Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width
Objectives Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral co...
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Veröffentlicht in: | Clinical oral investigations 2014-05, Vol.18 (4), p.1285-1290 |
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creator | de Jong, Johanna P. Breugem, Corstiaan C. |
description | Objectives
Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral complete cleft lip and palate (UCLP).
Materials and methods
Forty-seven UCLP patients were retrospectively divided into two groups. Group A consisted of 25 patients who underwent early lip closure and simultaneous hard palate closure using a vomer flap. Group B included 22 patients who had lip closure only at first surgery. Palatal cleft widths of both groups were measured at two time points and were compared using the Mann–Whitney
U
test to examine the influence of vomerplasty in this very early stage.
Results
No significant difference of baseline characteristics between the groups was found, and comparison of age at the time of surgeries was not significantly different. Mean age at the time of vomerplasty was 4.0 months. After the first surgery, a significantly greater total cleft width reduction of 5.0 mm average was found in group A compared to only 1.5 mm reduction in group B. This reduction took place after an average of 7.1 and 7.0 months, respectively.
Conclusions
Lip closure accompanied by early hard palate closure using a vomer flap is associated with a significant postoperative reduction of the residual cleft when compared to lip closure only.
Clinical relevance
This study shows another great advantage of performing early hard palate closure using a vomer flap. |
doi_str_mv | 10.1007/s00784-013-1091-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1520109355</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3287751081</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-41caf82e8f4cafd7b1799a052d7946a1f7ee597408c5b91e14cf2a854230d8213</originalsourceid><addsrcrecordid>eNp1kU1LxDAQhoMofqz-AC8S8OKlmknSpvEmi18geNFzyLaT3Uq2rUmr-O_NuquI4GVmIM_7ZpiXkGNg58CYuoiplDJjIDJgGjKxRfZBiiITSsH218yzQpewRw5ifGEMZKHELtnjQpdaFsU-mV_b4D_owoaa9tbbAWnluzgGpGNs2jm19K1bYqDO2542LR3bZkUF6xOIbqC-6altv9WXFJ3Daoi0azfAe1MPi0Oy46yPeLTpE_J8c_00vcseHm_vp1cPWSUUHzIJlXUlx9LJNNRqBkpry3Jeq7SvBacQc60kK6t8pgFBVo7bMpdcsLrkICbkbO3bh-51xDiYZRMr9N622I3RQM5ZupXI84Se_kFfujG0abtEgZYacikSBWuqCl2MAZ3pQ7O04cMAM6sUzDoFk1IwqxTMSnOycR5nS6x_FN9nTwBfAzE9tXMMv77-1_UTl56RNw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1519491543</pqid></control><display><type>article</type><title>Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>de Jong, Johanna P. ; Breugem, Corstiaan C.</creator><creatorcontrib>de Jong, Johanna P. ; Breugem, Corstiaan C.</creatorcontrib><description>Objectives
Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral complete cleft lip and palate (UCLP).
Materials and methods
Forty-seven UCLP patients were retrospectively divided into two groups. Group A consisted of 25 patients who underwent early lip closure and simultaneous hard palate closure using a vomer flap. Group B included 22 patients who had lip closure only at first surgery. Palatal cleft widths of both groups were measured at two time points and were compared using the Mann–Whitney
U
test to examine the influence of vomerplasty in this very early stage.
Results
No significant difference of baseline characteristics between the groups was found, and comparison of age at the time of surgeries was not significantly different. Mean age at the time of vomerplasty was 4.0 months. After the first surgery, a significantly greater total cleft width reduction of 5.0 mm average was found in group A compared to only 1.5 mm reduction in group B. This reduction took place after an average of 7.1 and 7.0 months, respectively.
Conclusions
Lip closure accompanied by early hard palate closure using a vomer flap is associated with a significant postoperative reduction of the residual cleft when compared to lip closure only.
Clinical relevance
This study shows another great advantage of performing early hard palate closure using a vomer flap.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-013-1091-3</identifier><identifier>PMID: 23989466</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cleft Lip - pathology ; Cleft Lip - surgery ; Cleft Palate - pathology ; Cleft Palate - surgery ; Dentistry ; Female ; Humans ; Male ; Medicine ; Original Article ; Palate, Hard - surgery</subject><ispartof>Clinical oral investigations, 2014-05, Vol.18 (4), p.1285-1290</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-41caf82e8f4cafd7b1799a052d7946a1f7ee597408c5b91e14cf2a854230d8213</citedby><cites>FETCH-LOGICAL-c372t-41caf82e8f4cafd7b1799a052d7946a1f7ee597408c5b91e14cf2a854230d8213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-013-1091-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-013-1091-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23989466$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Jong, Johanna P.</creatorcontrib><creatorcontrib>Breugem, Corstiaan C.</creatorcontrib><title>Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral complete cleft lip and palate (UCLP).
Materials and methods
Forty-seven UCLP patients were retrospectively divided into two groups. Group A consisted of 25 patients who underwent early lip closure and simultaneous hard palate closure using a vomer flap. Group B included 22 patients who had lip closure only at first surgery. Palatal cleft widths of both groups were measured at two time points and were compared using the Mann–Whitney
U
test to examine the influence of vomerplasty in this very early stage.
Results
No significant difference of baseline characteristics between the groups was found, and comparison of age at the time of surgeries was not significantly different. Mean age at the time of vomerplasty was 4.0 months. After the first surgery, a significantly greater total cleft width reduction of 5.0 mm average was found in group A compared to only 1.5 mm reduction in group B. This reduction took place after an average of 7.1 and 7.0 months, respectively.
Conclusions
Lip closure accompanied by early hard palate closure using a vomer flap is associated with a significant postoperative reduction of the residual cleft when compared to lip closure only.
Clinical relevance
This study shows another great advantage of performing early hard palate closure using a vomer flap.</description><subject>Cleft Lip - pathology</subject><subject>Cleft Lip - surgery</subject><subject>Cleft Palate - pathology</subject><subject>Cleft Palate - surgery</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Original Article</subject><subject>Palate, Hard - surgery</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1LxDAQhoMofqz-AC8S8OKlmknSpvEmi18geNFzyLaT3Uq2rUmr-O_NuquI4GVmIM_7ZpiXkGNg58CYuoiplDJjIDJgGjKxRfZBiiITSsH218yzQpewRw5ifGEMZKHELtnjQpdaFsU-mV_b4D_owoaa9tbbAWnluzgGpGNs2jm19K1bYqDO2542LR3bZkUF6xOIbqC-6altv9WXFJ3Daoi0azfAe1MPi0Oy46yPeLTpE_J8c_00vcseHm_vp1cPWSUUHzIJlXUlx9LJNNRqBkpry3Jeq7SvBacQc60kK6t8pgFBVo7bMpdcsLrkICbkbO3bh-51xDiYZRMr9N622I3RQM5ZupXI84Se_kFfujG0abtEgZYacikSBWuqCl2MAZ3pQ7O04cMAM6sUzDoFk1IwqxTMSnOycR5nS6x_FN9nTwBfAzE9tXMMv77-1_UTl56RNw</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>de Jong, Johanna P.</creator><creator>Breugem, Corstiaan C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width</title><author>de Jong, Johanna P. ; Breugem, Corstiaan C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-41caf82e8f4cafd7b1799a052d7946a1f7ee597408c5b91e14cf2a854230d8213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cleft Lip - pathology</topic><topic>Cleft Lip - surgery</topic><topic>Cleft Palate - pathology</topic><topic>Cleft Palate - surgery</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Original Article</topic><topic>Palate, Hard - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Jong, Johanna P.</creatorcontrib><creatorcontrib>Breugem, Corstiaan C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Jong, Johanna P.</au><au>Breugem, Corstiaan C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>18</volume><issue>4</issue><spage>1285</spage><epage>1290</epage><pages>1285-1290</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
Although no universal consensus exists on treatment of cleft palates, early hard palate closure is commonly performed. The aim of the present study was to determine the influence of a vomer flap for early hard palate closure on residual palatal cleft width in patients with a unilateral complete cleft lip and palate (UCLP).
Materials and methods
Forty-seven UCLP patients were retrospectively divided into two groups. Group A consisted of 25 patients who underwent early lip closure and simultaneous hard palate closure using a vomer flap. Group B included 22 patients who had lip closure only at first surgery. Palatal cleft widths of both groups were measured at two time points and were compared using the Mann–Whitney
U
test to examine the influence of vomerplasty in this very early stage.
Results
No significant difference of baseline characteristics between the groups was found, and comparison of age at the time of surgeries was not significantly different. Mean age at the time of vomerplasty was 4.0 months. After the first surgery, a significantly greater total cleft width reduction of 5.0 mm average was found in group A compared to only 1.5 mm reduction in group B. This reduction took place after an average of 7.1 and 7.0 months, respectively.
Conclusions
Lip closure accompanied by early hard palate closure using a vomer flap is associated with a significant postoperative reduction of the residual cleft when compared to lip closure only.
Clinical relevance
This study shows another great advantage of performing early hard palate closure using a vomer flap.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23989466</pmid><doi>10.1007/s00784-013-1091-3</doi><tpages>6</tpages></addata></record> |
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subjects | Cleft Lip - pathology Cleft Lip - surgery Cleft Palate - pathology Cleft Palate - surgery Dentistry Female Humans Male Medicine Original Article Palate, Hard - surgery |
title | Early hard palate closure using a vomer flap in unilateral cleft lip and palate: effects on cleft width |
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