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Dentocraniofacial morphology of 21 patients with unilateral cleft lip and palate: a cephalometric study.
Cleft Palate Craniofac J. 2005 Nov; 42(6):618-24.CP

Abstract

OBJECTIVE

To assess the skeletal and dental craniofacial proportions of unilateral cleft lip and palate patients who were operated upon using the Malek technique, and compare them with a normal group to highlight the effect of surgical correction on craniofacial development during growth.

DESIGN

Retrospective.

METHODS

The cleft palate was closed using the Malek technique in a single operation at 3 months for 11 patients (complete closure of lip and palate) and in a two-stage operation for 10 patients (soft palate at 3 months, lip and hard palate at 6 months). Comparisons were made with a normal control group. Angular and linear measurements of anterior and posterior dimensions of the upper and lower compartments of the face were measured in the 7th and 12th years.

RESULTS AND CONCLUSION

No significant differences were observed between the two groups of palate technique repair, although significant differences were observed between craniofacial dimensions of normal versus cleft lip and palate patients. At a skeletal level, the maxilla and mandible were retrusive relative to the cranial base in the cleft lip and palate group. In fact, there was a backward rotation of the palatal plane with repercussions on the maxillo-mandibular complex position. Furthermore, the maxilla was shorter than in normal patients, whereas the mandible was normally shaped. The upper incisors were retroclined and they locked the lower incisors in linguoversion. There was a posterior skeletal deficit of the respiratory compartment, compensated by more marked posterior maxillary alveolar growth. Facial growth in cleft lip and palate patients followed the same pattern, but was delayed compared with normal patients.

Authors+Show Affiliations

Department of Maxillofacial Surgery, Queen Fabiola University Children's Hospital, Université Libre de Bruxelles, Brussels, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16241173

Citation

Corbo, Miranda, et al. "Dentocraniofacial Morphology of 21 Patients With Unilateral Cleft Lip and Palate: a Cephalometric Study." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 42, no. 6, 2005, pp. 618-24.
Corbo M, Dujardin T, de Maertelaer V, et al. Dentocraniofacial morphology of 21 patients with unilateral cleft lip and palate: a cephalometric study. Cleft Palate Craniofac J. 2005;42(6):618-24.
Corbo, M., Dujardin, T., de Maertelaer, V., Malevez, C., & Glineur, R. (2005). Dentocraniofacial morphology of 21 patients with unilateral cleft lip and palate: a cephalometric study. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 42(6), 618-24.
Corbo M, et al. Dentocraniofacial Morphology of 21 Patients With Unilateral Cleft Lip and Palate: a Cephalometric Study. Cleft Palate Craniofac J. 2005;42(6):618-24. PubMed PMID: 16241173.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dentocraniofacial morphology of 21 patients with unilateral cleft lip and palate: a cephalometric study. AU - Corbo,Miranda, AU - Dujardin,Thierry, AU - de Maertelaer,Viviane, AU - Malevez,Chantal, AU - Glineur,Régine, PY - 2005/10/26/pubmed PY - 2006/3/24/medline PY - 2005/10/26/entrez SP - 618 EP - 24 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 assess the skeletal and dental craniofacial proportions of unilateral cleft lip and palate patients who were operated upon using the Malek technique, and compare them with a normal group to highlight the effect of surgical correction on craniofacial development during growth. DESIGN: Retrospective. METHODS: The cleft palate was closed using the Malek technique in a single operation at 3 months for 11 patients (complete closure of lip and palate) and in a two-stage operation for 10 patients (soft palate at 3 months, lip and hard palate at 6 months). Comparisons were made with a normal control group. Angular and linear measurements of anterior and posterior dimensions of the upper and lower compartments of the face were measured in the 7th and 12th years. RESULTS AND CONCLUSION: No significant differences were observed between the two groups of palate technique repair, although significant differences were observed between craniofacial dimensions of normal versus cleft lip and palate patients. At a skeletal level, the maxilla and mandible were retrusive relative to the cranial base in the cleft lip and palate group. In fact, there was a backward rotation of the palatal plane with repercussions on the maxillo-mandibular complex position. Furthermore, the maxilla was shorter than in normal patients, whereas the mandible was normally shaped. The upper incisors were retroclined and they locked the lower incisors in linguoversion. There was a posterior skeletal deficit of the respiratory compartment, compensated by more marked posterior maxillary alveolar growth. Facial growth in cleft lip and palate patients followed the same pattern, but was delayed compared with normal patients. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/16241173/Dentocraniofacial_morphology_of_21_patients_with_unilateral_cleft_lip_and_palate:_a_cephalometric_study_ L2 - https://journals.sagepub.com/doi/10.1597/03-129.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -