The Impact of Facial Growth in Unilateral Cleft Lip and Palate Treated with 2 Different Protocols

Ling Siew Wong, Ting Chen Lu, Duong Thi Diem Hang, Philip Kuo Ting Chen

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background and Aim It is well known that palatoplasty can often cause disturbances in maxillary growth. The use of a single-layer vomer flap for the early closure of the hard palate is controversy among surgeons. The aim of this study is to compare the 10-year facial growth of 2 surgical protocols in the treatment of patients with unilateral cleft lip and palate performed by a single surgeon. Methods This retrospective analysis includes 43 nonsyndromic patients with complete unilateral cleft lip with or without a vomer flap for the closure of the hard palate during cleft-lip repair. Lateral cephalograms were obtained at the age of 5, 7, and 9 years old, and angular measurements were used to assess patient's facial growth. The Mann-Whitney U test was used to compare 2 treatment protocol groups. Result A total of 23 patients in protocol 1 group (16 male, 7 female) and 20 patients in protocol 2 group (10 male, 10 female) were included. At the age of 5 and 7, there was no significant difference of maxillary and mandibular growth in both groups. At the age of 9 years, all the angular measurement revealed statistical significance with SNA (P = 0.02), SNB (P = 0.05), ANB (P < 0.01), and SNPg (P = 0.05). Conclusions The present study has shown that early anterior palate repair for 3-month-old cleft patients have better maxillary growth and less mandibular prognathism.

Original languageEnglish
Pages (from-to)541-544
Number of pages4
JournalAnnals of plastic surgery
Volume84
Issue number5
DOIs
Publication statusPublished - May 1 2020

Keywords

  • facial growth
  • unilateral cleft lip and palate
  • vomer flap

ASJC Scopus subject areas

  • Surgery

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