Facial growth in unilateral cleft Lip and palate and cleft palate: associations with maxillary dimensions and cleft size in infancy
2011 (English)Article in journal (Refereed) Submitted
Objective: To study facial growth from 5 to 19 years of age and the correlation with maxillary arch dimensions and cleft size in infancy in children with unilateral cleft lip and palate (UCLP) and cleft palate (CP).
Design: Retrospective longitudinal study.
Setting: The Cleft Palate Centre, Uppsala University Hospital, Sweden.
Patients: Thirty-three consecutive patients with UCLP, 64 with CP (51 with cleft palate only (CPo) and 13 with Pierre Robin Sequence (PRS)) were included in the study.
Interventions: Lip repair at 3-4 months in UCLP children. Soft palate repair at 6-7 months and hard palate repair at 2 years in UCLP and CP. Secondary bone grafting at 9 years of age in UCLP.
Main Outcome Measures: Maxillary arch dimensions and cleft size were measured on dental casts taken in infancy. Cephalometrics was used to study facial growth from 5 to 19 years of age.
Results: Maxillary arch depths showed positive correlations to SNA and ANB. Cleft width in infancy was negatively correlated to SNA, ANB and NSBa. The growth rates for SNA and ANB were significantly more negative for the UCLP group compared to the CPo group.
Conclusions: Maxillary arch depths and cleft widths in infancy were associated with maxillary protrusion and sagittal jaw relationships during growth in both UCLP and CP children. Maxillary protrusion and sagittal jaw relation developed less favourably in UCLP compared to CPo.
Place, publisher, year, edition, pages
Unilateral cleft lip and palate, cleft palate, cleft size, maxillary arch dimensions, facial growth
Research subject Oral and Maxillofacial Surgery
IdentifiersURN: urn:nbn:se:uu:diva-160177OAI: oai:DiVA.org:uu-160177DiVA: diva2:448625