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Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure.
Int J Oral Maxillofac Surg. 2008 Feb; 37(2):123-30.IJ

Abstract

This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40-80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group.

Authors+Show Affiliations

Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17997279

Citation

Nollet, P J P M., et al. "Cephalometric Evaluation of Long-term Craniofacial Development in Unilateral Cleft Lip and Palate Patients Treated With Delayed Hard Palate Closure." International Journal of Oral and Maxillofacial Surgery, vol. 37, no. 2, 2008, pp. 123-30.
Nollet PJ, Katsaros C, Huyskens RW, et al. Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure. Int J Oral Maxillofac Surg. 2008;37(2):123-30.
Nollet, P. J., Katsaros, C., Huyskens, R. W., Borstlap, W. A., Bronkhorst, E. M., & Kuijpers-Jagtman, A. M. (2008). Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure. International Journal of Oral and Maxillofacial Surgery, 37(2), 123-30.
Nollet PJ, et al. Cephalometric Evaluation of Long-term Craniofacial Development in Unilateral Cleft Lip and Palate Patients Treated With Delayed Hard Palate Closure. Int J Oral Maxillofac Surg. 2008;37(2):123-30. PubMed PMID: 17997279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure. AU - Nollet,P J P M, AU - Katsaros,C, AU - Huyskens,R W F, AU - Borstlap,W A, AU - Bronkhorst,E M, AU - Kuijpers-Jagtman,A M, Y1 - 2007/11/07/ PY - 2006/04/09/received PY - 2007/06/27/revised PY - 2007/09/10/accepted PY - 2007/11/13/pubmed PY - 2008/5/31/medline PY - 2007/11/13/entrez SP - 123 EP - 30 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 37 IS - 2 N2 - This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40-80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group. SN - 0901-5027 UR - https://www.unboundmedicine.com/medline/citation/17997279/Cephalometric_evaluation_of_long_term_craniofacial_development_in_unilateral_cleft_lip_and_palate_patients_treated_with_delayed_hard_palate_closure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(07)00953-8 DB - PRIME DP - Unbound Medicine ER -