Comparison of craniofacial morphology in patients with bilateral complete cleft of primary versus secondary palate.
OBJECTIVE
To identify and compare the craniofacial morphology of patients with bilateral complete cleft of primary palate (BCCPP) and bilateral complete cleft of secondary palate (BCCSP). In addition, to evaluate the differential effects of lip repair and palatal repair on the craniofacial morphology in cleft patients.


METHODS
Twenty-four children, 10 boys and 14 girls, mean age of 5.8 years, with BCCPP (BCCPP group). Twenty-five children, 10 boys and 15 girls, mean age of 5.6 years, with BCCSP (BCCSP group).


METHODS
Retrospective analysis.


METHODS
Cephalometric analysis was used to determine the craniofacial morphology at about 5 years of age.


RESULTS
Compared with the BCCSP group, the BCCPP group demonstrated longer maxillary length, more protruded maxilla, more favorable jaw relation, more severely retroclined maxillary incisors, and larger overjet.


CONCLUSIONS
The subjects with BCCPP had craniofacial characteristics that differed significantly from those with BCCSP. It could also be speculated that palatal repair had more adverse effect on the growth of the maxilla in length; however, that repair influenced less the anteroposterior position of maxillary incisors than lip repair did.
Liao
Yu-Fang
YF
Department of Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan.
Huang
Chiung-Shing
CS
Noordhoff
M Samuel
MS
D002508:Cephalometry; D002675:Child, Preschool; D002971:Cleft Lip / Q000473:pathology / Q000601:surgery; D002972:Cleft Palate / Q000145:classification* / Q000473:pathology / Q000601:surgery; D003724:Dental Arch / Q000473:pathology; D003766:Dental Occlusion; D005147:Facial Bones / Q000473:pathology*; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008310:Malocclusion / Q000473:pathology; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000002:abnormalities / Q000473:pathology; D009295:Nasal Bone / Q000473:pathology; D012189:Retrospective Studies; D012658:Sella Turcica / Q000473:pathology; D012886:Skull / Q000473:pathology*; D019291:Skull Base / Q000473:pathology; D013223:Statistics as Topic