Influence of isolated cleft palate and palatoplasty on the face
INTRODUCTION: The literature has demonstrated that alterations in craniofacial morphology characterizing individuals with cleft palate are observed in both operated and unoperated patients. OBJECTIVE: This study evaluated the influence of isolated cleft palate and palatoplasty on the face, based on...
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University of São Paulo
2007-06-01
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doaj-7704f5fb8c7041b687c1e3e03a9bd2b62020-11-25T00:41:09ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652007-06-0115319920810.1590/S1678-77572007000300009Influence of isolated cleft palate and palatoplasty on the faceOmar Gabriel da Silva FilhoLarissa Alves de Albuquerque RosaRita de Cássia M. Carvalho LaurisINTRODUCTION: The literature has demonstrated that alterations in craniofacial morphology characterizing individuals with cleft palate are observed in both operated and unoperated patients. OBJECTIVE: This study evaluated the influence of isolated cleft palate and palatoplasty on the face, based on facial analysis. MATERIAL AND METHODS: Lateral facial photographs of the right side of 85 young adult patients with cleft palate were analyzed, of whom 50 were operated on and 35 had never received any previous surgical treatment. The nasolabial angle and zygomatic projection were used to define the maxillary position in the face. Mandibular positioning was classified as Pattern I, II and III. RESULTS: Patients were distributed into 54.12% as Pattern I, 32.94% Pattern II and 12.94% Pattern III. Distribution of facial patterns did not show statistically significant differences between groups (p>0.05). Although palatoplasty did not influence the facial pattern, the zygomatic projection was vulnerable to plastic surgeries. Twenty-eight percent of the patients in the operated group showed zygomatic deficiency, compared to only 8.5% in the unoperated group. CONCLUSIONS: In patients with isolated cleft palate, palatoplasty may influence negatively the sagittal behavior of the maxilla, according to the zygomatic projection of the face, though without compromising the facial pattern.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572007000300009Cleft lipCleft palateSurgeryFace |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Omar Gabriel da Silva Filho Larissa Alves de Albuquerque Rosa Rita de Cássia M. Carvalho Lauris |
spellingShingle |
Omar Gabriel da Silva Filho Larissa Alves de Albuquerque Rosa Rita de Cássia M. Carvalho Lauris Influence of isolated cleft palate and palatoplasty on the face Journal of Applied Oral Science Cleft lip Cleft palate Surgery Face |
author_facet |
Omar Gabriel da Silva Filho Larissa Alves de Albuquerque Rosa Rita de Cássia M. Carvalho Lauris |
author_sort |
Omar Gabriel da Silva Filho |
title |
Influence of isolated cleft palate and palatoplasty on the face |
title_short |
Influence of isolated cleft palate and palatoplasty on the face |
title_full |
Influence of isolated cleft palate and palatoplasty on the face |
title_fullStr |
Influence of isolated cleft palate and palatoplasty on the face |
title_full_unstemmed |
Influence of isolated cleft palate and palatoplasty on the face |
title_sort |
influence of isolated cleft palate and palatoplasty on the face |
publisher |
University of São Paulo |
series |
Journal of Applied Oral Science |
issn |
1678-7757 1678-7765 |
publishDate |
2007-06-01 |
description |
INTRODUCTION: The literature has demonstrated that alterations in craniofacial morphology characterizing individuals with cleft palate are observed in both operated and unoperated patients. OBJECTIVE: This study evaluated the influence of isolated cleft palate and palatoplasty on the face, based on facial analysis. MATERIAL AND METHODS: Lateral facial photographs of the right side of 85 young adult patients with cleft palate were analyzed, of whom 50 were operated on and 35 had never received any previous surgical treatment. The nasolabial angle and zygomatic projection were used to define the maxillary position in the face. Mandibular positioning was classified as Pattern I, II and III. RESULTS: Patients were distributed into 54.12% as Pattern I, 32.94% Pattern II and 12.94% Pattern III. Distribution of facial patterns did not show statistically significant differences between groups (p>0.05). Although palatoplasty did not influence the facial pattern, the zygomatic projection was vulnerable to plastic surgeries. Twenty-eight percent of the patients in the operated group showed zygomatic deficiency, compared to only 8.5% in the unoperated group. CONCLUSIONS: In patients with isolated cleft palate, palatoplasty may influence negatively the sagittal behavior of the maxilla, according to the zygomatic projection of the face, though without compromising the facial pattern. |
topic |
Cleft lip Cleft palate Surgery Face |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572007000300009 |
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