Τίτλος:
A two-centre study on facial morphology in patients with complete bilateral cleft lip and palate at nine years of age
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The aim of this study was to compare craniofacial morphology and soft tissue profiles in patients with complete bilateral cleft lip and palate at 9 years of age, treated in two European cleft centres with delayed hard palate closure but different treatment protocols. The cephalometric data of 83 consecutively treated patients were compared (Gothenburg, N = 44; Nijmegen, N = 39). In total, 18 hard tissue and 10 soft tissue landmarks were digitized by one operator. To determine the intra-observer reliability 20 cephalograms were digitized twice with a monthly interval. Paired t-test, Pearson correlation coefficients and multiple regression models were applied for statistical analysis. Hard and soft tissue data were superimposed using the Generalized Procrustes Analysis. In Nijmegen, the maxilla was protrusive for hard and soft tissue values (P = 0.001, P = 0.030, respectively) and the maxillary incisors were retroclined (P < 0.001), influencing the nasolabial angle, which was increased in comparison with Gothenburg (P = 0.004). In conclusion, both centres showed a favourable craniofacial form at 9-10 years of age, although there were significant differences in the maxillary prominence, the incisor inclination and soft tissue cephalometric values. Follow-up of these patients until facial growth has ceased, may elucidate components for outcome improvement. © 2011 International Association of Oral and Maxillofacial Surgeons.
Συγγραφείς:
Bartzela, T.N.
Katsaros, C.
Bronkhorst, E.M.
Rizell, S.
Halazonetis, D.
Kuijpers-Jagtman, A.M.
Περιοδικό:
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
Λέξεις-κλειδιά:
article; child; cleft lip palate; craniofacial morphology; face; female; hard palate; human; lip reconstruction; major clinical study; male; maxilla osteotomy; nose surgery; school child; soft palate; time; treatment outcome, Age Factors; Alveoloplasty; Bone Transplantation; Cephalometry; Cleft Lip; Cleft Palate; Clinical Protocols; Face; Facial Bones; Female; Follow-Up Studies; Humans; Image Processing, Computer-Assisted; Incisor; Lip; Male; Maxilla; Maxillofacial Development; Nose; Osteotomy; Palatal Obturators; Palate, Hard; Palate, Soft; Treatment Outcome
DOI:
10.1016/j.ijom.2011.02.029
