Dental Journal (Majalah Kedokteran Gigi)
ISSN 1978-3728
Vol. 45 / No. 2 / Published : 2012-06
Order : 10, and page :107 - 113
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Original Article :
Craniofacial morphology of children with complete unilateral cleft lip and palate following labioplasty and palatoplasty
Author :
- Sigit Handoko Utomo*1
- Krisnawati*2
- Benny M. Soegiharto *3
- Dental practitioner
- Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta - Indonesia
- Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta - Indonesia
Abstract :
Background: A complete unilateral cleft lip and palate generally results in asymmetry of the midface. The lack of continuity inthe perilabial musculature through the midline contributes to a malpositioning of the underlying osseus structures which are oftenunderdeveloped. Purpose: The purpose of this study was to determine whether there are differences in the craniofacial morphologyamong children with complete unilateral cleft lip and palate following labioplasty and palatoplasty as compared with children withoutcleft lip and palate at the same pubertal age. Methods: A series of 14 consecutively treated subjects with complete unilateral cleft lipand palate following labioplasty and palatoplasty were compared with 14 pubertal stage-matched controls with normal craniofacialstructure. Pubertal stage was determined with cervical vertebral maturation (CVM) method improved by Baccetti et al, 2002. Lateralcephalograms were used for comparison. An unpaired t-test was run for 14 subjects with complete unilateral cleft lip and palate and 14normal subjects. Results: There were significant cephalometric differences in anterior cranial base length (p = .002), cranial base length(p = .001), maxillary length (p = .000), mandibular length (p = .000), mandibular ramus height (p = .000), mandibular body length(p = .002), and upper anterior face height (p = .004). There was no significant cephalometric difference in posterior cranial base length(p = .051), lower anterior face height (p = .206), posterior face height (p = .865), growth pattern/ facial type (p = .202). Conclusion:There were craniofacial morphology differences between children with complete unilateral cleft lip and palate post labioplasty andpalatoplasty and children without cleft lip and palate at the age of pubertal. Children with complete unilateral cleft lip and palate postlabioplasty and palatoplasty had shorter length of the anterior cranial base, cranial base, maxilla, mandible, mandibular ramus height,mandibular body, and upper anterior face height as compared with children without cleft lip and palate at the age of pubertal.
Keyword :
Cephalometrics , complete unilateral cleft lip and palate, craniofacial morphology,
References :
Meng L,(2009) Biological mechanisms in patogenesis and cleft palate - : J Dent Res
Archive Article
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Volume : 45 / No. : 2 / Pub. : 2012-06 |
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