PMID: 11910218Mar 23, 2002Paper

Articulation disorders associated with maxillary growth after attainment of normal articulation after primary palatoplasty for cleft palate

Annals of Plastic Surgery
Tetsuo OyamaTakako Maekawa

Abstract

Little attention has been given to the connection between maxillary growth and the emergence of articulation disorders among cleft palate patients who previously successfully attained normal articulation after undergoing primary palatoplasty. Follow-up assessment of 22 surgically treated unilateral cleft lip and palate patients who attained normal articulation before school entry revealed that, during mixed dentition, half the patients exhibited palatalized articulation and half retained normal articulation. To determine the possible effect on articulation of growth changes in dental arch dimensions, a comparison was made of deciduous dentition and mixed dentition oral cavity measurements. Indications are that palatalized articulation occurs in patients with a smaller anterior palatal volume, the presence of linguoversion teeth, and poorer growth ability. Results reveal the importance of early management of dental arch dimensions, and the need for periodic assessment and management of articulation even for patients who attain normal articulation subsequent to primary palatoplasty.

References

Oct 1, 1991·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Y Yamashita, K Michi
Feb 1, 1991·Annals of Plastic Surgery·K OkazakiT Onizuka
Nov 1, 1985·Annals of Plastic Surgery·N AinodaS Tsukada
Mar 1, 1995·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Y HondaH Tashiro
Nov 1, 1996·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·T S LeenstraH P Freihofer
Jan 8, 2000·Plastic and Reconstructive Surgery·S ParkI Kitano

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Citations

Oct 21, 2011·The Angle Orthodontist·Jasmina PrimožičMaja Ovsenik
Jun 30, 2012·Journal of Speech, Language, and Hearing Research : JSLHR·David J ZajacKatarina L Haley
Mar 14, 2014·The Journal of Craniofacial Surgery·Harry S NayarLorelei J Grunwaldt

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