Abstract

I t has been established, in a study of craniofacial growth from 6 months to 6 years, that in isolated cleft palate (CP), unilateral cleft lip and palate (UCLP), and bilateral cleft lip and palate (BCLP) there is postoperative catch-up growth in the skeletal craniofacial complex. By the age of 6 years the facial skeleton is, in dimension, proportion, and angular relationships, within the normal range of variation, that is, between the mean and minus one standard deviation ($1 1 S.D.) .4 It was d&led, therefore, to extend this approach to the soft-tissue profile in the same 13CLP sample that had figured in the skclctal study. The hypothesis to be tested was that postoperative soft-tissue growth in BCLP paralleled bony growth, so tllat by the age of 6 the soft-tissue profile was also structurally and esthetically acceptable.

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