A comparison of craniofacial cephalometric morphology and the later need for orthognathic surgery in 6-year-old cleft children

Craniofacial features of operated unilateral complete cleft lip and palate children: a case control study

“…Some studies 1,6,16,[23][24] reported that the jaw of patients with cleft lip and palate who were operated on during childhood present similar behavior to the jaw since the early mixed dentition, which was also verified in this study. Silva Filho et al 6 observed that the jaw structure is changed in all sorts of cleft, and that, in the fissures involving the palate, retrognathia in adult patients is always present.…”

“…This finding is consistent with the findings of Zemann et al 23 who observed the same growth pattern in patients with 6 years of age. However, some authors 16,18,24 have found a Class I skeletal relationship in various age groups and others 1,8,[14][15][16]18,[20][21]24 have found a Class III skeletal pattern post-pubertal growth.…”

Morphometric evaluation of soft palate in oral submucous fibrosis—A digital cephalometric study

“…It is, however, less expensive, more useful, easily achieved with reduced radiation, and correlates with other investigation such as computed tomography (CT) [Samman et al, 2003]. Cephalometric analysis is one of the most commonly accepted techniques for evaluating the soft palate in both normal individuals and in those with cleft lip and palate [Bejdová et al, 2012;Shimomatsu et al, 2012;Heliövaara and Rautio, 2011].…”

The Need for Orthognathic Surgery in Nonsyndromic Patients with Repaired Isolated Cleft Palate

“…Differences in craniofacial growth patterns in patients with clefts could be due to factors such as inherent developmental disturbances, growth disruption due to surgery (iatrogenic), functional distortions (due in part to altered muscular activity), and genetically inherited growth patterns (e.g., ethnic, familial) (Ross, 1987a). The relative contributions of the intrinsic developmental deficiency and the surgical iatrogenic effect on the ultimate craniofacial growth of a specific patient are hard to discern (Heli¨ovaara and Rautio, 2011). Even so, it is well documented that patients with isolated cleft palate have different craniofacial characteristics compared with a noncleft population (Bishara, 1973).…”

“…Moreover, local financial factors such as cost and the nature of health care coverage in a particular institution can influence the decision to recommend orthognathic surgery (Daskalogiannakis and Mehta, 2009). The cost of orthognathic surgery may vary considerably among cleft centers (Heli¨ovaara and Rautio, 2011). In Canada, the cost of the surgical procedure is covered entirely by the national health care plan, making this option more realistic for a large number of patients.…”