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Detailed Cleft Measurements: A Comparison Between Isolated Cleft Palates and Cleft Palates Associated With Cleft Lips.

Abstract：

OBJECTIVE:To determine whether there are differences in the anatomical cleft measurements between patients with isolated cleft palate (CP) with or without Pierre Robin sequence (PR) and those with cleft lip and palate (CLP). DESIGN:Prospective case series. SETTING:Tertiary care university-based medical center. PATIENTS:From 1993 to 2012, CP and CLP patients were prospectively enrolled in a database. MAIN OUTCOME MEASURES:Several anatomical cleft parameters were recorded with precise measurements at the time of palatoplasty under general anesthesia. RESULTS:One hundred twenty-five patients were included in our study: 50 patients in the CP without PR group, 87 patients in the CP with or without PR (CPPR) group, and 38 patients in the CLP group. Patients in the CLP group had increased values for the following parameters compared to patients with CP and patients with CPPR: nasopharyngeal depth (P = .02 and P = .01, respectively); cleft width at posterior hard palate border (P < .001 and P < .001); width of the dental arch (P < .001 and P < .001); and total cleft length (P < 01 and P < .001). For cleft width at the soft palate level, there was a significant difference between the CP and CLP groups (P = .005). We found no statistically significant differences between the groups (CLP versus CP and CPPR, respectively) for the length of the soft palate (P = .74, P = .21) or for the length of the hard palate (P = .19, P = .08). CONCLUSION:There are significant differences in cleft and palate measurements between CLP and CP patients that may be useful to predict the occurrence of velopharyngeal insufficiency or other complications.

journal_name

Cleft Palate Craniofac J

journal_title

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

authors

Lambert A,Piché M,Leclerc JE

doi

10.1597/14-255

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

309-16

issue

3

eissn

1055-6656

issn

1545-1569

journal_volume

53

pub_type

杂志文章

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