Influence of early hard Palate closure in unilateral and bilateral Cleft lip and Palate on maxillary transverse growth during the first four years of age

To evaluate and compare the effects of early primary closure of the hard palate on the anterior and posterior width of the maxillary arch in children with bilateral (BCLP) and unilateral (UCLP) cleft lip and palate during the first 4 years of life. A retrospective, mixed-longitudinal study. Cleft Pa...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2003-03, Vol.40 (2), p.126-130
Hauptverfasser: LEHNER, Bernhard, WILTFANG, Joerg, STROBEL-SCHWARTHOFF, Karin, BENZ, Michaela, HIRSCHFELDER, Ursula, NEUKAM, Friedrich-Wilhelm
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container_end_page 130
container_issue 2
container_start_page 126
container_title The Cleft palate-craniofacial journal
container_volume 40
creator LEHNER, Bernhard
WILTFANG, Joerg
STROBEL-SCHWARTHOFF, Karin
BENZ, Michaela
HIRSCHFELDER, Ursula
NEUKAM, Friedrich-Wilhelm
description To evaluate and compare the effects of early primary closure of the hard palate on the anterior and posterior width of the maxillary arch in children with bilateral (BCLP) and unilateral (UCLP) cleft lip and palate during the first 4 years of life. A retrospective, mixed-longitudinal study. Cleft Palate Center of the University of Erlangen-Nuremberg. The present investigation analyzes longitudinally 42 children with UCLP and 8 children with BCLP between 1996 and 2000 with early simultaneous primary closure of lip and hard palate (4 to 5 months). Palatal arch width was measured on dental casts with a computer-controlled three-dimensional digitizing system, and their growth velocities were calculated from consecutive periods (mean follow-up 39 months). Differences in growth velocities were compared with those of 25 children with UCLP and 15 children with BCLP with delayed closure of hard palate (12 to 14 months). There was no significant difference in terms of anterior and posterior maxillary width between early and delayed closure of hard palate within the first 4 years of life.
doi_str_mv 10.1597/1545-1569(2003)040<0126:IOEHPC>2.0.CO;2
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Stomatology</subject><subject>Palate, Hard - surgery</subject><subject>Retrospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Age Factors
Biological and medical sciences
Case-Control Studies
Child, Preschool
Cleft Lip - surgery
Cleft Palate - surgery
Dentistry
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Infant
Longitudinal Studies
Maxilla - growth & development
Medical sciences
Non tumoral diseases
Oral Surgical Procedures - methods
Otorhinolaryngology. Stomatology
Palate, Hard - surgery
Retrospective Studies
Statistics, Nonparametric
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Influence of early hard Palate closure in unilateral and bilateral Cleft lip and Palate on maxillary transverse growth during the first four years of age
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