Isolated influences of surgery repair on maxillofacial growth in complete unilateral cleft lip and palate

Publication date: Available online 24 March 2016
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Zhi-Wei Zheng, Yi-Ming Fang, Chong-Xiang Lin
PurposeThe purpose of this study was to investigate the characteristics of maxillofacial morphology in operated and unoperated children with complete unilateral cleft lip and palate (UCLP), aiming for further understanding the relationship between surgery and inhibition of maxillary growth.Material and MethodsLateral cephalometric radiographs were taken for 3 groups at 9 years of age: (1) 20 UCLP, in whom lip and palate repair was performed as infants; (2) 20 cases who had no surgical repaired or any relevant treatments; and (3) 20 non-cleft peers as controls.ResultsSignificant morphological deviations of patients with UCLP in the group (1) and (2) from the normal control subjects were observed in the cranial base angle, the maxillary heights, the length and shape of the mandible and the anteroposterior jaw relationship. The facial morphology was fairly similar between the group (1) and (2) except for a somewhat less vertical maxillary height and more obtuse gonial angle in the operated group.ConclusionThe facial morphology in UCLP children differs significantly from that of normal children. The differences can be ascribed to the difference in the primary anomaly in the UCLP group, but the isolated surgery has minor effects on growth disturbances.

Graphical abstract

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