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Long-Term Evidence for Favorable Midfacial Growth After Delayed Hard Palate Repair in UCLP Patients

2001; SAGE Publishing; Volume: 38; Issue: 4 Linguagem: Inglês

10.1597/1545-1569(2001)038 2.0.co;2

1545-1569

Hans Friede, Hans Enemark,

Tracheal and airway disorders

Abstract Objective: To investigate whether delayed hard palate repair resulted in better midfacial growth in the long term than previously achieved with “conventional” surgical methods of palatal closure. Design and Setting: Long-term cephalometric data from patients with unilateral cleft lip and palate were available from two Scandinavian cleft centers. The patients had been treated by different regimens, particularly regarding the method and timing of palatal surgery. Patients were analyzed retrospectively, and one investigator digitized all radiographs. Patients: Thirty consecutively treated subjects from each center, with cephalograms taken at three comparable stages between 10 and 16 years of age. Results and Conclusions: Patients whose hard palates were repaired late (early soft palate closure followed by delayed hard palate repair at the stage of mixed dentition) had significantly better midfacial development than patients in whom the hard palate was operated on early with a vomer flap, and then du...