTERVENTIONS

All the patients received uniform treatment (i.e., presurgical orthopedics followed by gingivoperiosteoplasty to close the alveolar cleft combined with repair of the lip and nose in a single stage at the age of 3 to 4 months). Closure of the palate was performed at the age of 12 to 14 months.

RESULTS

Infant maxillary study cast measurements correlated in a statistically significant manner with maxillary cephalometric measurements at age 5 to 6 years.

CONCLUSIONS

The results demonstrate the large variation in the severity of unilateral cleft lip and palate deformity at birth. Patients with large clefts and small arch circumference, arch length, or both demonstrated less favorable maxillary growth than those with small clefts and large arch circumference or arch length at birth.

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  • Publisher Full Text

    • Authors+Show Affiliations

    Peltomäki T
    Institute of Dentistry, University of Turku, Lemminkäisenkatu 2, FIN-20520 Turku, Finland. timo.peltomaki@utu.fi
    Vendittelli BL
    No affiliation info available
    Grayson BH
    No affiliation info available
    Cutting CB
    No affiliation info available
    Brecht LE
    No affiliation info available

    MeSH

    Age FactorsAlveolar ProcessAlveoloplastyCephalometryChild, PreschoolCleft LipCleft PalateDental ArchDental ModelsFollow-Up StudiesGingivoplastyHumansInfantLipMaxillaNosePalatal ObturatorsPalatePeriosteumRetrospective StudiesStatistics as Topic

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    11681991

    Citation

    Peltomäki, T, et al. "Associations Between Severity of Clefting and Maxillary Growth in Patients With Unilateral Cleft Lip and Palate Treated With Infant Orthopedics." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 38, no. 6, 2001, pp. 582-6.
    Peltomäki T, Vendittelli BL, Grayson BH, et al. Associations between severity of clefting and maxillary growth in patients with unilateral cleft lip and palate treated with infant orthopedics. Cleft Palate Craniofac J. 2001;38(6):582-6.
    Peltomäki, T., Vendittelli, B. L., Grayson, B. H., Cutting, C. B., & Brecht, L. E. (2001). Associations between severity of clefting and maxillary growth in patients with unilateral cleft lip and palate treated with infant orthopedics. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 38(6), pp. 582-6.
    Peltomäki T, et al. Associations Between Severity of Clefting and Maxillary Growth in Patients With Unilateral Cleft Lip and Palate Treated With Infant Orthopedics. Cleft Palate Craniofac J. 2001;38(6):582-6. PubMed PMID: 11681991.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Associations between severity of clefting and maxillary growth in patients with unilateral cleft lip and palate treated with infant orthopedics. AU - Peltomäki,T, AU - Vendittelli,B L, AU - Grayson,B H, AU - Cutting,C B, AU - Brecht,L E, PY - 2001/10/30/pubmed PY - 2002/1/18/medline PY - 2001/10/30/entrez SP - 582 EP - 6 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 38 IS - 6 N2 - OBJECTIVE: The purpose of this study was to examine possible associations between severity of clefting in infants and maxillary growth in children with complete unilateral cleft lip and palate. DESIGN: This was a retrospective study of measurements made on infant maxillary study casts and maxillary cephalometric variables obtained at 5 to 6 years of follow-up. SETTING: The study was performed at the Institute of Reconstructive Plastic Surgery of New York University Medical Center, New York, New York. PATIENTS: Twenty-four consecutive nonsyndromic unilateral complete cleft lip and palate patients treated during the years 1987 to 1994. INTERVENTIONS: All the patients received uniform treatment (i.e., presurgical orthopedics followed by gingivoperiosteoplasty to close the alveolar cleft combined with repair of the lip and nose in a single stage at the age of 3 to 4 months). Closure of the palate was performed at the age of 12 to 14 months. RESULTS: Infant maxillary study cast measurements correlated in a statistically significant manner with maxillary cephalometric measurements at age 5 to 6 years. CONCLUSIONS: The results demonstrate the large variation in the severity of unilateral cleft lip and palate deformity at birth. Patients with large clefts and small arch circumference, arch length, or both demonstrated less favorable maxillary growth than those with small clefts and large arch circumference or arch length at birth. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/11681991/Associations_between_severity_of_clefting_and_maxillary_growth_in_patients_with_unilateral_cleft_lip_and_palate_treated_with_infant_orthopedics_ L2 - http://journals.sagepub.com/doi/full/10.1597/1545-1569_2001_038_0582_absoca_2.0.co_2?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -