Effect on maxillary arch development of early 2-stage palatoplasty by modified furlow technique and conventional 1-stage palatoplasty in children with complete unilateral cleft lip and palate.
J Oral Maxillofac Surg. 2009 Oct; 67(10):2210-6.JO

Abstract

PURPOSE

The purpose of this study was to evaluate the palatal morphology of patients with complete unilateral cleft lip and palate after early 2-stage palatoplasty (ETS) consisting of soft palate closure by a modified Furlow palatoplasty at 12 months of age and hard palate closure at 18 months of age. We compared the result with the palatal morphology obtained by Wardill-Kilner push-back palatoplasty (PB) at 12 months of age with that of children with noncleft palate. In the present study we investigated whether ETS can result in better palatal development than conventional PB.

MATERIALS AND METHODS

Thirty subjects were treated by ETS and 42 underwent PB. We also included cross-sectional data obtained from 66 children with noncleft palate as control. We measured the arch length, width, and cleft width using dental cast models that were consecutively taken at 3 months to 4 yrs of age and compared the results among the 3 groups.

RESULTS

At 4 years of age, the anteroposterior palatal length of ETS was significantly longer than that of PB by 9.8%, and the transversal palatal width of ETS was also markedly wider than that of PB at every point measured. Furthermore, ETS showed potential catch-up growth in the anteroposterior palatal length from 12 months to 4 years of age.

CONCLUSION

These results demonstrate that ETS has a considerable benefit for the palatal development of patients with complete unilateral cleft lip and palate compared with PB.

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Authors+Show Affiliations

Yamanishi T
Department of Oral and Maxillofacial Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
Nishio J
No affiliation info available
Kohara H
No affiliation info available
Hirano Y
No affiliation info available
Sako M
No affiliation info available
Yamanishi Y
No affiliation info available
Adachi T
No affiliation info available
Miya S
No affiliation info available
Mukai T
No affiliation info available

MeSH

Age FactorsCephalometryChild, PreschoolCleft LipCleft PalateCross-Sectional StudiesDental ArchDental ModelsFollow-Up StudiesHumansInfantMaxillaPalatePalate, HardPalate, SoftReconstructive Surgical Procedures

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19761915