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Timing of palate repair affecting growth in complete unilateral cleft lip and palate.
J Craniomaxillofac Surg. 2012 Dec; 40(8):e358-62.JC

Abstract

OBJECTIVE

To evaluate the facial morphology characteristics of patients with complete unilateral cleft lip and palate (UCCLPs) who had undergone cleft palate repair at different times.

DESIGN

This study included 46 nonsyndromic UCCLPs and 38 age and sex matched non-cleft patients. 35 cephalometric measurements were used to evaluate the facial morphology. Student's t-test, one-way ANOVA and rank sum tests were used for comparison. Significant difference was defined at 95% level.

RESULTS

The data showed that UCCLPs who had palatoplasty between 7 and 12 years had greater PMP-A, PMP-ANS, Ba-ANS, Ba-A, Ba-N-ANS than those operated on before 4 years of age, and UCCLPs who had palatoplasty at 4-12 years had smaller Y-axis angle than those operated on before 4 years of age.

CONCLUSIONS

The maxillary sagittal length increased gradually as von Langenbeck repair was delayed. UCCLPs who underwent palate repair using von Langenbeck technique at 4-12 years had a more protrusive maxilla and less clockwise rotated mandible than those repaired before 4 years. UCCLPs operated using the von Langenbeck technique at 4-12 years had better head-face morphology than those operated on before 4 years. There was no difference in facial morphology among UCCLPs with palate repair at 4-12 years.

Authors+Show Affiliations

Department of Cleft Lip and Palate Surgery, West China College of Stomatology, Sichuan University, Chengdu, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22484231

Citation

Xu, Xue, et al. "Timing of Palate Repair Affecting Growth in Complete Unilateral Cleft Lip and Palate." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 40, no. 8, 2012, pp. e358-62.
Xu X, Zheng Q, Lu D, et al. Timing of palate repair affecting growth in complete unilateral cleft lip and palate. J Craniomaxillofac Surg. 2012;40(8):e358-62.
Xu, X., Zheng, Q., Lu, D., Huang, N., Li, J., Li, S., Wang, Y., & Shi, B. (2012). Timing of palate repair affecting growth in complete unilateral cleft lip and palate. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 40(8), e358-62. https://doi.org/10.1016/j.jcms.2012.01.022
Xu X, et al. Timing of Palate Repair Affecting Growth in Complete Unilateral Cleft Lip and Palate. J Craniomaxillofac Surg. 2012;40(8):e358-62. PubMed PMID: 22484231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Timing of palate repair affecting growth in complete unilateral cleft lip and palate. AU - Xu,Xue, AU - Zheng,Qian, AU - Lu,Dawei, AU - Huang,Ning, AU - Li,Jingtao, AU - Li,Sheng, AU - Wang,Yan, AU - Shi,Bing, Y1 - 2012/04/05/ PY - 2011/01/01/received PY - 2012/01/31/revised PY - 2012/01/31/accepted PY - 2012/4/10/entrez PY - 2012/4/10/pubmed PY - 2013/5/29/medline SP - e358 EP - 62 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 40 IS - 8 N2 - OBJECTIVE: To evaluate the facial morphology characteristics of patients with complete unilateral cleft lip and palate (UCCLPs) who had undergone cleft palate repair at different times. DESIGN: This study included 46 nonsyndromic UCCLPs and 38 age and sex matched non-cleft patients. 35 cephalometric measurements were used to evaluate the facial morphology. Student's t-test, one-way ANOVA and rank sum tests were used for comparison. Significant difference was defined at 95% level. RESULTS: The data showed that UCCLPs who had palatoplasty between 7 and 12 years had greater PMP-A, PMP-ANS, Ba-ANS, Ba-A, Ba-N-ANS than those operated on before 4 years of age, and UCCLPs who had palatoplasty at 4-12 years had smaller Y-axis angle than those operated on before 4 years of age. CONCLUSIONS: The maxillary sagittal length increased gradually as von Langenbeck repair was delayed. UCCLPs who underwent palate repair using von Langenbeck technique at 4-12 years had a more protrusive maxilla and less clockwise rotated mandible than those repaired before 4 years. UCCLPs operated using the von Langenbeck technique at 4-12 years had better head-face morphology than those operated on before 4 years. There was no difference in facial morphology among UCCLPs with palate repair at 4-12 years. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/22484231/Timing_of_palate_repair_affecting_growth_in_complete_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(12)00038-8 DB - PRIME DP - Unbound Medicine ER -