Post-surgical effects on the maxillary segments of children with oral clefts: New three-dimensional anthropometric analysis

This study aimed to use new three-dimensional (3D) anthropometric analyses to verify the post-surgical effects on the maxillary segments of children with unilateral cleft lip and palate. The sample was composed by digitized dental models of 60 children with unilateral complete cleft lip and alveolus...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 2018-09, Vol.46 (9), p.1511-1514
Hauptverfasser: Ambrosio, Eloá Cristina Passucci, Sforza, Chiarella, De Menezes, Márcio, Carrara, Cleide Felício Carvalho, Machado, Maria Aparecida Andrade Moreira, Oliveira, Thais Marchini
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container_end_page 1514
container_issue 9
container_start_page 1511
container_title Journal of cranio-maxillo-facial surgery
container_volume 46
creator Ambrosio, Eloá Cristina Passucci
Sforza, Chiarella
De Menezes, Márcio
Carrara, Cleide Felício Carvalho
Machado, Maria Aparecida Andrade Moreira
Oliveira, Thais Marchini
description This study aimed to use new three-dimensional (3D) anthropometric analyses to verify the post-surgical effects on the maxillary segments of children with unilateral cleft lip and palate. The sample was composed by digitized dental models of 60 children with unilateral complete cleft lip and alveolus (UCLA) and complete unilateral cleft lip and palate (UCLP). The impressions were taken before cheiloplasty (T1), after cheiloplasty (T2), and after palatoplasty (T3). The 3D anthropometric analyses of digitized dental casts were obtained through a specific software. Intragroup changes were applied paired t test and Wilcoxon test (UCLA group) and for the UCLP group, repeated-measures analyses of variance followed by the Tukey test. For intergroup analyses, an independent t test and Mann–Whitney test were used. The palatal dimensional changes of UCLA group showed that the distances IC, I−T′, and I–T significantly increased after cheiloplasty (p = 0.0002, p = 0.0007 and p 
doi_str_mv 10.1016/j.jcms.2018.06.017
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The sample was composed by digitized dental models of 60 children with unilateral complete cleft lip and alveolus (UCLA) and complete unilateral cleft lip and palate (UCLP). The impressions were taken before cheiloplasty (T1), after cheiloplasty (T2), and after palatoplasty (T3). The 3D anthropometric analyses of digitized dental casts were obtained through a specific software. Intragroup changes were applied paired t test and Wilcoxon test (UCLA group) and for the UCLP group, repeated-measures analyses of variance followed by the Tukey test. For intergroup analyses, an independent t test and Mann–Whitney test were used. The palatal dimensional changes of UCLA group showed that the distances IC, I−T′, and I–T significantly increased after cheiloplasty (p = 0.0002, p = 0.0007 and p &lt; 0.0001, respectively). In the UCLP group, the IC′ distance statistically decreased in the post-surgical periods (p &lt; 0.0001), while the I–T distance increased (p &lt; 0.0001). The IC distance increased after cheiloplasty (p &lt; 0.0001). The I−T′ distance increased between T2 and T3 with statistically significant differences (p = 0.0037). The intergroup analysis of palatal development (T2-T1) showed that the distances IC′ and I–T′ demonstrated a reduction of the dental arches growth of UCLP group compared with the UCLA group, with statistically significant differences. The new 3D anthropometric analysis showed that the development of the maxillary segments changed after surgical repair. 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The sample was composed by digitized dental models of 60 children with unilateral complete cleft lip and alveolus (UCLA) and complete unilateral cleft lip and palate (UCLP). The impressions were taken before cheiloplasty (T1), after cheiloplasty (T2), and after palatoplasty (T3). The 3D anthropometric analyses of digitized dental casts were obtained through a specific software. Intragroup changes were applied paired t test and Wilcoxon test (UCLA group) and for the UCLP group, repeated-measures analyses of variance followed by the Tukey test. For intergroup analyses, an independent t test and Mann–Whitney test were used. The palatal dimensional changes of UCLA group showed that the distances IC, I−T′, and I–T significantly increased after cheiloplasty (p = 0.0002, p = 0.0007 and p &lt; 0.0001, respectively). In the UCLP group, the IC′ distance statistically decreased in the post-surgical periods (p &lt; 0.0001), while the I–T distance increased (p &lt; 0.0001). The IC distance increased after cheiloplasty (p &lt; 0.0001). The I−T′ distance increased between T2 and T3 with statistically significant differences (p = 0.0037). The intergroup analysis of palatal development (T2-T1) showed that the distances IC′ and I–T′ demonstrated a reduction of the dental arches growth of UCLP group compared with the UCLA group, with statistically significant differences. The new 3D anthropometric analysis showed that the development of the maxillary segments changed after surgical repair. The UCLP group demonstrated a reduction of the dental arches growth compared with the UCLA group.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>30029840</pmid><doi>10.1016/j.jcms.2018.06.017</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-3460-3144</orcidid><orcidid>https://orcid.org/0000-0001-6532-6464</orcidid></addata></record>
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subjects Anatomic Landmarks
Anthropometry
Anthropometry - methods
Cleft lip
Cleft Lip - surgery
Cleft palate
Cleft Palate - surgery
Dentistry
Female
Humans
Imaging
Imaging, Three-Dimensional - methods
Infant
Male
Maxilla - anatomy & histology
Maxilla - surgery
Software
Surgery Plastic
Three-dimensional
Treatment Outcome
title Post-surgical effects on the maxillary segments of children with oral clefts: New three-dimensional anthropometric analysis
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