Facial growth in patients with unilateral clefts of the lip and palate: a two-center study

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
D Roberts-HarryN Killingback

Abstract

Two groups of 10-year-old patients with complete unilateral clefts of the lip and palate were examined in this study. Two centers; Bristol, U.K. and Oslo, Norway, who had different treatment regimens were used. The groups comprised 40 patients from Oslo and 32 from Bristol. The groups were matched, in proportion to the size of the groups, for age, sex, and presence of Simonart's bands. In Oslo, a Millard lip repaired was performed at 3 months of age with a von Langenbeck palatal repair at 18 months, no presurgical orthopedics was employed and there was no primary nasal correction. The Bristol center also repaired the lip at 3 months with a Millard type repair but also performed a radical nasal correction at the same time. The palate was repaired at 6 months with a Veau repair, and presurgical orthopedics using a pinned arch orthopedic plate was carried out. In addition, the volume of primary repairs per surgeon was much higher in Oslo, and a much stricter treatment protocol was used compared with Bristol. Lateral cephalograms obtained within 1 year of the child's tenth birthday were digitized, and the craniofacial morphology of the two groups was compared. Significant differences in maxillary growth and soft tissue profile were...Continue Reading

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Citations

May 18, 2004·Clinics in Plastic Surgery·Carla A Evans
May 18, 2001·British Journal of Plastic Surgery·N TimoneyR W Pigott
Sep 23, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Aslıhan Uzel, Z Nazan Alparslan
Aug 10, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Nazan AdaliBrian Sommerlad
Mar 4, 2014·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Iris MoreiraWendy Lou
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Mar 17, 2017·Annals of Plastic Surgery·Anna R SchoenbrunnerAmanda Gosman
Apr 12, 2017·Annals of Plastic Surgery·Cecilia Dalle OreAmanda Gosman
Oct 29, 2002·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·A T DiBiaseB C Sommerlad
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Jul 18, 2018·The Journal of Craniofacial Surgery·Percy Rossell-Perry
May 3, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Piotr FudalejMaria Hortis-Dzierzbicka
Mar 13, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Soung Min KimJe Geun Chi
Oct 30, 2008·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Piotr FudalejZofia Dudkiewicz
Jun 28, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Marcella R BothwellBrock D Ridenour
Jul 21, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Omar Gabriel da Silva FilhoGunvor Semb

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