Midface Growth in Patients With Unilateral Cleft Lip and Palate Treated With a Nasoalveolar Molding Protocol
| Autor: | Roberto L. Flores, Pradip R. Shetye, Elçin Esenlik, Sean A. P. Clouston, Marcie S. Rubin, Barry H Grayson |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Treatment protocol Cephalometry Cleft Lip 03 medical and health sciences 0302 clinical medicine Medicine Humans In patient Orthopedic Procedures 030223 otorhinolaryngology Child Maxillofacial Development Retrospective Studies Orthodontics business.industry Infant orthopedics Lateral cephalograms Retrospective cohort study 030206 dentistry General Medicine Cleft Palate Face surgery Otorhinolaryngology Face Surgery Female business Cleft palate surgery |
| Zdroj: | The Journal of craniofacial surgery. 30(6) |
| ISSN: | 1536-3732 |
| Popis: | This retrospective cohort study aimed to determine the impact of a nasoalveolar molding (NAM) protocol on midface growth in school-aged children with non-syndromic unilateral cleft lip and palate (UCLP). Data from 56 consecutively treated, NAM-prepared, Caucasian patients with non-syndromic UCLP from a single US cleft palate center were compared to pooled center data based on 56 patients with non-syndromic UCLP treated at 2 Eurocleft centers that did not use presurgical infant orthopedics (non-PSIO). Lateral cephalograms were obtained and 28 landmarks were identified. Published cephalometric measurements from Eurocleft centers were used for comparison. Seven cephalometric measurements (SNA, SNB, ANB, A'N'B', G'-Sn'-Pg', Sn-CT-LS, ANS-Me/N-Me%), available or derivable for both centers, were analyzed. Means and standard deviations for the 7 measurements were calculated for the NAM center. Student's t-tests were used to compare group means for 6 of the measures and a test of proportion was used for ANS-Me/N-Me%. No significant differences were found between the NAM protocol-prepared group and the Eurocleft non-PSIO centers on any of the 7 analyzed cephalometric relationships after accounting for false discovery rate. The NAM treatment protocol does not appear to impact skeletal or soft tissue facial growth in school-aged children with non-syndromic UCLP. |
| Databáze: | OpenAIRE |
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