Abstract
Abstract
Objective
The objective of this study was to evaluate the effect of two flap palatoplasty (TFP) versus Furlow palatoplasty with buccal myomucosal flap (FPBF) on maxillary arch dimensions in children at the primary dentition stage with cleft palate, in comparison to matching subjects without any craniofacial anomalies.
Material and methods
This study included 28 subjects with an age range of 5–6 years; 10 non-cleft subjects were included in the control group, 9 patients treated with TFP, and 9 patients treated with FPBF. For the included patients, the maxillary models were scanned using a desktop scanner to produce virtual models, and the maxillary dimension measurements were virtually completed. The produced measurements were compared between the 3 groups. Maxillary models of the 28 participants were evaluated.
Results
Statistically insignificant differences were detected between the 3 groups for arch symmetry measurements. Differences were detected in the inter-canine width between the 2 surgical groups and non-cleft group. Both arch length and posterior palatal depth significantly differ while comparing the TFP to the control group, with no differences between FPBF and the non-cleft group.
Conclusion
Furlow palatoplasty with buccal myomucosal flap might be considered a better surgical option than two flap palatoplasty for patients with cleft palate while evaluating maxillary arch dimensions at the primary dentition stage as a surgical outcome.
Clinical relevance
This study gives insight into the surgical technique that has limited effect on the maxillary growth and dental arch dimension. Therefore, it decreases the need for orthodontic treatment and orthognathic surgery.
Trial registration
clinicaltrials.gov (NCT05405738).
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. Dixon MJ, Marazita ML, Beaty TH, Murray JC (2011) Cleft lip and palate: understanding genetic and environmental influences. Nat Rev Genet 12(3):167–178
2. Hayashi I, Sakudo M, Takimoto K, Miyazaki T (1976) Craniofacial growth in complete unilateral cleft lip and palate: a Roentgen-cephalometric study. Cleft Palate J 13(3):215–237
3. Hotz MM, Gnoinski WM (1979) Effects of early maxillary orthopaedics in coordination with delayed surgery for cleft lip and palate. J Maxillofac Surg 7:201–210
4. Mars M, Houston WJ (1990) A preliminary study of facial growth and morphology in unoperated male unilateral cleft lip and palate subjects over 13 years of age. Cleft Palate J 27(1):7–10
5. Matsune S, Sando I, Takahashi H (1991) Insertion of the tensor veli palatini muscle into the Eustachian tube cartilage in cleft palate cases. Ann Otol Rhinol Laryngol 100(6):439–446
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献