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Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate.
Br J Oral Maxillofac Surg. 2013 Mar; 51(2):144-8.BJ

Abstract

In complete unilateral cleft lip and palate (CLP), a vomerplasty is assumed to improve midfacial growth because of the reduction in scarring in the growth-sensitive areas of the palate. Our aim, therefore, was to evaluate maxillofacial morphology after a modified Langenbeck technique or a vomerplasty in children with complete unilateral CLP who were operated on by a single surgeon. As part of a one-stage closure of complete unilateral CLP done during the first year of life, the technique for repair of the hard palate repair differed between the two groups. In the modified group (n=37, mean age 11 years) a modified von Langenbeck technique was used that resulted in denudation of the bony surface on the non-cleft side only. In the vomerplasty group (n=37, mean age 11 years) a vomerplasty was used to cover the palatal bone. Lateral cephalograms from both groups were compared using the Eurocleft protocol. Fourteen angular variables were measured and 2 ratios calculated. Skeletal morphology in the groups was comparable. Maxillary incisor inclination (ILs/NL angle) and interincisal angle (ILs/ILi) were better after vomerplasty (p=0.001 and 0.04, respectively) but soft tissue facial convexity (gs-prn-pgs) was less good after vomerplasty (p=0.009). However, there was no difference between the groups in the other variable that reflected facial convexity (gs-sn-pgs) (p=0.22). Modification of the palatoplasty had a limited effect on skeletal morphology in preadolescent children, but it resulted in better inclination of the maxillary incisors.

Authors+Show Affiliations

Radboud University Nijmegen Medical Centre, Department of Orthodontics and Craniofacial Biology, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. orthodontics@dent.umcn.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22445646

Citation

Fudalej, Piotr S., et al. "Cephalometric Outcome of Two Types of Palatoplasty in Complete Unilateral Cleft Lip and Palate." The British Journal of Oral & Maxillofacial Surgery, vol. 51, no. 2, 2013, pp. 144-8.
Fudalej PS, Katsaros C, Dudkiewicz Z, et al. Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate. Br J Oral Maxillofac Surg. 2013;51(2):144-8.
Fudalej, P. S., Katsaros, C., Dudkiewicz, Z., Bergé, S. J., & Kuijpers-Jagtman, A. M. (2013). Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate. The British Journal of Oral & Maxillofacial Surgery, 51(2), 144-8. https://doi.org/10.1016/j.bjoms.2012.02.012
Fudalej PS, et al. Cephalometric Outcome of Two Types of Palatoplasty in Complete Unilateral Cleft Lip and Palate. Br J Oral Maxillofac Surg. 2013;51(2):144-8. PubMed PMID: 22445646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate. AU - Fudalej,Piotr S, AU - Katsaros,Christos, AU - Dudkiewicz,Zofia, AU - Bergé,Stefaan J, AU - Kuijpers-Jagtman,Anne Marie, Y1 - 2012/03/24/ PY - 2011/07/26/received PY - 2012/02/23/accepted PY - 2012/3/27/entrez PY - 2012/3/27/pubmed PY - 2013/8/24/medline SP - 144 EP - 8 JF - The British journal of oral & maxillofacial surgery JO - Br J Oral Maxillofac Surg VL - 51 IS - 2 N2 - In complete unilateral cleft lip and palate (CLP), a vomerplasty is assumed to improve midfacial growth because of the reduction in scarring in the growth-sensitive areas of the palate. Our aim, therefore, was to evaluate maxillofacial morphology after a modified Langenbeck technique or a vomerplasty in children with complete unilateral CLP who were operated on by a single surgeon. As part of a one-stage closure of complete unilateral CLP done during the first year of life, the technique for repair of the hard palate repair differed between the two groups. In the modified group (n=37, mean age 11 years) a modified von Langenbeck technique was used that resulted in denudation of the bony surface on the non-cleft side only. In the vomerplasty group (n=37, mean age 11 years) a vomerplasty was used to cover the palatal bone. Lateral cephalograms from both groups were compared using the Eurocleft protocol. Fourteen angular variables were measured and 2 ratios calculated. Skeletal morphology in the groups was comparable. Maxillary incisor inclination (ILs/NL angle) and interincisal angle (ILs/ILi) were better after vomerplasty (p=0.001 and 0.04, respectively) but soft tissue facial convexity (gs-prn-pgs) was less good after vomerplasty (p=0.009). However, there was no difference between the groups in the other variable that reflected facial convexity (gs-sn-pgs) (p=0.22). Modification of the palatoplasty had a limited effect on skeletal morphology in preadolescent children, but it resulted in better inclination of the maxillary incisors. SN - 1532-1940 UR - https://www.unboundmedicine.com/medline/citation/22445646/Cephalometric_outcome_of_two_types_of_palatoplasty_in_complete_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-4356(12)00079-4 DB - PRIME DP - Unbound Medicine ER -