Impact of Cleft Palate Anastomosis in Cleft Lip and Palate Patients with Coexisting Cleft Lip Anastomosis Scar Based on Cephalometric Measurements

Abstract

(1) Background: This article focuses on examining components affecting the overbite, overjet, and the effect of palate surgery on craniofacial morphology with a concomitant cleft lip fusion scar, and a comparison of patients who had only a cleft lip fusion scar. Patients with unilateral cleft lip (UCL) and patients with unilateral cleft lip and palate (UCLP) were included in the study. We aimed to find if cephalometric parameters were significantly different in these groups. (2) Material and methods: The study group consisted of a lateral cranial radiograph of patients with UCLP (n = 30) and UCL (n = 30). Cephalometric radiographs were saved electronically, and cephalometric analysis was performed using a computer program. (3) Results: We observed that a statistically significant higher degree of maxillary prognathism occurred in the UCL than in the UCLP. We observed the anterior position of the upper lip in relation to E-line in patients with cleft lip. (4) Conclusions: The results present the effect of cleft palate surgery on further forward growth of the maxilla. There was a decreased ANB angle present in the skeletal class II in patients with UCL and UCLP. The SNB angle was not increased, and the reverse overjet was due to the rectroclination of the upper incisors and protruded lower incisors.

Unilateral Cleft Lip and Palate Has Asymmetry of Bony Orbits: A Retrospective Study

“…Thus, even small differences matter. It is evident that the cleft itself or surgical and nonsurgical management of the cleft can affect growth and lower midface asymmetry [46][47][48], but our results suggest that the effect on facial growth extends more cranially in facial bones. These findings may have clinical relevance if automated software is used for VSP since positioning the skull in a three-dimensional working space affects the movement of segmented jaws in the X, Y, and Z axes, thus affecting the achieved roll, pitch, and yaw of the maxilla in surgery.…”

Dimorfismo sexual y su relación con el patrón facial, la longitud y posición mandibular en individuos quiteños adultos, Ecuador

“…(Zamora, 2004) Para obtener la longitud del cuerpo mandibular se utilizó la medida lineal desde el punto Go a Mentón (Go-Me) y valor promedio fue 71 ±5 mm correspondiente a la cefalometría de Bjork Jarabak. (Kaczorowska & Mikulewicz, 2022) . En la posición anteroposterior de la mandíbula se utilizó el ángulo formado por los planos Silla (S), Nasion (N) y N al Supramentoniano (B) con norma de 80˚ ± 2º como posición ortognata de la mandíbula, prognata ˃80˚± 2º, mientras que una mandíbula retrognata ˂78°, (Steiner, 1953) como se observa en la figura 1.…”