The Slav-cleft: A three-center study of the outcome of treatment of cleft lip and palate. Part 1: Craniofacial morphology.

Urbanova, Wanda; Klimova, Irena; Brudnicki, Andrzej; Polackova, Petra; Kroupova, Daniela; Dubovska, Ivana; Rachwalski, Martin; Fudalej, Piotr (2016). The Slav-cleft: A three-center study of the outcome of treatment of cleft lip and palate. Part 1: Craniofacial morphology. Journal of cranio-maxillo-facial surgery, 44(11), pp. 1767-1776. Elsevier 10.1016/j.jcms.2016.06.010

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Results of a comparison of the outcomes of treatment of cleft lip and palate can be affected by growth characteristics of populations from which subjects with the clefts are derived. Moreover, conventional cephalometric techniques used in cleft studies for analysis of facial morphology provide only a partial description of shape and are confounded by biases regarding the reference structures. In this retrospective comparison, craniofacial morphology of preadolescent patients with unilateral cleft lip and palate treated in Warsaw (n = 35, age = 10.6 years, SD = 1.2), Prague (n = 38, age = 11.6 years, SD = 1.4), and Bratislava (n = 26, age = 10.5 years, SD = 1.6) were evaluated on cephalograms with the cephalometric method used in the Eurocleft study and geometric morphometrics. We found that patients treated in Warsaw showed slightly more favorable outcomes than in Prague and Bratislava. The differences were related primarily to the position of maxillary alveolar process, cranial base, mandibular angle, and soft tissues. Although no association between a component of treatment protocol and the outcome was found, it is possible that organizational factors such as participation of high-volume, experienced surgeons contributed to these results.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Fudalej, Piotr

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-5182

Publisher:

Elsevier

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

24 Apr 2017 15:43

Last Modified:

24 Apr 2017 15:43

Publisher DOI:

10.1016/j.jcms.2016.06.010

PubMed ID:

27663676

Uncontrolled Keywords:

Cephalometrics, Cleft lip, Cleft palate, Geometric morphometrics, Morphology, Slavs

BORIS DOI:

10.7892/boris.93967

URI:

https://boris.unibe.ch/id/eprint/93967

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