Abstract

Abstract Objective: The primary research aim of this study was to compare long-term differences in craniofacial morphology at adulthood between two groups of unilateral cleft lip and palate (UCLP) patients: one operated by primary periosteoplasty and the other by primary bone grafting. Design: The two groups were followed longitudinally at 5-year intervals; this study examined the 15- to 20-year age range. Setting: University hospital/center located in Prague, Bohemia, Czech Republic. Patients: 17 men with primary bone grafting, 29 men with primary periosteoplasty. Interventions: Primary bone grafting or periosteoplasty. Methods: Serial cephalometric radiographs. Main outcome measures: Conventional cephalometric and finite element measures. Results: The mandibular symphysis was larger in the bone-grafted group. The periosteoplasty group displayed a more horizontal growth of the mandible with less rotation than the bone-grafted group. There were no other significant differences. Conclusions: We conclude th...

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