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Palatal growth in complete unilateral cleft lip and palate patients following neonatal cheiloplasty: Classic and geometric morphometric assessment.
Int J Pediatr Otorhinolaryngol. 2016 Nov; 90:71-76.IJ

Abstract

BACKGROUND

A new method of early neonatal cheiloplasty has recently been employed on patients having complete unilateral cleft lip and palate (cUCLP). We aimed to investigate (1) their detailed palatal morphology before surgery and growth during the 10 months after neonatal cheiloplasty, (2) the growth of eight dimensions of the maxilla in these patients, (3) the development of these dimensions compared with published data on noncleft controls and on cUCLP patients operated using later operation protocol (LOP; 6 months of age).

METHODS

Sixty-six virtual dental models of 33 longitudinally evaluated cUCLP patients were analysed using metric analysis, a dense correspondence model, and multivariate statistics. We compared the palatal surfaces before neonatal cheiloplasty (mean age, 4 days) and before palatoplasty (mean age, 10 months).

RESULTS

The palatal form variability of 10-month-old children was considerably reduced during the observed period thanks to their undisturbed growth, that is, the palate underwent the same growth changes following neonatal cheiloplasty. A detailed colour-coded map identified the most marked growth at the anterior and posterior ends of both segments. The maxilla of cUCLP patients after neonatal cheiloplasty had a growth tendency similar to noncleft controls (unlike LOP).

CONCLUSIONS

Both methodological approaches showed that early neonatal cheiloplasty in cUCLP patients did not prevent forward growth of the upper jaw segments and did not reduce either the length or width of the maxilla during the first 10 months of life.

Authors+Show Affiliations

Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Viničná 7, 128 43, Prague 2, Czech Republic. Electronic address: eva.hoffmannova87@gmail.com.Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Viničná 7, 128 43, Prague 2, Czech Republic.Department of Otorhinolaryngology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84, 150 00, Prague 5, Czech Republic.Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Viničná 7, 128 43, Prague 2, Czech Republic; Department of Software and Computer Science Education, Faculty of Mathematics and Physics, Charles University in Prague, Malostranské nám. 25, 118 00, Prague 1, Czech Republic.Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Viničná 7, 128 43, Prague 2, Czech Republic.Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Viničná 7, 128 43, Prague 2, Czech Republic.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27729158

Citation

Hoffmannova, Eva, et al. "Palatal Growth in Complete Unilateral Cleft Lip and Palate Patients Following Neonatal Cheiloplasty: Classic and Geometric Morphometric Assessment." International Journal of Pediatric Otorhinolaryngology, vol. 90, 2016, pp. 71-76.
Hoffmannova E, Bejdová Š, Borský J, et al. Palatal growth in complete unilateral cleft lip and palate patients following neonatal cheiloplasty: Classic and geometric morphometric assessment. Int J Pediatr Otorhinolaryngol. 2016;90:71-76.
Hoffmannova, E., Bejdová, Š., Borský, J., Dupej, J., Cagáňová, V., & Velemínská, J. (2016). Palatal growth in complete unilateral cleft lip and palate patients following neonatal cheiloplasty: Classic and geometric morphometric assessment. International Journal of Pediatric Otorhinolaryngology, 90, 71-76. https://doi.org/10.1016/j.ijporl.2016.08.028
Hoffmannova E, et al. Palatal Growth in Complete Unilateral Cleft Lip and Palate Patients Following Neonatal Cheiloplasty: Classic and Geometric Morphometric Assessment. Int J Pediatr Otorhinolaryngol. 2016;90:71-76. PubMed PMID: 27729158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Palatal growth in complete unilateral cleft lip and palate patients following neonatal cheiloplasty: Classic and geometric morphometric assessment. AU - Hoffmannova,Eva, AU - Bejdová,Šárka, AU - Borský,Jiri, AU - Dupej,Ján, AU - Cagáňová,Veronika, AU - Velemínská,Jana, Y1 - 2016/08/31/ PY - 2016/07/20/received PY - 2016/08/27/revised PY - 2016/08/29/accepted PY - 2016/10/13/entrez PY - 2016/10/13/pubmed PY - 2017/3/25/medline KW - 3-D geometric morphometry KW - Early neonatal cheiloplasty KW - Palatal growth KW - Traditional morphometry KW - Unilateral cleft lip and palate SP - 71 EP - 76 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 90 N2 - BACKGROUND: A new method of early neonatal cheiloplasty has recently been employed on patients having complete unilateral cleft lip and palate (cUCLP). We aimed to investigate (1) their detailed palatal morphology before surgery and growth during the 10 months after neonatal cheiloplasty, (2) the growth of eight dimensions of the maxilla in these patients, (3) the development of these dimensions compared with published data on noncleft controls and on cUCLP patients operated using later operation protocol (LOP; 6 months of age). METHODS: Sixty-six virtual dental models of 33 longitudinally evaluated cUCLP patients were analysed using metric analysis, a dense correspondence model, and multivariate statistics. We compared the palatal surfaces before neonatal cheiloplasty (mean age, 4 days) and before palatoplasty (mean age, 10 months). RESULTS: The palatal form variability of 10-month-old children was considerably reduced during the observed period thanks to their undisturbed growth, that is, the palate underwent the same growth changes following neonatal cheiloplasty. A detailed colour-coded map identified the most marked growth at the anterior and posterior ends of both segments. The maxilla of cUCLP patients after neonatal cheiloplasty had a growth tendency similar to noncleft controls (unlike LOP). CONCLUSIONS: Both methodological approaches showed that early neonatal cheiloplasty in cUCLP patients did not prevent forward growth of the upper jaw segments and did not reduce either the length or width of the maxilla during the first 10 months of life. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/27729158/Palatal_growth_in_complete_unilateral_cleft_lip_and_palate_patients_following_neonatal_cheiloplasty:_Classic_and_geometric_morphometric_assessment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(16)30285-3 DB - PRIME DP - Unbound Medicine ER -