Timing of Spheno-Occipital Synchondrosis Ossification in Children and Adolescents with Cleft Lip and Palate: A Retrospective Case-Control Study

Vale, Francisco; Francisco, Inês; Lucas, A.F.B; Roseiro, Ana; Caramelo, Francisco; Sobral, Adriana

doi:10.3390/ijerph17238889

Cited by 9 publications

(10 citation statements)

References 32 publications

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“…So, the obtained results were in line with the results of the previous studies, which showed earlier ossification in females than males. [22][23][24][25][26][27][28][29] Despite these similarities, there are some differences in the results. In a study on the normal Australian population, the average age of complete SOS fusion for both females and males was 18.62 years and 19.83 years, respectively.…”

Section: Discussionmentioning

confidence: 99%

Timing of Spheno-Occipital Synchondrosis Closure in Cleft Lip and Palate Patients in Iranian Population

Hasani

Mokhberi

Karandish

et al. 2022

The Cleft Palate Craniofacial Journal

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This study aimed to evaluate the chronological age range associated with each stage of spheno-occipital synchondrosis (SOS) fusion in patients with cleft lip and palate compared to the noncleft group, using cone-beam computed tomography (CBCT) images. Design: In this study, the degree of SOS fusion was assessed using a 4-stage scoring system on CBCT images of 190 individuals (92 patients with cleft lip and palate, 98 noncleft individuals). A χ2 test was performed to assess the correlation between age and fusion stage. The independent sample t tests were used to evaluate the differences in the mean values of the samples of each group and each sex, as well as the mean value of each stage ( P < .05). Results The results showed that there was no significant difference in the timing of the SOS fusion stages between the patients with cleft palate and the noncleft group. Although the fusion process of SOS begins about one year earlier in females, the complete ossification occurs at the mean age of 18.5 for both sexes in the experimental group and the mean age of 19.0 in the noncleft group. Conclusions The present study found no differences in the fusion stages of the spheno-occipital synchondrosis between patients with cleft lip and palate and healthy individuals.

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Section: Discussionmentioning

confidence: 99%

Timing of Spheno-Occipital Synchondrosis Closure in Cleft Lip and Palate Patients in Iranian Population

Hasani

Mokhberi

Karandish

et al. 2022

The Cleft Palate Craniofacial Journal

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“…The most preferred diagnostic tool prior to orthodontic treatment was cone beam computed tomography (CBCT). Despite the Eurocleft study using lateral cephalograms, CBCT has become a diagnostic imaging tool in patients with CLP since it had a higher definition than conventional two-dimensional methods and lower radiation exposure compared with computed tomography [ 22 , 23 ]. The American Academy of Oral and Maxillofacial Radiology defined clinical recommendations regarding the use of CBCT and this included imaging in the context of CLP care, since these patients have medical conditions that required proper 3D analysis for accurate diagnosis [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Current Treatment of Cleft Patients in Europe from a Provider Perspective: A Cross-Sectional Survey

Francisco

Antonarakis

Caramelo

et al. 2022

IJERPH

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The latest Eurocleft study reported several discrepancies in cleft care. Since then, no critical assessment has been performed. This study aimed to better understand the main strengths and inefficiencies of cleft care within Europe. The Google documents platform was used to create an online survey to investigate several aspects, i.e., provider characteristics, patient profile, services offered, and treatment protocols and complications. Descriptive statistics were calculated. The association between categorical variables was performed using Fisher’s exact test. The significance level chosen was 0.05. A total of 69 individuals from 23 European countries completed the survey. Centralized care was the preferred system, and the majority of the countries have an association for cleft patients and professionals (53.6%). The largest percentage of patients was seen in the university hospital environment (Fisher’s exact test p < 0.001). The majority of responders (98.6%) reported that an orthodontist was involved in cleft treatment, and 56.5% of them spend 76–100% of their time treating these patients. Despite cleft care having been reconfigured in Europe, a better consensus among the various centers regarding provider characteristics, services offered, and treatment protocols is still required. There is a need for better coordination between clinicians and national/international regulatory bodies.

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“…These include skeletal abnormalities, such as abnormal development of the maxillary bones, frontal, zygomatic, and orbital bones, as reported in a study conducted in Taiwan [6]. However, it is noteworthy that there was no statistical difference in the ossification time of the Spheno-Occipital Synchondrosis in patients with UCLP compared to patients without cleft [7].…”

Section: Introductionmentioning

confidence: 86%

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

Kaczorowska

Mikulewicz

2022

Applied Sciences

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(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.

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Timing of Spheno-Occipital Synchondrosis Ossification in Children and Adolescents with Cleft Lip and Palate: A Retrospective Case-Control Study

Cited by 9 publications

References 32 publications

Timing of Spheno-Occipital Synchondrosis Closure in Cleft Lip and Palate Patients in Iranian Population

Timing of Spheno-Occipital Synchondrosis Closure in Cleft Lip and Palate Patients in Iranian Population

Current Treatment of Cleft Patients in Europe from a Provider Perspective: A Cross-Sectional Survey

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

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