title: One-stage (Warsaw) and two-stage (Oslo) repair of unilateral cleft lip and palate: Craniofacial outcomes.
abstract: The aim of this study was to compare facial development in subjects with complete unilateral cleft lip and palate (CUCLP) treated with two different surgical protocols. Lateral cephalometric radiographs of 61 patients (42 boys, 19 girls; mean age, 10.9 years; SD, 1) treated consecutively in Warsaw with one-stage repair and 61 age-matched and sex-matched patients treated in Oslo with two-stage surgery were selected to evaluate craniofacial morphology. On each radiograph 13 angular and two ratio variables were measured in order to describe hard and soft tissues of the facial region. The analysis showed that differences between the groups were limited to hard tissues – the maxillary prominence in subjects from the Warsaw group was decreased by almost 4° in comparison with the Oslo group (sella-nasion-A-point (SNA) = 75.3° and 79.1°, respectively) and maxillo-mandibular morphology was less favorable in the Warsaw group than the Oslo group (ANB angle = 0.8° and 2.8°, respectively). The soft tissue contour was comparable in both groups. In conclusion, inter-group differences suggest a more favorable outcome in the Oslo group. However, the distinctiveness of facial morphology in background populations (ie, in Poles and Norwegians) could have contributed to the observed results.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, University of Bern, (Head: Prof. Christos Katsaros), Freiburgstrasse 7, CH-3010 Bern, Switzerland; Department of Orthodontics, Medical Faculty of Palacký University, (Head: Assoc. Prof. Milos Spidlen), Palackeho Str. 12, 772 00 Olomouc, Czech Republic. Electronic address: Piotr.Fudalej@zmk.unibe.ch.
authors.forename: Piotr Stanislaw
authors.initials: PS
authors.lastname: Fudalej
authors.affiliation: Private Practice, Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Wegrodzka
authors.affiliation: School of Dentistry, University of Manchester, (Head: Prof. Paul Coulthard), Higher Cambridge Street, Manchester M15 6FH, United Kingdom.
authors.forename: Gunvor
authors.initials: G
authors.lastname: Semb
authors.affiliation: Laboratory of Speech Pathology and Upper Airway Endoscopy, Institute of Mother and Child, (Head: Assoc. Prof. Maria Hortis-Dzierzbicka), Kasprzaka Str. 17A, 01-211 Warsaw, Poland; Department of Otolaryngology and Maxillofacial Surgery, Universitary Clinical Hospital, (Head: Prof. Andrzej Kukwa), Warszawska Str. 30, 10-082 Olsztyn, Poland.
authors.forename: Maria
authors.initials: M
authors.lastname: Hortis-Dzierzbicka
mesh_terms: D002508:Cephalometry / Q000379:methods*; D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Cephalometrics; Cleft lip; Cleft palate; Morphology; Treatment