The Impact of Facial Growth in Unilateral Cleft Lip and Palate Treated With 2 Different Protocols.
| Autor: | Wong LS; From the Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Hospital Sibu, Sibu, Malaysia., Lu TC; Craniofacial Center, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, The College of Medicine, Chang Gung University, Taoyuan, Taiwan., Hang DTD; Orthodontist, National Children Hospital, Hanoi, Vietnam., Chen PK; Craniofacial Center, Taipei Medical University Hospital & Taipei Medical University, Taipei, Taiwan. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of plastic surgery [Ann Plast Surg] 2020 May; Vol. 84 (5), pp. 541-544. |
| DOI: | 10.1097/SAP.0000000000002232 |
| Abstrakt: | Background and Aim: It is well known that palatoplasty can often cause disturbances in maxillary growth. The use of a single-layer vomer flap for the early closure of the hard palate is controversy among surgeons. The aim of this study is to compare the 10-year facial growth of 2 surgical protocols in the treatment of patients with unilateral cleft lip and palate performed by a single surgeon. Methods: This retrospective analysis includes 43 nonsyndromic patients with complete unilateral cleft lip with or without a vomer flap for the closure of the hard palate during cleft-lip repair. Lateral cephalograms were obtained at the age of 5, 7, and 9 years old, and angular measurements were used to assess patient's facial growth. The Mann-Whitney U test was used to compare 2 treatment protocol groups. Result: A total of 23 patients in protocol 1 group (16 male, 7 female) and 20 patients in protocol 2 group (10 male, 10 female) were included. At the age of 5 and 7, there was no significant difference of maxillary and mandibular growth in both groups. At the age of 9 years, all the angular measurement revealed statistical significance with SNA (P = 0.02), SNB (P = 0.05), ANB (P < 0.01), and SNPg (P = 0.05). Conclusions: The present study has shown that early anterior palate repair for 3-month-old cleft patients have better maxillary growth and less mandibular prognathism. |
| Databáze: | MEDLINE |
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