Timing of palate repair affecting growth in complete unilateral cleft lip and palate

Abstract

ObjectiveTo evaluate the facial morphology characteristics of patients with complete unilateral cleft lip and palate (UCCLPs) who had undergone cleft palate repair at different times. DesignThis study included 46 nonsyndromic UCCLPs and 38 age and sex matched non-cleft patients. 35 cephalometric measurements were used to evaluate the facial morphology. Student’s t-test, one-way ANOVA and rank sum tests were used for comparison. Significant difference was defined at 95% level. ResultsThe data showed that UCCLPs who had palatoplasty between 7 and 12years had greater PMP-A, PMP-ANS, Ba-ANS, Ba-A, Ba-N-ANS than those operated on before 4years of age, and UCCLPs who had palatoplasty at 4–12years had smaller Y-axis angle than those operated on before 4years of age. ConclusionsThe maxillary sagittal length increased gradually as von Langenbeck repair was delayed. UCCLPs who underwent palate repair using von Langenbeck technique at 4–12years had a more protrusive maxilla and less clockwise rotated mandible than those repaired before 4years. UCCLPs operated using the von Langenbeck technique at 4–12years had better head-face morphology than those operated on before 4years. There was no difference in facial morphology among UCCLPs with palate repair at 4–12years.