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One- or two-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcomes.
Cleft Palate Craniofac J. 2007 Jan; 44(1):13-22.CP

Abstract

OBJECTIVE

To assess facial growth and dentoalveolar development in two groups of patients with complete unilateral cleft lip and palate. Primary surgical treatment differed in the timing of hard palate closure.

DESIGN

Forty-three patients with unilateral cleft lip and palate were examined. Twenty-two patients underwent early one-stage closure of the hard and soft palate cleft (mean age 23.0 +/- 4.7 months); in 21 patients, the hard palate closure was delayed to 86.3 +/- 39.2 months of age. Lateral cephalograms and dental casts were consecutively analyzed at four stages between 6 and 18 years of age.

RESULTS

Lateral cephalometric analysis revealed no significant intergroup differences in the sagittal and vertical craniofacial dimensions at any time. Dental cast analysis showed constriction of the upper anterior arch width at the ages of 6 and 10 years in patients with one-stage surgical palate closure, but a difference could no longer be verified at the ages of 15 and 18 years.

CONCLUSIONS

The transverse distances in the upper jaw developed initially more positively in the group with delayed hard palate closure, but it became apparent later that the transverse deficiency after one-stage palate closure could be compensated for. When considering surgical treatment in general, the advantages of the delayed hard palate closure must be weighed against criteria favoring the early one-stage closure of the hard and soft palate.

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Authors+Show Affiliations

Stein S
Department of Orthodontics, University of Freiburg, Germany. silke.ammann@web.de
Dunsche A
No affiliation info available
Gellrich NC
No affiliation info available
Härle F
No affiliation info available
Jonas I
No affiliation info available

MeSH

AdolescentAlveolar ProcessCephalometryChildChild, PreschoolCleft LipCleft PalateDental ArchDental ModelsFollow-Up StudiesHumansInfantMalocclusionMandibleMaxillaMaxillofacial DevelopmentPalate, HardPalate, SoftRetrospective StudiesTime FactorsTreatment OutcomeVertical Dimension

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17214534

Citation

Stein, Silke, et al. "One- or Two-stage Palate Closure in Patients With Unilateral Cleft Lip and Palate: Comparing Cephalometric and Occlusal Outcomes." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 44, no. 1, 2007, pp. 13-22.
Stein S, Dunsche A, Gellrich NC, et al. One- or two-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcomes. Cleft Palate Craniofac J. 2007;44(1):13-22.
Stein, S., Dunsche, A., Gellrich, N. C., Härle, F., & Jonas, I. (2007). One- or two-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcomes. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 44(1), 13-22.
Stein S, et al. One- or Two-stage Palate Closure in Patients With Unilateral Cleft Lip and Palate: Comparing Cephalometric and Occlusal Outcomes. Cleft Palate Craniofac J. 2007;44(1):13-22. PubMed PMID: 17214534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One- or two-stage palate closure in patients with unilateral cleft lip and palate: comparing cephalometric and occlusal outcomes. AU - Stein,Silke, AU - Dunsche,Anton, AU - Gellrich,Nils-Claudius, AU - Härle,Franz, AU - Jonas,Irmtrud, PY - 2007/1/12/pubmed PY - 2007/3/21/medline PY - 2007/1/12/entrez SP - 13 EP - 22 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 44 IS - 1 N2 - OBJECTIVE: To assess facial growth and dentoalveolar development in two groups of patients with complete unilateral cleft lip and palate. Primary surgical treatment differed in the timing of hard palate closure. DESIGN: Forty-three patients with unilateral cleft lip and palate were examined. Twenty-two patients underwent early one-stage closure of the hard and soft palate cleft (mean age 23.0 +/- 4.7 months); in 21 patients, the hard palate closure was delayed to 86.3 +/- 39.2 months of age. Lateral cephalograms and dental casts were consecutively analyzed at four stages between 6 and 18 years of age. RESULTS: Lateral cephalometric analysis revealed no significant intergroup differences in the sagittal and vertical craniofacial dimensions at any time. Dental cast analysis showed constriction of the upper anterior arch width at the ages of 6 and 10 years in patients with one-stage surgical palate closure, but a difference could no longer be verified at the ages of 15 and 18 years. CONCLUSIONS: The transverse distances in the upper jaw developed initially more positively in the group with delayed hard palate closure, but it became apparent later that the transverse deficiency after one-stage palate closure could be compensated for. When considering surgical treatment in general, the advantages of the delayed hard palate closure must be weighed against criteria favoring the early one-stage closure of the hard and soft palate. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/17214534/One__or_two_stage_palate_closure_in_patients_with_unilateral_cleft_lip_and_palate:_comparing_cephalometric_and_occlusal_outcomes_ L2 - https://journals.sagepub.com/doi/10.1597/05-160?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -