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Three-dimensional development of the upper dental arch in unilateral cleft lip and palate patients after early neonatal cheiloplasty
E. Hoffmannova, V. Moslerová, J. Dupej, J. Borský, Š. Bejdová, J. Velemínská,
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články
- MeSH
- analýza hlavních komponent MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- ortognátní chirurgické výkony * MeSH
- počítačové zpracování obrazu MeSH
- prospektivní studie MeSH
- rozštěp patra chirurgie MeSH
- rozštěp rtu chirurgie MeSH
- studie případů a kontrol MeSH
- zobrazování trojrozměrné MeSH
- zubní modely * MeSH
- zubní oblouk růst a vývoj MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: This prospective morphometric study evaluated the growth of the upper dental arch in UCLP patients after early neonatal cheiloplasty and compared the selected dimensions with published data on non-cleft controls and on later operation protocol patients. METHODS: The sample comprised 36 Czech children with nonsyndromic complete UCLP (cUCLP) and 20 Czech children with nonsyndromic incomplete UCLP (UCLP + b). 2-D and 3-D analyses of palatal casts were made at two time points: before neonatal cheiloplasty at the mean age of 3 days (±1 day), and 10 months after surgery at the mean age of 10 months (±1 month). RESULTS: The upper dental arch of cUCLP and UCLP + b patients showed similar developmental changes, but the cleft type influenced growth significantly. The initial high shape variability in cUCLP patients diminished after 10 months, and approached the variability in UCLP + b patients. Both the width and length dimensions increased after surgery. Important growth concerned the anterior ends of both segments. The width and length dimensions illustrated similar growth trends with non-cleft controls and UCLP patients who underwent later cheiloplasty. CONCLUSION: Early neonatal cheiloplasty caused no reduction in the length or width dimensions during the first year of life. Our data suggest a reconstructed lip has a natural formative effect on the actively growing anterior parts of upper dental arch segments, which cause narrowing of the alveolar cleft.
Citace poskytuje Crossref.org
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- $a Hoffmannova, E $u Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Vinicna 7, 128 00 Prague 2, Czech Republic. Electronic address: eva.hoffmannova87@gmail.com.
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- $a OBJECTIVES: This prospective morphometric study evaluated the growth of the upper dental arch in UCLP patients after early neonatal cheiloplasty and compared the selected dimensions with published data on non-cleft controls and on later operation protocol patients. METHODS: The sample comprised 36 Czech children with nonsyndromic complete UCLP (cUCLP) and 20 Czech children with nonsyndromic incomplete UCLP (UCLP + b). 2-D and 3-D analyses of palatal casts were made at two time points: before neonatal cheiloplasty at the mean age of 3 days (±1 day), and 10 months after surgery at the mean age of 10 months (±1 month). RESULTS: The upper dental arch of cUCLP and UCLP + b patients showed similar developmental changes, but the cleft type influenced growth significantly. The initial high shape variability in cUCLP patients diminished after 10 months, and approached the variability in UCLP + b patients. Both the width and length dimensions increased after surgery. Important growth concerned the anterior ends of both segments. The width and length dimensions illustrated similar growth trends with non-cleft controls and UCLP patients who underwent later cheiloplasty. CONCLUSION: Early neonatal cheiloplasty caused no reduction in the length or width dimensions during the first year of life. Our data suggest a reconstructed lip has a natural formative effect on the actively growing anterior parts of upper dental arch segments, which cause narrowing of the alveolar cleft.
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- $a Dupej, J $u Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Vinicna 7, 128 00 Prague 2, Czech Republic; Department of Software and Computer Science, Faculty of Mathematics and Physics, Charles University in Prague, Czech Republic.
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