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Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 59-64

Effect of cleft lip palate repair on craniofacial growth

1 Department of Preventive Dental Sciences Orthodontics, College of Dentistry, Majmaah University, Zulfi, Kingdom of Saudi Arabia
2 Department of Orthodontics and Dentofacial Orthopaedics, JSS Dental College and Hospital, Mysore, Karnataka, India
3 Private Practice of General Dentistry, Jaipur, Rajasthan, India

Correspondence Address:
Zuber Ahamed Naqvi
College of Dentistry, Majmaah University, Post Box No. 1042, Zulfi 11932
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0203.160236

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Objective: The aim of this cross-sectional study was to compare craniofacial growth among operated and unoperated unilateral cleft lip and palate non-syndromic subjects. Materials and Methods: A sample of 180 subjects of Indian origin was selected. Of them, 90 were operated, and 90 were unoperated complete unilateral cleft lip and palate individuals. The subjects were divided into three age groups of 3-5, 8-10, and 20-25 years comprised of 30 patients in each group. The following measurements were evaluated: Angle and length of the cranial base; maxillary spatial positioning and length; mandibular spatial positioning; morphology and length; maxillomandibular relationship. Comparative analysis of the means between the groups was performed with Student's t-test at the significance levels of 5%. The ANOVA test has been performed to test the effect of time. Results: No significant differences were observed between the measurements that represented the angle and length of the cranial base of unoperated and the operated patients (P>0.05). There was statistically significant decrease ( P˂0.05) in the maxillary length (Co-A; 69.00 mm in 3-5 years, 68.33 mm in 8-10 years, and 67.17 mm in 20-25 years age group), and SNA angle (74.83Ί in 3-5 years, 74.17 Ί in 8-10 years and 73.17 Ί in 20-25 years age group) in operated group. No significant difference noticed on cephalometric values of the mandible, except Ar-Go-Me angle ( P˂0.05), which showed vertical growth pattern in unoperated patients (132.50 Ί in 3-5 years, 132.00 Ί I 8-10 years and 138.33 Ί in 20-25 years age group). Conclusion: Lip and palate repair has a significant influence on the maxilla and resulting in retarded growth of maxilla, which causes midface deficiency beyond acceptable sagittal limits. The Gonial angle showed vertical growth pattern in unoperated patients, but the cranial base angle and length of unoperated and the operated patients were similar.

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