title: Early effect of vomerine flap closure of the hard palate at the time of lip repair on the alveolar gap and other maxillary dimensions.
abstract: OBJECTIVE
  Comparison of the effects of vomerine flap (VF) closure of the hard palate at the time of lip repair with non-closure of the hard palate in subjects with unilateral cleft lip and palate (UCLP).
  
  
  METHODS
  Retrospective, single-blinded, cohort study.
  
  
  METHODS
  Study model sets of 40 consecutive, non-syndromic, infants with complete UCLP operated on between 1988 and 1998.
  
  
  METHODS
  All subjects were operated on by a single consultant plastic surgeon immediately before and after the unit's change of protocol (1993), when VF closure of the hard palate was incorporated at the time of lip repair. Subjects were divided into two groups: VF ( n = 18) and non-VF (n = 22), which acted as a control group. Each subject had maxillary impressions taken before lip repair at 3 months (VF mean age = 11.7 weeks; non-VF mean age = 13.4 weeks) and before palate repair at 6 months (VF mean age = 22.8 weeks; non-VF mean age = 24.0 weeks).
  
  
  METHODS
  Seven predetermined landmarks and four maxillary dimensions were computed following single-blinded analysis using a reflex microscope.
  
  
  RESULTS
  Repeatability tests showed good measurement precision. The operator measurement errors were 0.00018 mm in a horizontal plane (X and Y) and 0.00028 in the vertical plane (Z). The VF group showed significant changes in the alveolar cleft width. There were no statistically significant changes in any arch-form variable between the VF and non-VF groups.
  
  
  CONCLUSIONS
  The decrease of alveolar arch gap width at palate repair (6 months) in the VF group was significantly more than the decrease observed in the non-VF group, and there was no significant decrease in the, anterior and posterior arch width or anteroposterior length of the hard palate in the VF group compared with the non-VF group.
authors: Federica
authors: F
authors: Maggiulli
authors: Norman
authors: N
authors: Hay
authors: Michael
authors: M
authors: Mars
authors: Emma
authors: E
authors: Worrell
authors: James
authors: J
authors: Green
authors: Brian
authors: B
authors: Sommerlad
mesh_terms: D059925:Anatomic Landmarks; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008445:Maxillofacial Development; D021362:Palate, Hard / Q000601:surgery*; D012189:Retrospective Studies; D016037:Single-Blind Method; D013524:Surgical Flaps; D016896:Treatment Outcome; D055172:Vomer / Q000601:surgery*