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Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate.
Cleft Palate Craniofac J. 2003 Mar; 40(2):144-53.CP

Abstract

OBJECTIVE

The aim of this study was to compare two groups of adult male patients with complete bilateral cleft lip and palate (BCLP) on the basis of lateral cephalometric radiographs.

PATIENTS

The first group of adult male patients with complete BCLP was comprised of 13 unoperated patients with an average age of 21 years. The second group was comprised of 14 patients with an average age of 21 years 7 months, who had been operated only on the lip prior to 2 years of age.

DESIGN

The following measurements were evaluated: angle and length of cranial base; maxillary spatial positioning and length; mandibular spatial positioning; morphology and length; maxillomandibular relationship; vertical facial length; dental positioning; interdental arch relationship; and soft profile.

RESULTS

The results suggest that lip repair has a significant influence on certain areas of the craniofacial complex, mainly the premaxilla and the upper incisors.

CONCLUSIONS

The most significant findings consequent to lip repair consisted of reduction of the premaxillary anterior projection and lingual tipping of the upper incisors. Retropositioning of the premaxilla, especially in the alveolar part, is a desired effect of lip repair in complete BCLP. Such effect on the projected premaxilla is usually beneficial, except when the exceedingly severe lip pressure, unfavorable growth pattern, or both retropositions the midface profile beyond acceptable sagittal limits.

Authors+Show Affiliations

Department of Orthodontics at the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12605519

Citation

da Silva Filho, Omar Gabriel, et al. "Influence of Lip Repair On Craniofacial Morphology of Patients With Complete Bilateral Cleft Lip and Palate." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 40, no. 2, 2003, pp. 144-53.
da Silva Filho OG, Valladares Neto J, Capelloza Filho L, et al. Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate. Cleft Palate Craniofac J. 2003;40(2):144-53.
da Silva Filho, O. G., Valladares Neto, J., Capelloza Filho, L., & de Souza Freitas, J. A. (2003). Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 40(2), 144-53.
da Silva Filho OG, et al. Influence of Lip Repair On Craniofacial Morphology of Patients With Complete Bilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2003;40(2):144-53. PubMed PMID: 12605519.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of lip repair on craniofacial morphology of patients with complete bilateral cleft lip and palate. AU - da Silva Filho,Omar Gabriel, AU - Valladares Neto,José, AU - Capelloza Filho,Leopoldino, AU - de Souza Freitas,José Alberto, PY - 2003/2/28/pubmed PY - 2003/6/19/medline PY - 2003/2/28/entrez SP - 144 EP - 53 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 40 IS - 2 N2 - OBJECTIVE: The aim of this study was to compare two groups of adult male patients with complete bilateral cleft lip and palate (BCLP) on the basis of lateral cephalometric radiographs. PATIENTS: The first group of adult male patients with complete BCLP was comprised of 13 unoperated patients with an average age of 21 years. The second group was comprised of 14 patients with an average age of 21 years 7 months, who had been operated only on the lip prior to 2 years of age. DESIGN: The following measurements were evaluated: angle and length of cranial base; maxillary spatial positioning and length; mandibular spatial positioning; morphology and length; maxillomandibular relationship; vertical facial length; dental positioning; interdental arch relationship; and soft profile. RESULTS: The results suggest that lip repair has a significant influence on certain areas of the craniofacial complex, mainly the premaxilla and the upper incisors. CONCLUSIONS: The most significant findings consequent to lip repair consisted of reduction of the premaxillary anterior projection and lingual tipping of the upper incisors. Retropositioning of the premaxilla, especially in the alveolar part, is a desired effect of lip repair in complete BCLP. Such effect on the projected premaxilla is usually beneficial, except when the exceedingly severe lip pressure, unfavorable growth pattern, or both retropositions the midface profile beyond acceptable sagittal limits. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/12605519/Influence_of_lip_repair_on_craniofacial_morphology_of_patients_with_complete_bilateral_cleft_lip_and_palate_ L2 - https://journals.sagepub.com/doi/10.1597/1545-1569_2003_040_0144_iolroc_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 -