Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate

Fudalej, Piotr; Katsaros, Christos; Dudkiewicz, Zofia; Bergé, Stefaan J; Kuijpers-Jagtman, Anne Marie (2013). Cephalometric outcome of two types of palatoplasty in complete unilateral cleft lip and palate. British journal of oral & maxillofacial surgery, 51(2), pp. 144-8. Elsevier 10.1016/j.bjoms.2012.02.012

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In complete unilateral cleft lip and palate (CLP), a vomerplasty is assumed to improve midfacial growth because of the reduction in scarring in the growth-sensitive areas of the palate. Our aim, therefore, was to evaluate maxillofacial morphology after a modified Langenbeck technique or a vomerplasty in children with complete unilateral CLP who were operated on by a single surgeon. As part of a one-stage closure of complete unilateral CLP done during the first year of life, the technique for repair of the hard palate repair differed between the two groups. In the modified group (n=37, mean age 11 years) a modified von Langenbeck technique was used that resulted in denudation of the bony surface on the non-cleft side only. In the vomerplasty group (n=37, mean age 11 years) a vomerplasty was used to cover the palatal bone. Lateral cephalograms from both groups were compared using the Eurocleft protocol. Fourteen angular variables were measured and 2 ratios calculated. Skeletal morphology in the groups was comparable. Maxillary incisor inclination (ILs/NL angle) and interincisal angle (ILs/ILi) were better after vomerplasty (p=0.001 and 0.04, respectively) but soft tissue facial convexity (gs-prn-pgs) was less good after vomerplasty (p=0.009). However, there was no difference between the groups in the other variable that reflected facial convexity (gs-sn-pgs) (p=0.22). Modification of the palatoplasty had a limited effect on skeletal morphology in preadolescent children, but it resulted in better inclination of the maxillary incisors.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics
UniBE Contributor:	Fudalej, Piotr, Katsaros, Christos
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0266-4356
Publisher:	Elsevier
Language:	English
Submitter:	Eveline Carmen Schuler
Date Deposited:	11 Feb 2014 15:36
Last Modified:	05 Dec 2022 14:27
Publisher DOI:	10.1016/j.bjoms.2012.02.012
PubMed ID:	22445646
URI:	https://boris.unibe.ch/id/eprint/39992