Scandcleft trial of primary surgery for unilateral cleft lip and palate:Craniofacial cephalometrics at 8 years
- Resource Type
- Authors
- Agneta Karsten; Eli Brinck; William C. Shaw; Jeanette Mooney; Susanna Botticelli; Gunvor Semb; Agneta Marcusson; Philip Eyres; Haydn Bellardie; Annelise Küseler; Sara Rizell; Paul Sæle; Pål Skaare; Arja Heliövaara; Kirsten Mølsted; Midia Najar Chalien
- Source
- Küseler, A, Heliövaara, A, Mølsted, K, Marcusson, A, Karsten, A, Bellardie, H, Sæle, P, Brinck, E, Skaare, P, Rizell, S, Chalien, M N, Mooney, J, Botticelli, S, Eyres, P, Shaw, W & Semb, G 2021, ' Scandcleft trial of primary surgery for unilateral cleft lip and palate : Craniofacial cephalometrics at 8 years ', European Journal of Orthodontics, vol. 43, no. 4, pp. 374–380 . https://doi.org/10.1093/ejo/cjaa060
- Subject
- Orthodontics
Cephalometry
business.industry
Cleft Lip
Lateral cephalograms
030206 dentistry
030230 surgery
Craniometry
Lip
law.invention
Cleft Palate
Transplantation
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Maxilla
Humans
Medicine
Craniofacial
Child
Craniofacial growth
business
Radiation treatment planning
- Language
- English
Summary Background The Scandcleft trial is a randomized controlled trial that includes children with unilateral cleft lip and palate where registrations are standardized and therefore provides the opportunity to describe craniofacial characteristics in a very large sample of patients. Objectives The aim of this study was to describe craniofacial growth and morphology in a large study sample of 8-year-old children with unilateral cleft lip and palate (UCLP); before orthodontic treatment and before secondary alveolar bone grafting; and to compare the cephalometric values with age-matched non-cleft children from previous growth studies to identify the differences between untreated cleft- and non-cleft children. Materials There are 429 eight-year-old UCLP patients in the Scandcleft study group. A total of 408 lateral cephalograms with a mean age of 8.1 years were analysed. Cephalometric analyses were performed digitally. The results from three previously published growth studies on non-cleft children were used for comparison. Results Cephalometric analyses showed a large variation in craniofacial morphology among the UCLP group. In general, they present with significant maxillary retrusion and reduced intermaxillary relationships compared to the age-matched non-cleft children. In addition, the vertical jaw relationship was decreased, mainly due to decreased maxillary inclination. The upper and lower incisors were retroclined. It can be expected that these differences will increase in significance as the children age. Conclusion Results from this study provide proposed norms for the young UCLP before any orthodontic treatment and can be valuable for the clinician in future treatment planning. Trial registration ISRCTN29932826.