Nasolabial appearance after two palatoplasty types in cleft lip and palate. (13th January 2014)

• Record Type: Journal Article
• Authors: Brudnicki, A.; Bronkhorst, E. M.; Nada, R.; Dudkiewicz, Z.; Kaminek, M.; Katsaros, C.; Fudalej, P. S.
• Is Part Of: Orthodontics and craniofacial research. Volume 17:Number 2(2014:May)
• Page Start: 124
• Page End: 131
• Publication Date: 2014-01-13
• Subjects: Skull -- Growth -- Periodicals; Facial bones -- Growth -- Periodicals; Orthodontics -- Periodicals; Orthodontics, Corrective -- Periodicals; Orthodontic appliances -- Periodicals; 617.51
• DOI: 10.1111/ocr.12039
• Languages: English
• ISSNs: 1601-6335

Abstract

<abstract abstract-type="main" id="ocr12039-abs-0001"> <title>Structured Abstract</title> <sec id="ocr12039-sec-0001" sec-type="section"> <title>Background</title> <p>Facial appearance is important for normal psychosocial development in children with cleft lip and palate (CLP). There is conflicting evidence on how deficient maxillary growth may affect nasolabial esthetics.</p> </sec> <sec id="ocr12039-sec-0002" sec-type="section"> <title>Methods</title> <p>We retrospectively investigated nasolabial appearance in two groups, the <italic>Langenback</italic> (35 children; mean age 11.1 years; range: 7.9–13.6) and <italic>Vomerplasty</italic> (58 children; mean age 10.8 years; range: 7.8–14), who received unilateral CLP surgery by the same surgeon. The hard palate repair technique differed between the two groups. In the <italic>Langenback</italic> group, palatal bone on the non‐cleft side only was left denuded, inducing scar formation and inhibiting maxillary growth. In the <italic>Vomerplasty</italic> group, a vomerplasty with tight closure of the soft tissues on the palate was applied. Thirteen lay judges rated nasolabial esthetics on photographs using a modified Asher‐McDade's index.</p> </sec> <sec id="ocr12039-sec-0003" sec-type="section"> <title>Results</title> <p>Nasolabial esthetics in both groups was comparable (<italic>p</italic> > 0.1 for each nasolabial component). Inferior view was judged as the least esthetic component and demonstrated mean scores 3.18 (SD = 0.63) and 3.13 (SD = 0.47) in the <italic>Langenback</italic> and <italic>Vomerplasty</italic> groups, respectively. Mean scores for other components were from 2.52 (SD = 0.63) to 2.81 (SD = 0.62). Regression analysis showed that vomerplasty is related with slight improvement in the nasal profile only (coefficient B = −0.287; <italic>p</italic> = 0.043; <italic>R</italic><sup>2 </sup>= 0.096).</p> </sec> <sec id="ocr12039-sec-0004" sec-type="section"> <title>Conclusions</title> <p>This study demonstrates that the use of vomerplasty instead of the Langenbeck technique is weakly associated with the nasolabial appearance among pre‐adolescent patients with UCLP.</p> </sec> </abstract>