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A comparison of craniofacial form in Northern Irish children with unilateral cleft lip and palate treated with

Chris D Johnston1, Alan G Leonard, Donald J Burden

  • 1Belfast Dental Hospital and Orthodontic Division, Queen's University Belfast, School of Dentistry, Northern Ireland. c.d.johnston@qub.ac.uk

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|December 31, 2003
PubMed
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This study compared palate repair techniques for unilateral cleft lip and palate (UCLP). The Wardill-Kilner method showed a trend towards poorer dental arch relationships, potentially requiring more orthognathic surgery.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Unilateral cleft lip and palate (UCLP) repair outcomes can vary.
  • Surgical technique significantly influences long-term results in UCLP patients.
  • Comparing established surgical protocols is crucial for optimizing patient care.

Purpose of the Study:

  • To compare the craniofacial and dental arch outcomes of two distinct surgical techniques for UCLP.
  • To evaluate the effectiveness of the Wardill-Kilner technique versus the Oslo protocol (vomer flap and von Langenbeck closure).
  • To identify potential differences in the need for subsequent orthognathic surgery between the two techniques.

Main Methods:

  • Retrospective analysis of 34 children with complete skeletal UCLP treated between 1983 and 1991.

Related Experiment Videos

  • Cephalometric analysis for craniofacial form and soft tissue profile assessment.
  • Independent assessment of dental arch relationships using the Goslon ranking system.

    • Main Results:

    • Twenty-nine of 34 subjects (85%) exhibited good or satisfactory dental arch relationships.
    • A higher proportion of patients treated with the Wardill-Kilner technique showed poorer arch relationships (Goslon grade >3).
    • No statistically significant differences in cephalometric measurements were observed between the two surgical groups.

    Conclusions:

    • The Wardill-Kilner technique was associated with a higher, though not statistically significant, proportion of patients requiring orthognathic surgery.
    • While both techniques yielded acceptable outcomes, subtle differences in dental arch development warrant consideration.
    • Further research may be needed to definitively establish the long-term functional and aesthetic superiority of one technique over the other in UCLP management.