Effect of primary correction of nasal septal deformity in complete unilateral cleft lip and palate on the craniofacial morphology |
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| Authors: | Joanna Janiszewska-Olszowska Elżbieta Gawrych Barbara Wędrychowska-Szulc Piotr Stepien Justyna Konury Grażyna Wilk |
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| Affiliation: | 1. Department of General Dentistry (Head: Prof. El?bieta Weyna), Pomeranian Medical University, Szczecin, Poland;2. Department of Paediatric and Oncological Surgery (Head: El?bieta Gawrych, M.D., Ph.D.), Pomeranian Medical University, Szczecin, Poland;3. Private Practice, Szczecin, Poland;4. Institute of Mechatronics, Nanotechnology and Vacuum Technique, Koszalin University of Technology, Poland;5. Chair and Department of General and Dental Radiology (Head: Prof. Gra?yna Wilk), Pomeranian Medical University, Szczecin, Poland;1. Department of Surgery, The University of Melbourne, The Royal Melbourne Hospital, Parkville, Melbourne, Victoria, Australia;2. Melbourne Dental School, The University of Melbourne, Melbourne, Australia;1. Department of Oral and Maxillofacial Surgery, KGF College of Dental Sciences and Hospital, BEML Nagar, K.G.F, Karnataka,India;2. Department of Oral and Maxillofacial Surgery, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India;3. Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Puducherry 607402, India;4. Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India;1. Professor of Oral Pathology, Department of Oral Pathology and Oral Medicine, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel;2. Associate Professor of Oral Pathology and Chairman, Department of Oral Pathology and Oral Medicine, School of Dental Medicine, Tel Aviv University, Tel Aviv; Senior Pathologist, Institute of Pathology, Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel;1. Senior Engineer, Nordic Institute of Dental Materials, Oslo, Norway;2. Professor, Department of Prosthodontics/Dental Material Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;1. Department of Prosthodontics, Munich Dental School, Ludwig-Maximilians University, Munich, Germany;2. Division of Biostatistics, Institute of Social and Preventive Medicine, University of Zurich, Switzerland |
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| Abstract: | PurposeTo assess the long-term effect of primary correction of the nasal septum during lip repair in unilateral complete cleft lip and palate on the craniofacial morphology.Material, subjects, methodsThe study material consisted of 54 lateral cephalograms made at the ages 7–22, including 28 cephalograms of patients from a study group (aged 7–14 years) after a primary correction of the nasal septum during lip closure and 26 cephalograms of patients from a control group (aged 12–22 years) operated on without septal correction. All cephalograms have been analysed with regard to skeletal, dental and soft-tissue relationships. Data distribution has been checked using Shapiro–Wilk test (α = 0.05). Student t-test was used to compare values of normal distribution and for the latter – Mann–Whitney test.ResultsThe comparison of all cephalometric values between the study and control groups revealed a statistically significant (α = 0.05) difference only for H (p = 0.0267), 1+: NB angle (p = 0.0175) and 1+: NA (mm) (p = 0.0249). Each of the three cephalometric measurements mentioned were greater in the study than in the control group.ConclusionNo negative effect from the primary nasal septum correction on maxillary development could be found in the study group. |
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