Cephalometric Profile Evaluations in 6 to 12-Year-old Operated Unilateral Complete Cleft Lip and Palate Patients
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Abstract
Background: Cleft lip and palate are common congenital defects of the oral and maxillofacial region that can be treated, but it's complicated, required long-term treatment with multidisciplinary medical team. Lateral cephalometric radiographs are important for the analysis and evaluation of cleft lip and palate treatment. Objectives of this study is to characterize the craniofacial structure by cephalometry, especially the skull base and nasopharyngeal space, in 6 to 12-year-old operated unilateral complete cleft lip and palate patients compared with noncleft controls.
Methods: A cross-sectional study was carried out on 75 patients at the age of 6-12 years. The patients were divided into two groups; operated unilateral complete cleft lip and palate patients and noncleft controls. Angular and linear measurements were taken on lateral cephalometric radiographs. The data were analyzed using descriptive statistics (percentage, average and standard deviation), and inferential statistics; such as, an independent t-test.
Results: The result showed significant difference between cleft and non-cleft lip and palate patients in SNA, U1 to SN angle, U1 to L1 angle, U lip-E plane, H angle, length of soft palate, depth of pharyngeal space and angle of soft palate (p<0.05).
Conclusions: The data indicated a multiplicity of cephalometric abnormalities in 6 to 12-year-old operated unilateral complete cleft lip and palate patients. Lesser growth of maxilla, length of the soft palate, depth of pharyngeal space, angle of the palate, more retroclined upper incisors were found in cleft patients.
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