Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure
Abstract This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years w...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2008-02, Vol.37 (2), p.123-130 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Nollet, P.J.P.M Katsaros, C Huyskens, R.W.F Borstlap, W.A Bronkhorst, E.M Kuijpers-Jagtman, A.M |
| description | Abstract This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40–80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group. |
| doi_str_mv | 10.1016/j.ijom.2007.09.168 |
| format | Article |
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Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40–80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2007.09.168</identifier><identifier>PMID: 17997279</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Biological and medical sciences ; cephalometry ; Cephalometry - methods ; Child ; Cleft Lip - pathology ; Cleft Lip - surgery ; cleft lip and palate ; Cleft Palate - pathology ; Cleft Palate - surgery ; craniofacial development ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; facial growth ; Female ; Follow-Up Studies ; Forecasting ; Humans ; Longitudinal Studies ; longitudinal study ; Male ; Mandible - growth & development ; Mandible - pathology ; Maxilla - growth & development ; Maxilla - pathology ; Maxillofacial Development - physiology ; Medical sciences ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Palate, Hard - growth & development ; Palate, Hard - surgery ; Reconstructive Surgical Procedures - methods ; Reoperation ; Sex Factors ; Surgery ; Time Factors ; treatment outcome ; Vertical Dimension</subject><ispartof>International journal of oral and maxillofacial surgery, 2008-02, Vol.37 (2), p.123-130</ispartof><rights>International Association of Oral and Maxillofacial Surgeons</rights><rights>2007 International Association of Oral and Maxillofacial Surgeons</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-265db9cf7a6e72dc712c6a99853a64dfd9b50370a8b247a30cae3fbecd7d06973</citedby><cites>FETCH-LOGICAL-c439t-265db9cf7a6e72dc712c6a99853a64dfd9b50370a8b247a30cae3fbecd7d06973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijom.2007.09.168$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20113187$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17997279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nollet, P.J.P.M</creatorcontrib><creatorcontrib>Katsaros, C</creatorcontrib><creatorcontrib>Huyskens, R.W.F</creatorcontrib><creatorcontrib>Borstlap, W.A</creatorcontrib><creatorcontrib>Bronkhorst, E.M</creatorcontrib><creatorcontrib>Kuijpers-Jagtman, A.M</creatorcontrib><title>Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Abstract This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40–80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>cephalometry</subject><subject>Cephalometry - methods</subject><subject>Child</subject><subject>Cleft Lip - pathology</subject><subject>Cleft Lip - surgery</subject><subject>cleft lip and palate</subject><subject>Cleft Palate - pathology</subject><subject>Cleft Palate - surgery</subject><subject>craniofacial development</subject><subject>Dentistry</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>facial growth</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>longitudinal study</subject><subject>Male</subject><subject>Mandible - growth & development</subject><subject>Mandible - pathology</subject><subject>Maxilla - growth & development</subject><subject>Maxilla - pathology</subject><subject>Maxillofacial Development - physiology</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Palate, Hard - growth & development</subject><subject>Palate, Hard - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Reoperation</subject><subject>Sex Factors</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>treatment outcome</subject><subject>Vertical Dimension</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-KFDEQxhtR3NnVF_Agueitx0oy3emACMvgqrDgQT2HTFLtZEx32iQ9Ms_hC5tmhhU8eCoq-dUfvq-q6gWFNQXavjms3SEMawYg1iDXtO0eVSvKpawBGDyuViCB1g0wcVVdp3QAAMk78bS6okJKwYRcVb-3OO21DwPm6AzBo_azzi6MJPTEh_F7nTEOxEQ9utBr47QnFo_owzTgmIkbyTw6rwtVfozHPhPvJqJHSya9vJeQXUETyRFLbskvl_elidenkux1fCCND2mO-Kx60muf8Pkl3lTf7t5_3X6s7z9_-LS9va_Nhstcs7axO2l6oVsUzBpBmWm1lF3DdbuxvZW7BrgA3e3YRmgORiPvd2issNBKwW-q1-e-Uww_Z0xZDS4Z9F6PGOakBLCOCdYUkJ1BE0NKEXs1RTfoeFIU1GKFOqjFCrVYoUCqYkUpennpPu8GtH9LLtoX4NUF0Mlo3xeJjUsPHANKOe2WNd-eOSxaHB1GlUwR1KB1EU1WNrj_7_Hun3Lj3ejKxB94wnQIcxyLyoqqxBSoL8vRLDcDopxLwzv-B88wwHI</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Nollet, P.J.P.M</creator><creator>Katsaros, C</creator><creator>Huyskens, R.W.F</creator><creator>Borstlap, W.A</creator><creator>Bronkhorst, E.M</creator><creator>Kuijpers-Jagtman, A.M</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure</title><author>Nollet, P.J.P.M ; Katsaros, C ; Huyskens, R.W.F ; Borstlap, W.A ; Bronkhorst, E.M ; Kuijpers-Jagtman, A.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-265db9cf7a6e72dc712c6a99853a64dfd9b50370a8b247a30cae3fbecd7d06973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>cephalometry</topic><topic>Cephalometry - methods</topic><topic>Child</topic><topic>Cleft Lip - pathology</topic><topic>Cleft Lip - surgery</topic><topic>cleft lip and palate</topic><topic>Cleft Palate - pathology</topic><topic>Cleft Palate - surgery</topic><topic>craniofacial development</topic><topic>Dentistry</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>facial growth</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Forecasting</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>longitudinal study</topic><topic>Male</topic><topic>Mandible - growth & development</topic><topic>Mandible - pathology</topic><topic>Maxilla - growth & development</topic><topic>Maxilla - pathology</topic><topic>Maxillofacial Development - physiology</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Palate, Hard - growth & development</topic><topic>Palate, Hard - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Reoperation</topic><topic>Sex Factors</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>treatment outcome</topic><topic>Vertical Dimension</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nollet, P.J.P.M</creatorcontrib><creatorcontrib>Katsaros, C</creatorcontrib><creatorcontrib>Huyskens, R.W.F</creatorcontrib><creatorcontrib>Borstlap, W.A</creatorcontrib><creatorcontrib>Bronkhorst, E.M</creatorcontrib><creatorcontrib>Kuijpers-Jagtman, A.M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nollet, P.J.P.M</au><au>Katsaros, C</au><au>Huyskens, R.W.F</au><au>Borstlap, W.A</au><au>Bronkhorst, E.M</au><au>Kuijpers-Jagtman, A.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>37</volume><issue>2</issue><spage>123</spage><epage>130</epage><pages>123-130</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><coden>IJOSE9</coden><abstract>Abstract This long-term cephalometric study aimed to evaluate the craniofacial development of patients with a complete unilateral cleft lip and palate treated with a two-stage palatal closure, including delayed closure of the hard palate. Prediction models for cephalometric outcome at age 18 years were developed with the help of cephalometric values at 9 and 12 years. The objective need for surgery at age 18 was predicted from cephalometric values at age 9. Cephalograms of 43 consecutive patients with a complete unilateral cleft lip and palate were analysed at 9, 12 and 18 years. The patient group showed a retrusive craniofacial growth pattern for the maxilla and mandible, and a rather vertical growth pattern for the lower face. Using multiple linear regression, for most cephalometric variables, 40–80% of the cephalometric values at early adulthood could be explained by cephalometric values at the ages of 9 and 12 years, and gender, or by the values at age 9 only and gender. Several cephalometric variables at age 9 (s-n-ss, s-n-pg, sss-ns-sms, sss-ns-pgs) were found to be significant predictors for the need for surgery at 18. The need for surgery at age 18 was correctly predicted from age 9 for 85% of the investigated patient group.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>17997279</pmid><doi>10.1016/j.ijom.2007.09.168</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Biological and medical sciences cephalometry Cephalometry - methods Child Cleft Lip - pathology Cleft Lip - surgery cleft lip and palate Cleft Palate - pathology Cleft Palate - surgery craniofacial development Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology facial growth Female Follow-Up Studies Forecasting Humans Longitudinal Studies longitudinal study Male Mandible - growth & development Mandible - pathology Maxilla - growth & development Maxilla - pathology Maxillofacial Development - physiology Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Palate, Hard - growth & development Palate, Hard - surgery Reconstructive Surgical Procedures - methods Reoperation Sex Factors Surgery Time Factors treatment outcome Vertical Dimension |
| title | Cephalometric evaluation of long-term craniofacial development in unilateral cleft lip and palate patients treated with delayed hard palate closure |
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