Retrospective Evaluation of Craniofacial Growth of Japanese Children with Isolated Cleft Palate: From Palatoplasty to Adolescence

2005 ◽  
Vol 42 (6) ◽  
pp. 625-632 ◽  
Author(s):  
Sayaka Fujita ◽  
Akira Suzuki ◽  
Norifumi Nakamura ◽  
Masaaki Sasaguri ◽  
Yasutaka Kubota ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Craniofacial Morphology ◽  
University Hospital ◽  
Vertical Position ◽  
Craniofacial Growth ◽  
Facial Height ◽  
Anterior Cranial Base ◽  
Normal Occlusion ◽  
Isolated Cleft Palate ◽  
Remarkable Deviation

Objectives The purposes of this study were to analyze the craniofacial growth in women with an isolated cleft palate, to compare their matured craniofacial form with that of women with normal occlusion, and to survey the factors that influenced the matured craniofacial morphology of the adults with cleft palate during their growth process. Materials and Methods Eighteen women with nonsyndromic isolated cleft palate were chosen from patients who received a palatoplasty at the Kyushu University Hospital, Fukuoka, Japan. Their lateral cephalometric radiographs were taken longitudinally from palatoplasty to adolescence. Fifty women with normal occlusion were chosen as controls. From their lateral cephalographs, linear and angular variables were calculated using the x,y coordinates of 20 skeletal landmarks. Results Maxillary length was shorter and the nasomaxillary complex was positioned more posteriorly in relation to the anterior cranial base of the adults with isolated cleft palate, compared with the controls. The mandible was shorter and was rotated inferiorly and posteriorly. However, remarkable deviation from the average craniofacial growth pattern was not recognized from palatoplasty to adolescence. The factors that influenced the craniofacial growth in the subjects with cleft palate were the forward growth of the A point from 2 to 5 years of age, the downward growth of the Ba point, the anterior upper facial height N-Ans in puberty, and the vertical position of the point Ba at the time of palatoplasty. Conclusion This study provided evidence of the growth tendency and the factors influencing the intermaxillary relationship in subjects with isolated cleft palate. These are significant for orthodontic treatment planning.

scholarly journals The Craniofacial Morphology in Adult Patients with Unoperated Isolated Cleft Palate

Bone Research ◽  
2013 ◽  
Vol 1 (2) ◽  
pp. 195-200 ◽  
Author(s):  
Zhongtai Ye ◽  
Xue Xu ◽  
Adalet Ahmatjian ◽  
Shi Bing
Keyword(s):  
Cleft Palate ◽  
Adult Patients ◽  
Craniofacial Morphology ◽  
Isolated Cleft Palate

Longitudinal Study of Craniofacial Growth in Subjects with Cleft Lip and Palate: From Cheiloplasty to 8 Years of Age

1995 ◽  
Vol 32 (2) ◽  
pp. 156-166 ◽  
Author(s):  
Byeong-Ju Han ◽  
Akira Suzuki ◽  
Hideo Tashiro
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Growth Increment ◽  
Craniofacial Morphology ◽  
Craniofacial Growth ◽  
Anterior Maxilla ◽  
Gonial Angle ◽  
Growth Increments ◽  
Linear Dimensions ◽  
Isolated Cleft Palate

Craniofacial morphology was compared in 10 patients with unilateral cleft lip and alveolus (UCLA), 33 with complete unilateral cleft lip and palate (UCLP), and 14 patients with isolated cleft palate (CP). Serial lateral and posteroanterior cephalograms, obtained just before lip repair at 4 months or palatoplasty at 2 years, and at 4 and 8 years of age, were analyzed through comparisons with the means and growth increments of craniofacial dimensions. Facial forms at 8 years of age were compared with those of 33 noncleft subjects. Wider upper facial width before lip repair in the UCLP patients diminished slightly following surgery, but the condition persisted up to 8 years of age. Less forward growth of the maxilla was found in the subjects who received palatoplasty and a larger vertical growth increment in anterior maxilla occurred in the UCLP patients. Posterior maxillary height showed no significant differences in its growth increment among patients with clefts, but shorter posterior maxillary height in the UCLP patients continued. Linear dimensions of the mandible did not differ among cleft subjects, but a larger intercondylar width, a larger gonial angle, and a slightly retruded mandible in the CP patients and UCLP patients suggested compensation of the mandible to a wider and retroinclined nasomaxillary complex.

scholarly journals Craniofacial Morphology in Japanese Patients with the Pierre Robin Sequence and Isolated Cleft Palate

2005 ◽  
Vol 17 (2) ◽  
pp. 105-113
Author(s):  
Yuichi NISHIMOTO ◽  
Yuko TOI ◽  
Tetsutaro YAMAGUCHI ◽  
Ayako NAGASHIMA ◽  
Kan NAKAJIMA ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Japanese Patients ◽  
Craniofacial Morphology ◽  
Pierre Robin Sequence ◽  
Robin Sequence ◽  
Isolated Cleft Palate ◽  
Pierre Robin

Speech Outcomes in Isolated Cleft Palate: Impact of Cleft Extent and Additional Malformations

2002 ◽  
Vol 39 (4) ◽  
pp. 397-408 ◽  
Author(s):  
Christina Persson ◽  
Anna Elander ◽  
Anette Lohmander-Agerskov ◽  
Ewa Söderpalm
Keyword(s):  
Cleft Palate ◽  
Soft Palate ◽  
Hard Palate ◽  
Reference Group ◽  
University Hospital ◽  
Perceptual Judgment ◽  
Cross Sectional ◽  
Velopharyngeal Function ◽  
Isolated Cleft Palate ◽  
The Impact

Objective The purpose of the study was to study the speech outcome in a series of 5-year-old children born with an isolated cleft palate and compare the speech with that of noncleft children and to study the impact of cleft extent and additional malformation on the speech outcome. Design A cross-sectional retrospective study. Setting A university hospital serving a population of 1.5 million inhabitants. Subjects Fifty-one patients with an isolated cleft palate; 22 of these had additional malformations. Thirteen noncleft children served as a reference group. Interventions A primary soft palate repair at a mean of 8 months of age and a hard palate closure at a mean age of 4 years and 2 months if the cleft extended into the hard palate. Main outcome Measures Perceptual judgment of seven speech variables assessed on a five-point scale by three experienced speech pathologists. Results The cleft palate group had significantly higher frequency of speech symptoms related to velopharyngeal function than the reference group. There were, however, no significant differences in speech outcome between the subgroup with a nonsyndromic cleft and the reference group. Cleft extent had a significant impact on the variable retracted oral articulation while the presence of additional malformations had a significant impact on several variables related to velopharyngeal function and articulation errors. Conclusion Children with a cleft in the soft palate only, with no additional malformations, had satisfactory speech, while children with a cleft palate accompanied by additional malformations or as a part of a syndrome should be considered to be at risk for speech problems.

Relationship between Cleft Severity and Dentocraniofacial Morphology in Japanese Subjects with Isolated Cleft Palate and Complete Unilateral Cleft Lip and Palate

1993 ◽  
Vol 30 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Akira Suzuki ◽  
Yo Mukai ◽  
Masamichi Ohishi ◽  
Yasuko Miyanoshita ◽  
Hideo Tashiro
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Lateral Displacement ◽  
Craniofacial Morphology ◽  
Dental Arch ◽  
Arch Width ◽  
Lateral Cephalograms ◽  
Isolated Cleft Palate ◽  
Dental Arch Width

Relationships between the width of the palatal cleft measured at paIatopIasty and the craniofacial morphology or the occlusal conditions present at approximately 4 years of age were studied in 25 cleft palate (CP) and 39 complete unilateral cleft lip and palate (UCLP) subjects treated at the Dental Clinic of Kyushu University. Posteroanterior cephalograms and dental casts showed that the width of the palatal cleft was significantly correlated with wider upper facial width and posterior dental arch width in UCLP, but not in CP subjects. Cleft width was not significantly correlated with the buccolingual occlusal relationship in either subject type. The anterior occlusal relationship in UCLP was not as good as in CP subjects. On lateral cephalograms, the width of the palatal cleft was significantly correlated with vertical hypoplasia of the upper face in UCLP, but not in CP subjects. The cleft palate width appears to be related to the lateral displacement and the retardation of the downward and forward growth of the nasomaxillary complex in UCLP subjects.

Facial growth in patients with isolated cleft palate treated with minimal incision technique compared to a normal population—a cephalometric study at 10 and 16 years of age

2019 ◽  
Author(s):  
Konstantinos Parikakis ◽  
Ola Larson ◽  
Agneta Karsten
Keyword(s):  
Cleft Palate ◽  
Normal Population ◽  
Treated Group ◽  
Craniofacial Morphology ◽  
Control Group ◽  
Facial Growth ◽  
Minimal Incision ◽  
Lateral Cephalograms ◽  
Incision Technique ◽  
Isolated Cleft Palate

Summary Objective To evaluate the result of a novel palatoplasty (minimal incision technique) for closure of an isolated cleft palate (ICP) at 10 and 16 years of age, concerning facial growth, compared to a normal population. Subjects Treated group: 55 non-syndromic Caucasian children born with an ICP between 1987 and 2001. The children were treated surgically with a one-stage palatoplasty at a mean age of 13 months. Control group: 110 Caucasian children with normal occlusion with no history of clefts or orthodontic intervention. Method The treated children (25 boys, 30 girls) were matched (gender and age) with the children in the control group. A retrospective evaluation at 10 (mean 10.5) and 16 (mean 16.0) years of age was performed by analysis of lateral cephalograms. Fifteen variables were evaluated. Ninety-nine per cent confidence intervals were calculated. Two-way factorial ANOVA and mixed-model analysis were performed. Results Treated patients compared to the control group showed: at 10 years of age, smaller mandible (P = 0.001) and reduced posterior upper and total face heights (P ≤ 0.001); at 10 and 16 years of age, a retrognathic (P ≤ 0.001), smaller (P ≤ 0.006) and with an increased posterior inclination of the maxilla (P < 0.001), as well as a retrognathic mandible (P ≤ 0.006). Conclusion The craniofacial morphology at 10 and 16 years of age in patients born with an ICP and treated with the minimal incision technique differs compared to the morphology of a normal control group born without a cleft. Retrognathic maxillas and a smaller and posteriorly inclined maxilla were found in the treated group.

Craniofacial Morphology in a Patient with Simpson-Golabi-Behmel Syndrome

2003 ◽  
Vol 40 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Tomohide Taniyama ◽  
Noriyuki Kitai ◽  
Yoshitaka Iguchi ◽  
Shumei Murakami ◽  
Miho Yanagi ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Three Dimensional ◽  
Open Bite ◽  
Craniofacial Morphology ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Gonial Angle ◽  
Face Height ◽  
Anterior Cranial Base ◽  
Maxilla And Mandible

Objective We present the case of a 6-year-old boy with a coarse face, cleft palate, and malocclusion with anterior open bite who had been diagnosed with Simpson-Golabi-Behmel syndrome. Morphology of the craniofacial structures was examined on the basis of conventional radiographs, three-dimensional (3D) computed tomography (CT) and magnetic resonance (MR) scanning. Patient This patient had 13 ribs on the right side, slight scoliosis, supernumerary nipples, a coarse face, hypertelorism, a short broad upturned nose, a wide mouth, a straight facial profile with incompetence of the lips, midline groove of tongue, and cleft palate. The patient also had severe anterior open bite, a distal step-type molar relationship, five congenitally missing teeth, and a supernumerary tooth. Lateral cephalometric analysis revealed a large anterior cranial base, a large maxilla and mandible, a large inferior face height, and skeletal Class I jaw relationship with a high mandibular plane angle and large gonial angle. The 3D CT image showed a large cranium, a long face height, and prominent skull sutures. The MR image showed a large tongue, midline groove of the tongue, and a small space between tongue and palate.

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