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Long-term effects of palate repair on craniofacial morphology in patients with unilateral cleft lip and palate.
Cleft Palate Craniofac J. 2005 Nov; 42(6):594-600.CP

Abstract

OBJECTIVE

To identify the long-term effects of palate repair on craniofacial growth in patients with unilateral cleft lip and palate (UCLP).

DESIGN

Retrospective cross-sectional study.

SETTING

Sri Lankan Cleft Lip and Palate Project.

SUBJECTS

Forty-eight adults with nonsyndromic unilateral cleft lip and palate, 29 men and 19 women, had lip repair only (LRO group). Fifty-eight adults with nonsyndromic unilateral cleft lip and palate, 35 men and 23 women, had lip and palate repairs by the age of 9 (LPR group).

MAIN OUTCOME MEASURES

Clinical notes were used to record surgical treatment histories. Cephalometry was used to determine craniofacial morphology.

RESULTS

In the lip and palate repair group, the depth of the bony pharynx (Ba-PMP), the maxillary length at the alveolar level (PMP-A), the effective length of the maxilla (Ar-IZ, Ar-ANS, Ar-A), the maxillary protrusion (S-N-ANS, SNA), the anteroposterior jaw relation (ANS-N-Pog, ANB), and the overjet were smaller than in the lip repair only group. There were no significant differences in the maxillary length at the basal level (PMP-IZ, PMP-ANS) and the anterior and posterior maxillary heights (N-ANS and R-PMP, respectively) in the two groups.

CONCLUSION

Palate repair inhibits the forward displacement of the basal maxilla and anteroposterior development of the maxillary dentoalveolus in patients with unilateral cleft lip and palate. Palate repair has no detrimental effects on the downward displacement of the basal maxilla or on palatal remodeling in patients with unilateral cleft lip and palate.

Authors+Show Affiliations

Department of Dentistry, Craniofacial Center, and Sleep Center, Chang Gung Memorial Hospital, Taipei, Taiwan.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16241170

Citation

Liao, Yu-Fang, and Michael Mars. "Long-term Effects of Palate Repair On Craniofacial Morphology in Patients With Unilateral Cleft Lip and Palate." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 42, no. 6, 2005, pp. 594-600.
Liao YF, Mars M. Long-term effects of palate repair on craniofacial morphology in patients with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2005;42(6):594-600.
Liao, Y. F., & Mars, M. (2005). Long-term effects of palate repair on craniofacial morphology in patients with unilateral cleft lip and palate. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 42(6), 594-600.
Liao YF, Mars M. Long-term Effects of Palate Repair On Craniofacial Morphology in Patients With Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J. 2005;42(6):594-600. PubMed PMID: 16241170.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term effects of palate repair on craniofacial morphology in patients with unilateral cleft lip and palate. AU - Liao,Yu-Fang, AU - Mars,Michael, PY - 2005/10/26/pubmed PY - 2006/3/24/medline PY - 2005/10/26/entrez SP - 594 EP - 600 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 42 IS - 6 N2 - OBJECTIVE: To identify the long-term effects of palate repair on craniofacial growth in patients with unilateral cleft lip and palate (UCLP). DESIGN: Retrospective cross-sectional study. SETTING: Sri Lankan Cleft Lip and Palate Project. SUBJECTS: Forty-eight adults with nonsyndromic unilateral cleft lip and palate, 29 men and 19 women, had lip repair only (LRO group). Fifty-eight adults with nonsyndromic unilateral cleft lip and palate, 35 men and 23 women, had lip and palate repairs by the age of 9 (LPR group). MAIN OUTCOME MEASURES: Clinical notes were used to record surgical treatment histories. Cephalometry was used to determine craniofacial morphology. RESULTS: In the lip and palate repair group, the depth of the bony pharynx (Ba-PMP), the maxillary length at the alveolar level (PMP-A), the effective length of the maxilla (Ar-IZ, Ar-ANS, Ar-A), the maxillary protrusion (S-N-ANS, SNA), the anteroposterior jaw relation (ANS-N-Pog, ANB), and the overjet were smaller than in the lip repair only group. There were no significant differences in the maxillary length at the basal level (PMP-IZ, PMP-ANS) and the anterior and posterior maxillary heights (N-ANS and R-PMP, respectively) in the two groups. CONCLUSION: Palate repair inhibits the forward displacement of the basal maxilla and anteroposterior development of the maxillary dentoalveolus in patients with unilateral cleft lip and palate. Palate repair has no detrimental effects on the downward displacement of the basal maxilla or on palatal remodeling in patients with unilateral cleft lip and palate. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/16241170/Long_term_effects_of_palate_repair_on_craniofacial_morphology_in_patients_with_unilateral_cleft_lip_and_palate_ L2 - https://journals.sagepub.com/doi/10.1597/04-077r.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -