A Preliminary Study of Interdisciplinary Approach with a Single-Stage Surgery in Children with Cleft Lip and Palate
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Surgical Techniques
2.2.1. Single-Stage Surgery
2.2.2. Two-Stage Surgery
2.3. Preoperative Orthognathic Treatment
2.3.1. Intraoral: Molding Plate
2.3.2. Extraoral: Orthodontic Elastics and Medical Tape
2.4. Analyses
2.4.1. Measurement Points in the Lateral Cephalometric Radiographs (Figure 5)
2.4.2. Measurement Planes in Lateral Cephalometric Radiographs (Figure 5)
2.4.3. Measurement Sites on Lateral Cephalometric Radiographs (Figure 5)
- ①
- SNA angle: angle between the SN plane and straight-line NA.
- ②
- SNB angle: angle between the SN plane and the straight-line NB.
- ③
- ANB angle: angle between the straight lines AN and NB.
- ④
- A’-Ptm’: maxillary length.
- ⑤
- Go-Me: mandibular body length.
- ⑥
- A to the McNamara line: distance from the McNamara line to point A.
- ⑦
- Pog to McNamara line: distance from the McNamara line to Pog.
2.4.4. Measurement Sites in the Dentition Model (Figure 6)
- ①
- Anterior width of the dental arch: distance between the maxillary left and right deciduous canines.
- ②
- Posterior width of the dental arch: distance between the maxillary left and right second deciduous molars.
- ③
- Anterior length of the dental arch: distance from the labial surface of the maxillary central incisor to the maxillary left and right deciduous canines.
- ④
- Posterior length of dental arch: distance from the labial surface of the maxillary central incisor to the maxillary left and right second deciduous molars.
2.5. Statistical Analysis
3. Results
4. Discussion
4.1. Preoperative Orthognathic Treatment
4.2. Single-Stage Surgery
4.3. Efficacy Compared with Two-Stage Surgery Based on Measurement Results
4.4. Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Measurement Item | Single-Stage Surgery (n = 10) | Two-Stage Surgery (n = 10) | p-Value | ||
---|---|---|---|---|---|
Mean | SD | Mean | SD | ||
SNA (°) | 78.92 | 1.61 | 76.78 | 2.70 | 0.035 * |
SNB (°) | 77.45 | 3.49 | 77.43 | 3.39 | n.s. |
ANB (°) | 1.49 | 1.95 | 4.9 | 1.95 | n.s. |
A’–Ptm’ (mm) | 43.41 | 2.24 | 43.25 | 1.4 | 0.004 * |
Go–Me (mm) | 53.47 | 3.72 | 61.19 | 4.08 | 0.001 * |
A to McNamara line (mm) | −3.71 | 1.53 | −5.55 | 2.20 | 0.043 * |
Pog to McNamara line (mm) | −10.92 | 5.67 | −9.41 | 5.59 | n.s. |
Measurement Item | Single-Stage Surgery (n = 10) | Two-Stage Surgery (n = 10) | p-Value | ||
---|---|---|---|---|---|
Mean | SD | Mean | SD | ||
Anterior width of dental arch (mm) | 28.06 | 1.57 | 25.53 | 4.04 | n.s. |
Posterior width of dental arch (mm) | 48.31 | 2.46 | 42.80 | 1.19 | 0.001 * |
Anterior length of dental arch (mm) | 4.48 | 0.84 | 4.50 | 1.21 | n.s. |
Posterior length of dental arch (mm) | 19.31 | 1.58 | 17.40 | 1.49 | 0.029 * |
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Matsumura, T.; Kawanabe, H.; Nemoto, N.; Ogino, S.; Fukui, K.; Oyama, A.; Okamoto, T. A Preliminary Study of Interdisciplinary Approach with a Single-Stage Surgery in Children with Cleft Lip and Palate. J. Pers. Med. 2022, 12, 1741. https://doi.org/10.3390/jpm12101741
Matsumura T, Kawanabe H, Nemoto N, Ogino S, Fukui K, Oyama A, Okamoto T. A Preliminary Study of Interdisciplinary Approach with a Single-Stage Surgery in Children with Cleft Lip and Palate. Journal of Personalized Medicine. 2022; 12(10):1741. https://doi.org/10.3390/jpm12101741
Chicago/Turabian StyleMatsumura, Takashi, Hitoshi Kawanabe, Naoko Nemoto, Saki Ogino, Kazunori Fukui, Akihiko Oyama, and Toru Okamoto. 2022. "A Preliminary Study of Interdisciplinary Approach with a Single-Stage Surgery in Children with Cleft Lip and Palate" Journal of Personalized Medicine 12, no. 10: 1741. https://doi.org/10.3390/jpm12101741