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Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate.
J Craniomaxillofac Surg. 2015 Jan; 43(1):43-7.JC

Abstract

OBJECTIVE

To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate.

MATERIALS AND METHODS

Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6-12 months and cleft palate repair at age 18-30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov-Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal-Wallis H tests were used for multiple comparisons.

RESULTS

Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p < 0.05) and retrusion of the maxilla (S-Ptm, p < 0.05), A point and ANS point (Ba-N-A, Ba-N-ANS, p < 0.05). Patients treated with two-stage palate repair had a reduced posterior maxillary vertical height (R-PMP, p < 0.05).

CONCLUSIONS

Our results indicated that maxillary sagittal length and position could be perturbed by both one- and two-stage palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, People's Republic of China. Electronic address: xuxue2008hx@163.com.Division of Anatomy and Developmental Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, 120-752, Republic of Korea.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, People's Republic of China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, People's Republic of China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, People's Republic of China.Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, People's Republic of China. Electronic address: leechenghao_cn@yahoo.com.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25457468

Citation

Xu, Xue, et al. "Influence of Different Palate Repair Protocols On Facial Growth in Unilateral Complete Cleft Lip and Palate." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 43, no. 1, 2015, pp. 43-7.
Xu X, Kwon HJ, Shi B, et al. Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate. J Craniomaxillofac Surg. 2015;43(1):43-7.
Xu, X., Kwon, H. J., Shi, B., Zheng, Q., Yin, H., & Li, C. (2015). Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 43(1), 43-7. https://doi.org/10.1016/j.jcms.2014.10.007
Xu X, et al. Influence of Different Palate Repair Protocols On Facial Growth in Unilateral Complete Cleft Lip and Palate. J Craniomaxillofac Surg. 2015;43(1):43-7. PubMed PMID: 25457468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of different palate repair protocols on facial growth in unilateral complete cleft lip and palate. AU - Xu,Xue, AU - Kwon,Hyuk-Jae, AU - Shi,Bing, AU - Zheng,Qian, AU - Yin,Heng, AU - Li,Chenghao, Y1 - 2014/10/25/ PY - 2014/05/29/received PY - 2014/08/10/revised PY - 2014/10/13/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2016/3/22/medline KW - Cleft palate KW - Facial skeleton growth KW - One-stage palate repair KW - Two-stage palate repair KW - Vomer flap SP - 43 EP - 7 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 43 IS - 1 N2 - OBJECTIVE: To address the question of whether one- or two-stage palatal treatment protocol has fewer detrimental effects on craniofacial growth in patients aged 5 years with unilateral complete cleft lip and palate. MATERIALS AND METHODS: Forty patients with non-syndromic unilateral complete cleft lip and palate (UCCLPs) who had received primary cleft lip repair at age 6-12 months and cleft palate repair at age 18-30 months were selected in this study. Eighteen UCCLP patients who received two-stage palate repair were selected as group 1, and 22 UCCLP patients who received one-stage palate repair were selected as group 2. The control group consisted of 20 patients with unilateral incomplete cleft lip (UICL patients) whose age and gender matched with UCCLP patients. A one-sample Kolmogorov-Smirnov test was used to analyze the nature of data distribution. Bonferroni test and Kruskal-Wallis H tests were used for multiple comparisons. RESULTS: Both case groups showed reduced maxillary sagittal length (ANS-PMP, A-PM, p < 0.05) and retrusion of the maxilla (S-Ptm, p < 0.05), A point and ANS point (Ba-N-A, Ba-N-ANS, p < 0.05). Patients treated with two-stage palate repair had a reduced posterior maxillary vertical height (R-PMP, p < 0.05). CONCLUSIONS: Our results indicated that maxillary sagittal length and position could be perturbed by both one- and two-stage palate repair. Vomer flap repair inhibited maxilla vertical growth. Delayed hard palate repair showed less detrimental effects on maxillary growth compared to early hard palate repair in UCCLP patients aged 5 years. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/25457468/Influence_of_different_palate_repair_protocols_on_facial_growth_in_unilateral_complete_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(14)00284-4 DB - PRIME DP - Unbound Medicine ER -