Early Effect of Vomerine Flap Closure of the Hard Palate at the Time of Lip Repair on the Alveolar Gap and Other Maxillary Dimensions. (January 2014)
- Record Type:
- Journal Article
- Title:
- Early Effect of Vomerine Flap Closure of the Hard Palate at the Time of Lip Repair on the Alveolar Gap and Other Maxillary Dimensions. (January 2014)
- Main Title:
- Early Effect of Vomerine Flap Closure of the Hard Palate at the Time of Lip Repair on the Alveolar Gap and Other Maxillary Dimensions
- Authors:
- Maggiulli, Federica
Hay, Norman
Mars, Michael
Worrell, Emma
Green, James
Sommerlad, Brian - Abstract:
- Objective: Comparison of the effects of vomerine flap (VF) closure of the hard palate at the time of lip repair with non-closure of the hard palate in subjects with unilateral cleft lip and palate (UCLP). Design: Retrospective, single-blinded, cohort study. Setting: Study model sets of 40 consecutive, non-syndromic, infants with complete UCLP operated on between 1988 and 1998. Patients: All subjects were operated on by a single consultant plastic surgeon immediately before and after the unit's change of protocol (1993), when VF closure of the hard palate was incorporated at the time of lip repair. Subjects were divided into two groups: VF (n = 18) and non-VF (n = 22), which acted as a control group. Each subject had maxillary impressions taken before lip repair at 3 months (VF mean age = 11.7 weeks; non-VF mean age = 13.4 weeks) and before palate repair at 6 months (VF mean age = 22.8 weeks; non-VF mean age = 24.0 weeks). Main Outcome Measures: Seven predetermined landmarks and four maxillary dimensions were computed following single-blinded analysis using a reflex microscope. Results: Repeatability tests showed good measurement precision. The operator measurement errors were 0.00018 mm in a horizontal plane (X and Y) and 0.00028 in the vertical plane (Z). The VF group showed significant changes in the alveolar cleft width. There were no statistically significant changes in any arch-form variable between the VF and non-VF groups. Conclusion: The decrease of alveolar arch gapObjective: Comparison of the effects of vomerine flap (VF) closure of the hard palate at the time of lip repair with non-closure of the hard palate in subjects with unilateral cleft lip and palate (UCLP). Design: Retrospective, single-blinded, cohort study. Setting: Study model sets of 40 consecutive, non-syndromic, infants with complete UCLP operated on between 1988 and 1998. Patients: All subjects were operated on by a single consultant plastic surgeon immediately before and after the unit's change of protocol (1993), when VF closure of the hard palate was incorporated at the time of lip repair. Subjects were divided into two groups: VF (n = 18) and non-VF (n = 22), which acted as a control group. Each subject had maxillary impressions taken before lip repair at 3 months (VF mean age = 11.7 weeks; non-VF mean age = 13.4 weeks) and before palate repair at 6 months (VF mean age = 22.8 weeks; non-VF mean age = 24.0 weeks). Main Outcome Measures: Seven predetermined landmarks and four maxillary dimensions were computed following single-blinded analysis using a reflex microscope. Results: Repeatability tests showed good measurement precision. The operator measurement errors were 0.00018 mm in a horizontal plane (X and Y) and 0.00028 in the vertical plane (Z). The VF group showed significant changes in the alveolar cleft width. There were no statistically significant changes in any arch-form variable between the VF and non-VF groups. Conclusion: The decrease of alveolar arch gap width at palate repair (6 months) in the VF group was significantly more than the decrease observed in the non-VF group, and there was no significant decrease in the, anterior and posterior arch width or anteroposterior length of the hard palate in the VF group compared with the non-VF group. … (more)
- Is Part Of:
- Cleft palate-craniofacial journal. Volume 51:Number 1(2014)
- Journal:
- Cleft palate-craniofacial journal
- Issue:
- Volume 51:Number 1(2014)
- Issue Display:
- Volume 51, Issue 1 (2014)
- Year:
- 2014
- Volume:
- 51
- Issue:
- 1
- Issue Sort Value:
- 2014-0051-0001-0000
- Page Start:
- 43
- Page End:
- 48
- Publication Date:
- 2014-01
- Subjects:
- maxillary growth -- reflex microscope -- UCLP -- vomerine flap -- UCLP
Cleft palate -- Periodicals
Skull -- Abnormalities -- Periodicals
Cranial manipulation -- Periodicals
Skull -- Abnormalities -- Surgery -- Periodicals
Face -- Abnormalities -- Surgery -- Periodicals
Fente palatine -- Périodiques
Crâne -- Malformations -- Périodiques
Manipulation crânienne -- Périodiques
Crâne -- Malformations -- Chirurgie -- Périodiques
Face -- Malformations -- Chirurgie -- Périodiques
Cleft palate
Cranial manipulation
Face -- Abnormalities -- Surgery
Skull -- Abnormalities
Skull -- Abnormalities -- Surgery
Cleft Lip
Cleft Palate
Facial Bones -- abnormalities
Skull -- abnormalities
Periodicals
Periodicals
Periodicals
617.522 - Journal URLs:
- http://cpcj.allenpress.com ↗
http://journals.sagepub.com/home/cpca ↗
http://www.sagepublications.com/ ↗
http://cleftpalatejournal.pitt.edu/ojs/cleftpalate/issue/archive ↗
http://firstsearch.oclc.org ↗
http://firstsearch.oclc.org/journal=1055-6656;screen=info;ECOIP ↗ - DOI:
- 10.1597/11-297 ↗
- Languages:
- English
- ISSNs:
- 1055-6656
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
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