The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study
Aim: The aim of this study was to evaluate the effects of surgical repair on craniofacial growth in patients with complete unilateral cleft lip and palate. Materials and Methods: Forty patients were taken and were divided into two groups: Group 1 consisted of 20 patients presenting with a nonsyndrom...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Cleft Lip Palate and Craniofacial Anomalies |
| Subjects: | |
| Online Access: | http://www.jclpca.org/article.asp?issn=2348-2125;year=2020;volume=7;issue=2;spage=84;epage=88;aulast=Kulshrestha |
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| author | Rohit Kulshrestha Mohamed Abdul Wajid Kamlesh Singh Shailesh Shenava Robin Mathew Shradha Katpale Amit Agarwal |
| author_facet | Rohit Kulshrestha Mohamed Abdul Wajid Kamlesh Singh Shailesh Shenava Robin Mathew Shradha Katpale Amit Agarwal |
| author_sort | Rohit Kulshrestha |
| collection | DOAJ |
| description | Aim: The aim of this study was to evaluate the effects of surgical repair on craniofacial growth in patients with complete unilateral cleft lip and palate. Materials and Methods: Forty patients were taken and were divided into two groups: Group 1 consisted of 20 patients presenting with a nonsyndromic complete unilateral cleft lip and palate and Group 2 (control) consisted of 20 patients without any clefts. The lip closure was done by Millard's cleft lip repair technique. Palatal closure was performed by Bardach two-flap palatoplasty. Lateral cephalograms were traced and studied by the same operator. Composite cephalometric analysis was done to measure the various parameters of craniofacial growth. Results: Values of only lower facial height angle and nasion perpendicular to point A were found to be higher in patients with cleft lip and palate as compared to noncleft participants. The values of the rest of the variables were found to be higher in noncleft participants as compared to patients with cleft lip and palate. Differences were found to be statistically significant only for maxillary length (condylion–point A) (P = 0.027), mandibular length (condylion–gnathion) (P = 0.045), upper 1–point A (P = 0.001), lower 1–point A/pogonion (P = 0.039), and upper lip thickness (P = 0.001). Conclusions: Surgical repair of cleft lip and palate affects the growth of maxilla and mandible. There is a restraining effect on the basal part of the premaxilla, and it is influenced by cleft palate and lip repair. |
| first_indexed | 2024-12-14T12:36:14Z |
| format | Article |
| id | doaj.art-145575ad6bdd4226abe4aaf331ac04fe |
| institution | Directory Open Access Journal |
| issn | 2348-2125 2348-3644 |
| language | English |
| last_indexed | 2024-12-14T12:36:14Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cleft Lip Palate and Craniofacial Anomalies |
| spelling | doaj.art-145575ad6bdd4226abe4aaf331ac04fe2022-12-21T23:01:01ZengWolters Kluwer Medknow PublicationsJournal of Cleft Lip Palate and Craniofacial Anomalies2348-21252348-36442020-01-0172848810.4103/jclpca.jclpca_4_20The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective studyRohit KulshresthaMohamed Abdul WajidKamlesh SinghShailesh ShenavaRobin MathewShradha KatpaleAmit AgarwalAim: The aim of this study was to evaluate the effects of surgical repair on craniofacial growth in patients with complete unilateral cleft lip and palate. Materials and Methods: Forty patients were taken and were divided into two groups: Group 1 consisted of 20 patients presenting with a nonsyndromic complete unilateral cleft lip and palate and Group 2 (control) consisted of 20 patients without any clefts. The lip closure was done by Millard's cleft lip repair technique. Palatal closure was performed by Bardach two-flap palatoplasty. Lateral cephalograms were traced and studied by the same operator. Composite cephalometric analysis was done to measure the various parameters of craniofacial growth. Results: Values of only lower facial height angle and nasion perpendicular to point A were found to be higher in patients with cleft lip and palate as compared to noncleft participants. The values of the rest of the variables were found to be higher in noncleft participants as compared to patients with cleft lip and palate. Differences were found to be statistically significant only for maxillary length (condylion–point A) (P = 0.027), mandibular length (condylion–gnathion) (P = 0.045), upper 1–point A (P = 0.001), lower 1–point A/pogonion (P = 0.039), and upper lip thickness (P = 0.001). Conclusions: Surgical repair of cleft lip and palate affects the growth of maxilla and mandible. There is a restraining effect on the basal part of the premaxilla, and it is influenced by cleft palate and lip repair.http://www.jclpca.org/article.asp?issn=2348-2125;year=2020;volume=7;issue=2;spage=84;epage=88;aulast=Kulshresthacephalometric analysiscleft lip and palatemaxillary growthsurgical repair |
| spellingShingle | Rohit Kulshrestha Mohamed Abdul Wajid Kamlesh Singh Shailesh Shenava Robin Mathew Shradha Katpale Amit Agarwal The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study Journal of Cleft Lip Palate and Craniofacial Anomalies cephalometric analysis cleft lip and palate maxillary growth surgical repair |
| title | The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study |
| title_full | The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study |
| title_fullStr | The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study |
| title_full_unstemmed | The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study |
| title_short | The effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients: A prospective study |
| title_sort | effect of surgical correction on craniofacial growth in unilateral cleft lip and palate patients a prospective study |
| topic | cephalometric analysis cleft lip and palate maxillary growth surgical repair |
| url | http://www.jclpca.org/article.asp?issn=2348-2125;year=2020;volume=7;issue=2;spage=84;epage=88;aulast=Kulshrestha |
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