The Slav-cleft: A three-center study of the outcome of treatment of cleft lip and palate. Part 1: Craniofacial morphology
Language English Country Scotland Media print-electronic
Document type Journal Article, Multicenter Study
PubMed
27663676
DOI
10.1016/j.jcms.2016.06.010
PII: S1010-5182(16)30098-1
Knihovny.cz E-resources
- Keywords
- Cephalometrics, Cleft lip, Cleft palate, Geometric morphometrics, Morphology, Slavs,
- MeSH
- Child MeSH
- Ethnicity statistics & numerical data MeSH
- Cephalometry statistics & numerical data MeSH
- Humans MeSH
- Mandible pathology MeSH
- Maxilla pathology MeSH
- Face anatomy & histology pathology MeSH
- Alveolar Process pathology MeSH
- Retrospective Studies MeSH
- Cleft Palate pathology surgery MeSH
- Cleft Lip pathology surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Czech Republic MeSH
- Poland MeSH
- Slovakia MeSH
Results of a comparison of the outcomes of treatment of cleft lip and palate can be affected by growth characteristics of populations from which subjects with the clefts are derived. Moreover, conventional cephalometric techniques used in cleft studies for analysis of facial morphology provide only a partial description of shape and are confounded by biases regarding the reference structures. In this retrospective comparison, craniofacial morphology of preadolescent patients with unilateral cleft lip and palate treated in Warsaw (n = 35, age = 10.6 years, SD = 1.2), Prague (n = 38, age = 11.6 years, SD = 1.4), and Bratislava (n = 26, age = 10.5 years, SD = 1.6) were evaluated on cephalograms with the cephalometric method used in the Eurocleft study and geometric morphometrics. We found that patients treated in Warsaw showed slightly more favorable outcomes than in Prague and Bratislava. The differences were related primarily to the position of maxillary alveolar process, cranial base, mandibular angle, and soft tissues. Although no association between a component of treatment protocol and the outcome was found, it is possible that organizational factors such as participation of high-volume, experienced surgeons contributed to these results.
Department of Pediatric Surgery Institute of Mother and Child Kasprzaka Str 17a 01 211 Warsaw Poland
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