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Facial growth in children with complete cleft of the primary palate and intact secondary palate.
J Oral Maxillofac Surg. 2012 Jan; 70(1):e66-71.JO

Abstract

PURPOSE

Children with unoperated cleft lip/palate have nearly normal facial growth, whereas patients who have had labiopalatal repair often exhibit midfacial retrusion. The aim of this study was to compare cephalometric data in patients with repaired unilateral or bilateral complete cleft lip/alveolus (UCCLA or BCCLA) with patients with repaired unilateral or bilateral complete cleft lip/palate (UCCLP or BCCLP). This study might provide insight into the etiology of impaired facial growth in patients with repaired cleft lip/palate.

MATERIALS AND METHODS

This was a retrospective, cross-sectional analysis of nonsyndromic patients with UCCLA, BCCLA, UCCLP, and BCCLP. Angular and linear measurements of the midfacial region were made on traced lateral cephalograms. Paired t tests were used to compare each group with normative controls from the Michigan Growth Study. Multivariate analysis of variance was used to determine possible differences among the groups.

RESULTS

There were 77 patients (38 male and 39 female) with a mean age of 11.2 years (range, 6 to 16 years; UCCLA, n = 25; BCCLA, n = 7; UCCLP, n = 18; and BCCLP, n = 27). There was no significant difference in midfacial position between the UCCLA and BCCLA groups and noncleft age-matched controls. In contrast, the maxilla in patients with UCCLP and BCCLP was significantly smaller and more retruded (P < .05) compared with patients with UCCLA and BCCLA and controls.

CONCLUSIONS

Children with UCCLA and BCCLA appear to have normal midfacial growth, whereas the maxilla in children with UCCLP and BCCLP is small and retrusive. This study suggests that the presence and/or repair of the secondary palate is responsible for midfacial hypoplasia in these patients.

Authors+Show Affiliations

Department of Orthodontics and Pediatric Dentistry, The University of Michigan, Ann Arbor, MI, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22182663

Citation

Saperstein, Elliot L., et al. "Facial Growth in Children With Complete Cleft of the Primary Palate and Intact Secondary Palate." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 70, no. 1, 2012, pp. e66-71.
Saperstein EL, Kennedy DL, Mulliken JB, et al. Facial growth in children with complete cleft of the primary palate and intact secondary palate. J Oral Maxillofac Surg. 2012;70(1):e66-71.
Saperstein, E. L., Kennedy, D. L., Mulliken, J. B., & Padwa, B. L. (2012). Facial growth in children with complete cleft of the primary palate and intact secondary palate. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 70(1), e66-71. https://doi.org/10.1016/j.joms.2011.08.022
Saperstein EL, et al. Facial Growth in Children With Complete Cleft of the Primary Palate and Intact Secondary Palate. J Oral Maxillofac Surg. 2012;70(1):e66-71. PubMed PMID: 22182663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Facial growth in children with complete cleft of the primary palate and intact secondary palate. AU - Saperstein,Elliot L, AU - Kennedy,Daniel L, AU - Mulliken,John B, AU - Padwa,Bonnie L, PY - 2011/04/12/received PY - 2011/08/09/revised PY - 2011/08/12/accepted PY - 2011/12/21/entrez PY - 2011/12/21/pubmed PY - 2012/3/1/medline SP - e66 EP - 71 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 70 IS - 1 N2 - PURPOSE: Children with unoperated cleft lip/palate have nearly normal facial growth, whereas patients who have had labiopalatal repair often exhibit midfacial retrusion. The aim of this study was to compare cephalometric data in patients with repaired unilateral or bilateral complete cleft lip/alveolus (UCCLA or BCCLA) with patients with repaired unilateral or bilateral complete cleft lip/palate (UCCLP or BCCLP). This study might provide insight into the etiology of impaired facial growth in patients with repaired cleft lip/palate. MATERIALS AND METHODS: This was a retrospective, cross-sectional analysis of nonsyndromic patients with UCCLA, BCCLA, UCCLP, and BCCLP. Angular and linear measurements of the midfacial region were made on traced lateral cephalograms. Paired t tests were used to compare each group with normative controls from the Michigan Growth Study. Multivariate analysis of variance was used to determine possible differences among the groups. RESULTS: There were 77 patients (38 male and 39 female) with a mean age of 11.2 years (range, 6 to 16 years; UCCLA, n = 25; BCCLA, n = 7; UCCLP, n = 18; and BCCLP, n = 27). There was no significant difference in midfacial position between the UCCLA and BCCLA groups and noncleft age-matched controls. In contrast, the maxilla in patients with UCCLP and BCCLP was significantly smaller and more retruded (P < .05) compared with patients with UCCLA and BCCLA and controls. CONCLUSIONS: Children with UCCLA and BCCLA appear to have normal midfacial growth, whereas the maxilla in children with UCCLP and BCCLP is small and retrusive. This study suggests that the presence and/or repair of the secondary palate is responsible for midfacial hypoplasia in these patients. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/22182663/Facial_growth_in_children_with_complete_cleft_of_the_primary_palate_and_intact_secondary_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(11)01396-6 DB - PRIME DP - Unbound Medicine ER -