Liao Yu-Fang, Huang Chiung-Shing, Noordhoff M Samuel
Department of Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan.
Cleft Palate Craniofac J. 2002 May;39(3):353-6. doi: 10.1597/1545-1569_2002_039_0353_cocmip_2.0.co_2.
To identify and compare the craniofacial morphology of patients with bilateral complete cleft of primary palate (BCCPP) and bilateral complete cleft of secondary palate (BCCSP). In addition, to evaluate the differential effects of lip repair and palatal repair on the craniofacial morphology in cleft patients.
Twenty-four children, 10 boys and 14 girls, mean age of 5.8 years, with BCCPP (BCCPP group). Twenty-five children, 10 boys and 15 girls, mean age of 5.6 years, with BCCSP (BCCSP group).
Retrospective analysis.
Cephalometric analysis was used to determine the craniofacial morphology at about 5 years of age.
Compared with the BCCSP group, the BCCPP group demonstrated longer maxillary length, more protruded maxilla, more favorable jaw relation, more severely retroclined maxillary incisors, and larger overjet.
The subjects with BCCPP had craniofacial characteristics that differed significantly from those with BCCSP. It could also be speculated that palatal repair had more adverse effect on the growth of the maxilla in length; however, that repair influenced less the anteroposterior position of maxillary incisors than lip repair did.
识别并比较原发性双侧完全性腭裂（BCCPP）患者与继发性双侧完全性腭裂（BCCSP）患者的颅面形态。此外，评估唇修复和腭修复对腭裂患者颅面形态的不同影响。
24名儿童，10名男孩和14名女孩，平均年龄5.8岁，患有原发性双侧完全性腭裂（BCCPP组）。25名儿童，10名男孩和15名女孩，平均年龄5.6岁，患有继发性双侧完全性腭裂（BCCSP组）。
回顾性分析。
采用头影测量分析法确定约5岁时的颅面形态。
与BCCSP组相比，BCCPP组上颌长度更长，上颌更前突，颌关系更有利，上颌切牙更严重向后倾斜，覆盖更大。
原发性双侧完全性腭裂患者的颅面特征与继发性双侧完全性腭裂患者有显著差异。还可以推测，腭修复对上颌长度的生长有更大的不利影响；然而，与唇修复相比，腭修复对上颌切牙前后位置的影响较小。
