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Cephalometric analysis of craniofacial morphology and growth in unrepaired isolated cleft palate patients.
J Craniomaxillofac Surg. 2014 Dec; 42(8):1853-60.JC

Abstract

OBJECTIVE

The aim of this study is to analyze the craniofacial morphology in patients with unrepaired isolated cleft palate (UICP) at childhood, adolescence and adulthood, in order to assess the influence of nonsurgical factors on the craniofacial growth in these patients.

MATERIAL AND METHODS

Lateral and posteroanterior cephalograms of 106 non-syndromic UICP patients and 102 normal matched controls were obtained and analyzed. Patients and controls were divided into three subgroups: children (5-7 years), adolescents (12-14 years), and adults (>18 years).

RESULTS

UICP patients in childhood showed a shortened cranial basal length; reduced bony nasopharyngeal height; short maxillary depth and height with a posterior positioned maxilla and an increased width of the nasal cavity, maxilla and orbit; and a shortened mandibular length and height. UICP patients in adulthood showed a normal nasopharyngeal and mandibular morphology. However, the patients in this subgroup still showed a shortened cranial basal length, and short maxillary depth and anterior height with increased width of the nasal cavity, maxilla and orbit.

CONCLUSIONS

Craniofacial morphology and growth in patients with UICP were significantly affected by nonsurgical factors. Growth of the cranial base and upper face were absolutely reduced, while growth of the bony nasopharynx and mandible were only postponed.

Authors+Show Affiliations

Capital Medical University School of Stomatology, Beijing 100050, China. Electronic address: xuyij10@sina.com.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.Department of Oral and Maxillofacial Surgery, Academic Medical Center/ACTA, University of Amsterdam, Amsterdam, The Netherlands.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China. Electronic address: wangyanscu@sina.com.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25169446

Citation

Xu, Yi, et al. "Cephalometric Analysis of Craniofacial Morphology and Growth in Unrepaired Isolated Cleft Palate Patients." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 42, no. 8, 2014, pp. 1853-60.
Xu Y, Yang C, Schreuder WH, et al. Cephalometric analysis of craniofacial morphology and growth in unrepaired isolated cleft palate patients. J Craniomaxillofac Surg. 2014;42(8):1853-60.
Xu, Y., Yang, C., Schreuder, W. H., Shi, J., Shi, B., Zheng, Q., & Wang, Y. (2014). Cephalometric analysis of craniofacial morphology and growth in unrepaired isolated cleft palate patients. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 42(8), 1853-60. https://doi.org/10.1016/j.jcms.2014.07.003
Xu Y, et al. Cephalometric Analysis of Craniofacial Morphology and Growth in Unrepaired Isolated Cleft Palate Patients. J Craniomaxillofac Surg. 2014;42(8):1853-60. PubMed PMID: 25169446.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cephalometric analysis of craniofacial morphology and growth in unrepaired isolated cleft palate patients. AU - Xu,Yi, AU - Yang,Chao, AU - Schreuder,Willem Hans, AU - Shi,Jiayu, AU - Shi,Bing, AU - Zheng,Qian, AU - Wang,Yan, Y1 - 2014/07/29/ PY - 2013/09/14/received PY - 2014/07/11/revised PY - 2014/07/18/accepted PY - 2014/8/30/entrez PY - 2014/8/30/pubmed PY - 2016/3/5/medline KW - Cleft palate KW - Growth and development KW - Skull SP - 1853 EP - 60 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 42 IS - 8 N2 - OBJECTIVE: The aim of this study is to analyze the craniofacial morphology in patients with unrepaired isolated cleft palate (UICP) at childhood, adolescence and adulthood, in order to assess the influence of nonsurgical factors on the craniofacial growth in these patients. MATERIAL AND METHODS: Lateral and posteroanterior cephalograms of 106 non-syndromic UICP patients and 102 normal matched controls were obtained and analyzed. Patients and controls were divided into three subgroups: children (5-7 years), adolescents (12-14 years), and adults (>18 years). RESULTS: UICP patients in childhood showed a shortened cranial basal length; reduced bony nasopharyngeal height; short maxillary depth and height with a posterior positioned maxilla and an increased width of the nasal cavity, maxilla and orbit; and a shortened mandibular length and height. UICP patients in adulthood showed a normal nasopharyngeal and mandibular morphology. However, the patients in this subgroup still showed a shortened cranial basal length, and short maxillary depth and anterior height with increased width of the nasal cavity, maxilla and orbit. CONCLUSIONS: Craniofacial morphology and growth in patients with UICP were significantly affected by nonsurgical factors. Growth of the cranial base and upper face were absolutely reduced, while growth of the bony nasopharynx and mandible were only postponed. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/25169446/Cephalometric_analysis_of_craniofacial_morphology_and_growth_in_unrepaired_isolated_cleft_palate_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(14)00219-4 DB - PRIME DP - Unbound Medicine ER -