Long-Term Follow Up Results of Patients with Cleft Lip and Palate

DOI 50 References
  • MURASHIMA Mayuko
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • MISHIMAGI Takashi
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • ABE Shigehiro
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • OKADA Shouko
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • KATSUKI Yuko
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • IIJIMA Shin
    Second Department of Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University
  • SATO Yutaka
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University
  • YOSHIMASU Hidemi
    Community Oral Health Care Science, Department of Community Oral Health Care Science, School of Oral Health Care Sciences, Faculty of Dentistry, Tokyo Medical and Dental University
  • MIBU Michiko
    Speech Clinic, Department of Maxillofacial Prosthetics, Medical and Dental University Faculty of Dentistry Dental Hospital
  • AMAGASA Teruo
    Maxillofacial Surgery, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial and Neck Reconstruction, Graduate School, Tokyo Medical and Dental University

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Other Title
  • 唇顎口蓋裂患者の長期観察結果についての検討

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Abstract

We studied retrospectively 43 patients with cleft lip and palate who underwent a series of comprehensive treatments and were followed up until the completion of the final treatment in adulthood at the Maxillofacial Surgery, Tokyo Medical and Dental University Dental Hospital. As for sex, 23 patients were male and 20 female, and as for cleft type, 32 were classified as unilateral (UCLP) and 11 as bilateral (BCLP).<br>The mean age of cheiloplasty of patients with UCLP was performed at 4.7 months and 4.9 months at the first treatment, and 8.1 months at the second treatment with BCLP. Palatoplasty was done at a mean age of 1.8 years with UCLP and 1.9 years with BCLP. Alveolar bone grafting was carried out on 36 patients. Forty patients had a lip revision or a lip and nose correction. Orthognathic surgery was carried out on 11 patients. Six patients underwent a pharyngeal flap operation.<br>All patients were referred to orthodontics. Thirty-two patients showed no crossbite at the end of treatment. Fifteen of those patients did not require prosthodontic treatment of the cleft area. One patient underwent a dental implant procedure, 23 patients were treated using a bridge, and 4 patients had placement a denture as a final prosthodontic treatment.<br>Based on cephalometric roentgenogram analysis, the SNA angle was under −1SD on 24 patients. The SNB angle was between ±1SD on 21 patients. The Ls to E-plane was a mean of −3.7mm with UCLP and a mean of −3.6mm with BCLP. The Li to E-plane was 0.4mm for both UCLP and BCLP.<br>At the end of the treatment stage, all patients had acquired normal velopharyngeal closure; however, articulation disorders were observed in 5 patients.

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