Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure

P. J. P. M. Nollet, C. Katsaros, R. W. F. Huyskens, W. A. Borstlap, E. M. Bronkhorst, A. M. Kuijpers-Jagtman*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

64 Citations (Scopus)

Abstract

This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40-80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs were found to be significant predictors for the need for surgery at 18. The need for Surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group.

Original languageEnglish
Pages (from-to)123-130
Number of pages8
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume37
Issue number2
DOIs
Publication statusPublished - Feb-2008
Externally publishedYes

Keywords

  • cephalometry
  • craniofacial development
  • facial growth
  • cleft lip and palate
  • longitudinal study
  • treatment outcome
  • SOFT-TISSUE PROFILE
  • FACIAL GROWTH
  • MORPHOLOGY
  • SURGERY
  • REPAIR
  • FORM
  • AGE

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