Long-Term Incisal Relationships After Palatoplasty in Patients With Isolated Cleft Palate
| Autor: | Derick A. Mendonca, Albert S. Woo, Elizabeth B. Odom, Richard J. Nissen, Donald V. Huebener, Kamlesh B. Patel, Gary B. Skolnick |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Palate Hard Adolescent medicine.medical_treatment Surgical Flaps Article 03 medical and health sciences 0302 clinical medicine Medicine Humans In patient 030223 otorhinolaryngology Maxillary growth Child Retrospective Studies Orthodontics business.industry 030206 dentistry General Medicine Plastic Surgery Procedures Term (time) Cleft Palate Palatoplasty medicine.anatomical_structure Malocclusion Angle Class III Treatment Outcome Otorhinolaryngology Surgery Female Hard palate business Follow-Up Studies Forecasting |
| Zdroj: | The Journal of craniofacial surgery. 27(4) |
| ISSN: | 1536-3732 |
| Popis: | Various palatoplasty techniques have limited incisions in the hard palate due to concerns that these incisions may limit maxillary growth. There is little convincing long-term evidence to support this. Our purpose is to determine incisal relationships, an indicator for future orthognathic procedure, in patients after repair of an isolated cleft of the secondary palate.Our craniofacial database was used to identify patients aged 10 years or greater with an isolated cleft of the secondary palate who underwent palatoplasty between 1985 and 2002. Data collected included age at palatoplasty and follow-up, cleft type, associated syndrome, Robin sequence, surgeon, repair technique, number of operations, and occlusion. Incisal relationship was determined through clinical observation by a pediatric dentist and orthodontist.Seventy eligible patients operated on by 9 surgeons were identified. Class III incisal relationship was seen in 5 patients (7.1%). Palatoplasty techniques over the hard palate (63 of 70 patients) included 2-flap palatoplasty, VY-pushback, and Von Langenbeck repair. There was an association between class III incisal relationship and syndromic diagnosis (P 0.001). Other study variables were not associated with class III incisal relationships.In patients with an isolated cleft of the secondary palate, there was no association between class III incisal relationship and surgeon, age at repair, cleft type, palatoplasty technique, or number of operations. Increased likelihood of class III incisal relationship was associated primarily with syndromic diagnosis. |
| Databáze: | OpenAIRE |
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