Three-Dimensional Assessment of Cervical Vertebrae Anomalies in Patients With Cleft Lip and Palate

Barbosa, Gabriella Lopes de Rezende; Pimenta, Luiz André Freire; Tyndall, Donald A.; Allareddy, Trishul V.; Melo, Saulo Leonardo Sousa

doi:10.1177/1055665620980226

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…5 Also, the patient discussed here presented with oro-facial defects like cleft palate and missing bilateral upper lateral incisors. de Rezende Barbosa et al 6 evaluated the occurrence of cranio-vertebral anomalies in cleft patients and found atlanto-occipital assimilation in 1.32% of study sample indicating the association with cleft defects.…”

Section: Discussionmentioning

confidence: 99%

Atlanto-occipital Assimilation an Incidental Cephalometric Finding: Diagnosis and Clinical Implications – A Case Report

Davis,

Chaudhary,

Jayan

et al. 2024

J Indian Orthod Soc

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Occipitalization of atlas is an osseous anomaly of the craniovertebral junction, which occurs at the base of the skull in the region of the foramen magnum. It is the fusion of first cervical vertebra with the occipital bone of the skull. A 16-year-old patient reported with chief complaint of irregularly placed teeth. Routine lateral cephalogram assessment revealed the presence of fusion between first cervical vertebrae (C-1) and base of skull. The radiographic investigation revealed the presence of fusion along with the clinical findings of short neck, short face, cleft palate, missing teeth, and pain during neck extension and flexion. Such cases of craniocervical anomaly can cause orthopedic and neurological problems like abnormal posture of head, restricted neck movements, cervical pain, pain in extremities, wasting of muscles, and convulsions. The comprehensive radiographic assessment of all structures visible in cephalogram of orthodontic patient can help in identification of such anomalies and sensitize the patients about symptomatic or asymptomatic condition.

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Section: Discussionmentioning

confidence: 99%

Atlanto-occipital Assimilation an Incidental Cephalometric Finding: Diagnosis and Clinical Implications – A Case Report

Davis,

Chaudhary,

Jayan

et al. 2024

J Indian Orthod Soc

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“…Patients with cleft lip and palate are at a higher risk of developing cervical vertebra anomalies than the general population. Rate Recent studies on the possible development of cervical spine abnormalities (CVA) in patients with cleft lip and palate found a higher overall incidence of CVA in patients with cleft lip and palate [25][26][27] . Datana S et al found that the incidence of cervical spine abnormalities was 20.…”

Section: Relationship Between Cleft Lip and Palate And Cervical Verte...mentioning

confidence: 99%

Progress in the study of the association between craniomaxillofacial deformities and the occurrence of cervical vertebra anomalies

2023

IJFM

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Progress in the study of the association between craniomaxillofacial deformities and the occurrence of cervical vertebra anomalies the assessment of cervical vertebra structural features is closely related to orthodontic clinical diagnosis and treatment planning. Lateral cephalometric radiographs are commonly used for orthodontic diagnosis, treatment planning and skeletal maturation assessment, and can also provide additional diagnostic data related to the cranial, facial, and upper cervical spine. In recent years many scholars have studied the prevalence of abnormalities in cervical vertebra structures and different malocclusions and other diseases and found a strong correlation between different skeletal malocclusions and abnormalities in cervical vertebra structures. Also the prevalence of cervical spine abnormalities was statistically higher in patients with skeletal malocclusion, especially sagittal skeletal malocclusion than in patients with dental vertical skeletal malocclusion type. This article reviews the association between various craniomaxillofacial structural abnormalities and different cervical spine structural features and discusses the importance of cervical vertebrae in craniofacial analysis.

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Tomographic Evaluation of the Upper Cervical Spine in Patients with Cleft lip and Palate and Class III Malocclusion

Dias

Marzano‐Rodrigues

Trindade‐Suedam

et al. 2023

The Cleft Palate Craniofacial Journal

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Objective To perform a morphometric analysis of the upper cervical spine (UCS) by means of cone-beam computed tomography (CBCT) for the diagnosis of malformations or craniocervical instabilities in patients with cleft lip and palate (CLP) and class III malocclusion. Materials and Methods A total of 72 CBCTs from adult patients (48 male and 24 female) with Angle Class III malocclusion were divided into three groups: 1) Unilateral cleft lip and palate (UCLP) (n = 29; male = 65.5%; age = 24, 2 ± 4.2 years); 2) Bilateral cleft lip and palate (BCLP) (n = 18; male = 83.3%; age = 26.4 ± 6.0 years); 3) Control group (CON) (n = 25; male = 56.0%; age = 27.8 ± 9.3 years). The version 11.7 of the Dolphin® software (Chatsworth, California, USA) was used to evaluate the morphometric measurements and anomalies of the UCS. Data were analyzed by descriptive and inferential statistics (p ≤ 0.05). Results For the UCLP, BCLP and CON groups, respectively, the measures were: atlantodental interval (2.1 ± 0.5; 2.1 ± 0.4; 2.0 ± 0.3 mm), basion-opisthion (35.9 ± 3.2; 36.4 ± 3.0; 34.7 ± 1.9 mm), hyoid-C3 (34.5 ± 3.7; 34.5 ± 5.2; 35.3 ± 4.5 mm), and hyoid-sella (108.1 ± 9.8; 111.3 ± 9.2; 109.7 ± 10 mm); clivus-canal angle (152.3 ± 13; 150.3 ± 10; 150.7 ± 10°) and Torg-Pavlov index (1.0 ± 0.2; 1.0 ± 0.1; 1.1 ± 0.2). Potentially unstable anomalies and malformations were more prevalent in the UCLP group (34,4%). Conclusion Subjects with UCLP presented compressive or unstable anomalies on upper cervical spine, more frequently than controls and BCLP, despite the lack of statistically significant differences among groups. Future studies could increase the safety of patients and healthcare professionals specialized in craniofacial anomalies.

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Three-Dimensional Assessment of Cervical Vertebrae Anomalies in Patients With Cleft Lip and Palate

Cited by 3 publications

References 24 publications

Atlanto-occipital Assimilation an Incidental Cephalometric Finding: Diagnosis and Clinical Implications – A Case Report

Atlanto-occipital Assimilation an Incidental Cephalometric Finding: Diagnosis and Clinical Implications – A Case Report

Progress in the study of the association between craniomaxillofacial deformities and the occurrence of cervical vertebra anomalies

Tomographic Evaluation of the Upper Cervical Spine in Patients with Cleft lip and Palate and Class III Malocclusion

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