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Postnatal treatment factors affecting craniofacial morphology of unilateral cleft lip and palate (UCLP) patients in a Japanese population.
Br J Oral Maxillofac Surg. 2013 Dec; 51(8):e205-10.BJ

Abstract

We have evaluated the craniofacial morphology of Japanese patients with unilateral cleft lip and palate (UCLP) and assessed the various postnatal factors that affect it. Lateral cephalograms of 140 subjects (mean (SD) aged 7 (2) years) with UCLP were taken before orthodontic treatment. Surgeons from Hokkaido University Hospital had done the primary operations. The craniofacial morphology was assessed by angular and linear cephalometric measurements. Cheiloplasty, palatoplasty, and preoperative orthopaedic treatment were chosen as postnatal factors. To compare the assessments of the postnatal factors, we made angular and linear cephalometric measurements for each subject and converted them into Z scores in relation to the mean (SD) of the two variables. Subjects treated by the modified Millard cheiloplasty had larger sella-nasion-point A (SNA) and nasion-point A-pogonion (NA-POG) measurements than subjects treated by the modified Millard with a vomer flap cheiloplasty. Two-stage palatoplasty showed consistently better craniofacial morphology than the other palatoplasty. Subjects who had preoperative orthopaedic treatment with a Hotz plate had significantly larger upper incisor/sella-nasion (U1-SN) measurements than who had no preoperative orthopaedic treatment or an active plate. We conclude that in subjects treated by a modified Millard type of cheiloplasty, a two-stage palatoplasty, and a Hotz plate there were fewer adverse effects on craniofacial morphology.

Authors+Show Affiliations

Orthodontic Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. Electronic address: dralam@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23099108

Citation

Alam, M K., et al. "Postnatal Treatment Factors Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate (UCLP) Patients in a Japanese Population." The British Journal of Oral & Maxillofacial Surgery, vol. 51, no. 8, 2013, pp. e205-10.
Alam MK, Iida J, Sato Y, et al. Postnatal treatment factors affecting craniofacial morphology of unilateral cleft lip and palate (UCLP) patients in a Japanese population. Br J Oral Maxillofac Surg. 2013;51(8):e205-10.
Alam, M. K., Iida, J., Sato, Y., & Kajii, T. S. (2013). Postnatal treatment factors affecting craniofacial morphology of unilateral cleft lip and palate (UCLP) patients in a Japanese population. The British Journal of Oral & Maxillofacial Surgery, 51(8), e205-10. https://doi.org/10.1016/j.bjoms.2012.10.001
Alam MK, et al. Postnatal Treatment Factors Affecting Craniofacial Morphology of Unilateral Cleft Lip and Palate (UCLP) Patients in a Japanese Population. Br J Oral Maxillofac Surg. 2013;51(8):e205-10. PubMed PMID: 23099108.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postnatal treatment factors affecting craniofacial morphology of unilateral cleft lip and palate (UCLP) patients in a Japanese population. AU - Alam,M K, AU - Iida,J, AU - Sato,Y, AU - Kajii,Takashi S, Y1 - 2012/10/23/ PY - 2012/05/03/received PY - 2012/10/02/accepted PY - 2012/10/27/entrez PY - 2012/10/27/pubmed PY - 2015/5/29/medline KW - Cheiloplasty KW - Craniofacial morphology KW - Hotz plate KW - Palatoplasty KW - Unilateral cleft lip and palate SP - e205 EP - 10 JF - The British journal of oral & maxillofacial surgery JO - Br J Oral Maxillofac Surg VL - 51 IS - 8 N2 - We have evaluated the craniofacial morphology of Japanese patients with unilateral cleft lip and palate (UCLP) and assessed the various postnatal factors that affect it. Lateral cephalograms of 140 subjects (mean (SD) aged 7 (2) years) with UCLP were taken before orthodontic treatment. Surgeons from Hokkaido University Hospital had done the primary operations. The craniofacial morphology was assessed by angular and linear cephalometric measurements. Cheiloplasty, palatoplasty, and preoperative orthopaedic treatment were chosen as postnatal factors. To compare the assessments of the postnatal factors, we made angular and linear cephalometric measurements for each subject and converted them into Z scores in relation to the mean (SD) of the two variables. Subjects treated by the modified Millard cheiloplasty had larger sella-nasion-point A (SNA) and nasion-point A-pogonion (NA-POG) measurements than subjects treated by the modified Millard with a vomer flap cheiloplasty. Two-stage palatoplasty showed consistently better craniofacial morphology than the other palatoplasty. Subjects who had preoperative orthopaedic treatment with a Hotz plate had significantly larger upper incisor/sella-nasion (U1-SN) measurements than who had no preoperative orthopaedic treatment or an active plate. We conclude that in subjects treated by a modified Millard type of cheiloplasty, a two-stage palatoplasty, and a Hotz plate there were fewer adverse effects on craniofacial morphology. SN - 1532-1940 UR - https://www.unboundmedicine.com/medline/citation/23099108/Postnatal_treatment_factors_affecting_craniofacial_morphology_of_unilateral_cleft_lip_and_palate__UCLP__patients_in_a_Japanese_population_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-4356(12)00553-0 DB - PRIME DP - Unbound Medicine ER -