Document Detail


Comparison of velopharyngeal growth patterns between cleft lip and/or palate patients requiring or not requiring pharyngeal flap surgery.
MedLine Citation:
PMID:  7833337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This investigation compares the patterns of velopharyngeal growth in cleft lip and/or palate patients. Those who had velopharyngeal competence and acceptable speech are compared with those who presented with velopharyngeal incompetence requiring pharyngeal flap surgery or prosthesis later. Lateral cephalograms of 30 cleft palate only (CPO), 35 unilateral cleft lip and palate (UCLP), and 20 bilateral cleft lip and palate (BCLP) children of the Lancaster Cleft Palate Clinic were studied. These records were taken at 6 month intervals during the first 2 postnatal years and annually thereafter up to 6 years of age. Soft tissue landmark points in the velopharyngeal region were digitized. Length and thickness of the soft palate and height and depth of the nasopharynx were measured. Evaluation of the growth curves of these four cephalometric variables indicated only two significant differences between children who later required pharyngeal flap surgery and those who did not. These differences were found in the growth in length of the soft palate of the CPO group and in the growth in depth of the nasopharynx of the BCLP group. Based on the present cephalometric data, it is impossible to predict at an early age those cleft lip and/or palate patients who will later require pharyngeal flaps.
Authors:
M Mazaheri; A E Athanasiou; R E Long
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  31     ISSN:  1055-6656     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  1994 Nov 
Date Detail:
Created Date:  1995-03-02     Completed Date:  1995-03-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  452-60     Citation Subset:  D; IM    
Affiliation:
Lancaster Cleft Palate Clinic, PA 17602.
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MeSH Terms
Descriptor/Qualifier:
Cephalometry
Child
Child, Preschool
Cleft Lip / pathology,  physiopathology*,  surgery*
Cleft Palate / pathology,  physiopathology*,  surgery*
Female
Humans
Male
Nasopharynx / growth & development,  pathology
Palate, Soft / growth & development*,  pathology
Pharynx / growth & development*,  pathology,  surgery*
Prostheses and Implants
Signal Processing, Computer-Assisted
Speech / physiology
Speech Therapy
Surgical Flaps* / methods
Velopharyngeal Insufficiency / pathology,  physiopathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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