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Published on: November 6, 2014
Craniofacial growth in clefting from one month to ten years as studied by P-A headfilms
Insights
Craniofacial growth in children with cleft lip and palate varies by cleft type and sex. Bilateral cleft lip and palate (BCLP) generally shows greater differences than unilateral cleft lip and palate (UCLP) or cleft palate only (CPO).
Area of Science:
- Craniofacial development
- Pediatric dentistry
- Orthodontics
Background:
- Cleft lip and palate (CLP) conditions significantly impact craniofacial growth.
- Understanding growth patterns is crucial for effective treatment planning and surgical interventions.
Purpose of the Study:
- To analyze and compare craniofacial growth patterns in children with different types of clefts.
- To identify sex-based differences in craniofacial dimensions among these children.
Main Methods:
- Longitudinal study of 64 unilateral cleft lip and palate (UCLP), 32 bilateral cleft lip and palate (BCLP), and 78 cleft palate only (CPO) patients.
- Cephalometric analysis of posteroanterior (p-a) X-ray headfilms from one month to 10 years of age.
- Measurement of nine width and 12 height dimensions to assess craniofacial morphology.
Main Results:
- Cleft type significantly influenced specific craniofacial widths (baseline, interorbital, optic foramen, basal maxillary) and heights (interorbital, optic foramen, gonial).
- Growth patterns generally followed the order: BCLP > UCLP > CPO for most measurements, except basal maxillary width (UCLP > BCLP > CPO).
- Sex differences were observed in baseline width, basal maxillary width, bizygomatic width (males larger), and interorbital/optic foramen heights (females larger).
Conclusions:
- Craniofacial growth in children with CLP is distinctly influenced by the type of cleft and sex.
- These findings provide valuable data for tailored orthodontic and surgical management strategies in CLP patients.
Abstract:
Craniofacial growth of 64 children with a unilateral cleft of lip and palate, 32 children with a bilateral cleft of lip and palate, and 78 children with a cleft of palate only were studied at the ages of one month, three months, six months, one year, 18 months, two years, and annually till the age of 10 years. Nine width and 12 height measurements are obtained from the tracings of p-a X-ray headfilms and analysed. It was found that the cleft type differences were mainly restricted to the base line width, interorbital width, optic foramen width, basal maxillary width, interorbital height, optic foramen height, and gonial height. For all these measurements except basal maxillary width, the means are in the order BCLP greater than UCLP greater than CPO. For basal maxillary breadth it was UCLP greater than BCLP greater than CPO. Sex differences are restricted to base line width, basal maxillary width, bizygomatic width, interorbital height, and optic foramen height. For these width measurements, males have larger means than females. For the height measurements, females have larger means than males.
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