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Upper airway features of unilateral cleft lip and palate patients in different growth stages.
Angle Orthod. 2019 07; 89(4):575-582.AO

Abstract

OBJECTIVES

To compare growth-related changes of skeletal and upper airway features of unilateral cleft lip and palate subjects (UCLP) with non-cleft control (NCC) subjects by using lateral cephalograms.

MATERIALS AND METHODS

The sample comprised 238 subjects, collected cross-sectionally, divided into 2 groups: 94 with UCLP, and 144 NCC, subdivided into 4 groups according to their growth stages by using cervical vertebral maturation stage (CVMS). The subgroups were defined as early childhood (stage 1), prepubertal (stage 2: CVMS I and II), pubertal (stage 3: CVMS III and IV), and postpubertal (stage 4: CVMS V and VI).

RESULTS

The maxilla was more retrognathic at stages 2, 3, and 4 in females with UCLP. The mandible was more retrognathic in UCLP at stage 1 in males, and stages 2 and 3 in females. ANB (angle between NA plane and NB plane) was significantly smaller in UCLP subjects at stage 4 for both sexes. A vertical growth pattern was seen in UCLP subjects except males at stages 2 and 3, and females at stage 2. Posterior airway space was significantly narrower at all stages in males and after stage 1 in females. Middle airway space was significantly wider at all stages in females and after stage 1 in males. Epiglottic airway space was significantly narrower in males at stage 3.

CONCLUSIONS

Age- and sex-dependent differences in skeletal morphology and upper-airway widths of the UCLP subjects were identified when compared with controls.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30694706

Citation

Akarsu-Guven, Bengisu, et al. "Upper Airway Features of Unilateral Cleft Lip and Palate Patients in Different Growth Stages." The Angle Orthodontist, vol. 89, no. 4, 2019, pp. 575-582.
Akarsu-Guven B, Karakaya J, Ozgur F, et al. Upper airway features of unilateral cleft lip and palate patients in different growth stages. Angle Orthod. 2019;89(4):575-582.
Akarsu-Guven, B., Karakaya, J., Ozgur, F., & Aksu, M. (2019). Upper airway features of unilateral cleft lip and palate patients in different growth stages. The Angle Orthodontist, 89(4), 575-582. https://doi.org/10.2319/022518-155.1
Akarsu-Guven B, et al. Upper Airway Features of Unilateral Cleft Lip and Palate Patients in Different Growth Stages. Angle Orthod. 2019;89(4):575-582. PubMed PMID: 30694706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Upper airway features of unilateral cleft lip and palate patients in different growth stages. AU - Akarsu-Guven,Bengisu, AU - Karakaya,Jale, AU - Ozgur,Figen, AU - Aksu,Muge, Y1 - 2019/01/29/ PY - 2019/1/30/pubmed PY - 2020/1/4/medline PY - 2019/1/30/entrez KW - Cephalometry KW - Unilateral cleft lip and palate KW - Upper airway SP - 575 EP - 582 JF - The Angle orthodontist JO - Angle Orthod VL - 89 IS - 4 N2 - OBJECTIVES: To compare growth-related changes of skeletal and upper airway features of unilateral cleft lip and palate subjects (UCLP) with non-cleft control (NCC) subjects by using lateral cephalograms. MATERIALS AND METHODS: The sample comprised 238 subjects, collected cross-sectionally, divided into 2 groups: 94 with UCLP, and 144 NCC, subdivided into 4 groups according to their growth stages by using cervical vertebral maturation stage (CVMS). The subgroups were defined as early childhood (stage 1), prepubertal (stage 2: CVMS I and II), pubertal (stage 3: CVMS III and IV), and postpubertal (stage 4: CVMS V and VI). RESULTS: The maxilla was more retrognathic at stages 2, 3, and 4 in females with UCLP. The mandible was more retrognathic in UCLP at stage 1 in males, and stages 2 and 3 in females. ANB (angle between NA plane and NB plane) was significantly smaller in UCLP subjects at stage 4 for both sexes. A vertical growth pattern was seen in UCLP subjects except males at stages 2 and 3, and females at stage 2. Posterior airway space was significantly narrower at all stages in males and after stage 1 in females. Middle airway space was significantly wider at all stages in females and after stage 1 in males. Epiglottic airway space was significantly narrower in males at stage 3. CONCLUSIONS: Age- and sex-dependent differences in skeletal morphology and upper-airway widths of the UCLP subjects were identified when compared with controls. SN - 1945-7103 UR - https://www.unboundmedicine.com/medline/citation/30694706/Upper_airway_features_of_unilateral_cleft_lip_and_palate_patients_in_different_growth_stages_ L2 - https://meridian.allenpress.com/angle-orthodontist/article-lookup/doi/10.2319/022518-155.1 DB - PRIME DP - Unbound Medicine ER -