The Effect of Cleft Lip and Cleft Palatal Repair and Unrepair on Nasomaxillary Complex.
Pradeep Subbaiah1*, Suma S2 and Jyothikiran H3
1Lecturer, Department of Orthodontics, JSSAHER, Mysuru, India
2Reade, Department of Orthodontics, JSSAHER, Mysuru, India
3Associate professor, Department of Orthodontics, JSSAHER, Mysuru, India
*Corresponding Author: Pradeep Subbaiah, Lecturer, Department of Orthodontics, JSSAHER, Mysuru, India.
Received: March 15, 2022; Published: April 28, 2022
Aims and Objectives
- To compare the influence of cleft lip and palate repair on craniofacial morphology of patients with cleft lip and palate.
- To compare the growth among operated and unoperated patients.
Material and Methods: A total of 36 individuals with cleft lip and palate (eighteen unoperated and eighteen operated) were chosen for the study. The purposive sampling approach is used for sampling. The patients were categorized into two groups, which were then subdivided into three subgroups, with six patients in each. A statistical evaluation was performed via descriptive statistics, including the independent "t" test and ANOVA.
Cranial base relationships
There was no significant difference in the mean N-S-Ba in this study (p = 1 for birth to 3 years, p = 0.575 for 6 - 12 years, and 0.786 for 12 to 20 years) and S-N (p = 1 for birth to 3 years, p = 1 for 6-12 years, and p = 0.106 for 12-20 years) value
(Table -1, figure 1-3) values were detected in both the operated and unoperated cleft groups. According to the findings, there was no variation in the cranial base angle or anterior cranial base length.
Maxillary spatial positioning
The analysis revealed that in the unoperated group, the maxilla was normal from birth to three years (mean 82.330) and six to twelve years (mean 82.50), but protrusive (84.60) from twelve to twenty years. The mean value of SNA in the operated group was 760 from birth to three years, 770 from six to twelve years, and 790 from twelve to twenty years, indicating that the maxilla is retrusive in all three subgroups. (Table -2)
Conclusion: In an unoperated group, the maxilla was average until the age of twelve years, after which it became prognathic. This demonstrates that the maxilla has an average growth potential in the unoperated group. The maxilla was retrognathic in the operated group, indicating that surgical correction of the cleft lip and palate impacts maxillary development.
Keywords: Cleft Lip and Palate; Nasomaxillary Complex; Operated; Unoperated
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