Digital Volumetric Monitoring of Palate Growth in Children With Cleft Lip and Palate.

Abstract

ABSTRACT:

This study aimed to evaluate longitudinally the volume of the dental arches in children with unilateral cleft lip and palate before and after the rehabilitative plastic surgeries. This is a longitudinal retrospective study was composed by 102 digitized dental casts of children with unilateral complete cleft lip (G1) and cleft lip and palate (G2). The palate volume was evaluated at 3 periods: preoperative (T1), postoperative 1 (T2), and postoperative 2 (T3). The intra- and inter-examiner reliability was analyzed by Wilcoxon test/Dahlberg formula and interclass correlation coefficient, respectively. The intragroup comparison was analyzed by Wilcoxon test and Friedman test followed by post-hoc Dunn test. Mann-Whitney test was applied for the intergroup comparison (α = 5%). G1 had a significant growth at T2 (P = 0.031). G2 demonstrated a positive development at T2, but decreased at T3 (P = 0.003). The intergroup analysis revealed that G2 showed a greater volume at T1 and T2 (P < 0.0001 and P = 0.0024, respectively). T2-T1 exhibited no statistically significant difference (P = 0.262). In conclusion, there was a volumetric increase in the dental arches after cheiloplasty followed by a reduction after palatoplasty. Further investigations are necessary to validate the preliminary results of the present study.

• Authors: Eloá Cristina Passucci Ambrosio, Nathália Dos Santos Fusco, Cleide Felício Carvalho Carrara, Mariel Tavares Bergamo, Natalino Lourenço Neto, Thiago Cruvinel, Daniela Rios, Ana Lucia Pompeia Fraga Almeida, Simone Soares, Maria Aparecida Andrade Moreira Machado, Thais Marchini Oliveira
• Journal: The Journal of craniofacial surgery (J Craniofac Surg) 2022 Mar-Apr 01 Vol. 33 Issue 2 Pg. e143-e145 ISSN: 1536-3732 [Electronic] United States
• PMID: 34636766 (Publication Type: Journal Article)
• Copyright: Copyright © 2021 by Mutaz B. Habal, MD.

Topics

• Child
• Cleft Lip (surgery)
• Cleft Palate (surgery)
• Dental Arch (surgery)
• Humans
• Maxilla
• Reproducibility of Results
• Retrospective Studies