Document Detail

Maxillary growth in patients with complete cleft lip and palate, operated on around 4-6 months of age.
MedLine Citation:
PMID:  20211494     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The controversy about timing of cleft palate repair has been focused on early closure for improved speech versus delayed repair for enhancing maxillary growth. Early palatal repair enhances phonological development decreasing the frequency of articulation disorders associated with velopharyngeal insufficiency (VPI). In contrast, it has been described that early surgery adversely affects maxillary growth. OBJECTIVE: The purpose of this paper is to study maxillary growth in a group of cleft palate patients operated on around 4-6 months of age, and receiving further orthodontic treatment. MATERIALS AND METHODS: A group of 20 cleft palate patients, who were subjected to early minimal incision palatopharyngoplasty around 4-6 months of age, were followed for a minimum of 10 years (range: 10-14 years). All patients received the same orthodontic management, starting at 4 years of age. None of the patients had orthognatic surgery or alveolar bone grafting. After orthodontic treatment, their cephalometric data were compared with a group of subjects without cleft lip and palate, matched by gender and who were within the age range of the cleft palate group. RESULTS: SNA, SNB, ANB, and WITS cephalometric measures were compared. A non-significant difference was found in all measurements between the two groups. CONCLUSION: Early cleft palate repair enhances phonological development. Although maxillary growth is affected in cleft palate patients, appropriate orthodontic treatment can achieve normal maxillary growth as measured during adolescence.
Antonio Ysunza; Ma C Pamplona; Julio Quiroz; Manuel Yudovich; Fernando Molina; Stephanie González; Katia Chavelas
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Publication Detail:
Type:  Journal Article     Date:  2010-03-07
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  74     ISSN:  1872-8464     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-16     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  482-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Cleft Palate Clinic, Hospital Gea Gonzalez, 4800 Calzada de Tlalpan, Mexico City, Mexico.
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MeSH Terms
Case-Control Studies
Cleft Lip / surgery*
Cleft Palate / surgery*
Follow-Up Studies
Maxilla / growth & development*
Orthodontics, Corrective

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