Antonarakis Gregory S, Adibfar Alex, Tompson Bryan D, Daskalogiannakis John, Fisher David M
Cleft Palate Craniofac J. 2015 May;52(3):269-76. doi: 10.1597/13-272. Epub 2014 May 7.
To investigate associations between anthropometric lip measurements and dental arch relationships in patients with complete unilateral cleft lip and palate (CUCLP).
Retrospective cross-sectional study.
Children with CUCLP.
Anthropometric lip measurements, made immediately prior to lip repair, were available for each patient. The dental arch relationships were evaluated on dental study casts (8.6 ± 0.9 years) taken prior to any orthodontic treatment and prior to alveolar bone graft, using the modified Huddart and Bodenham (MHB) scoring system. The presence of associations between anthropometric lip measurements and dental arch relationships was determined using linear regression analysis.
In the 63 patients included in the study, the cleft lateral lip element was deficient in height in 87% and in transverse width in 86% of patients. Patients with more deficient cleft-side lateral lip height were more likely to present with more negative MHB scores (r = .443; P < .001). Conversely, patients with more deficient cleft-side lateral lip transverse width more often presented with more positive MHB scores (r = .281; P = .025).
In patients with CUCLP, there is a wide variability in the degree of deficiency of the cleft-side lateral lip element, both in the vertical and in the transverse dimension. The extent of this deficiency may, in part, predict the resulting dental arch relationships.
研究完全性单侧唇腭裂（CUCLP）患者的人体测量学唇部测量值与牙弓关系之间的关联。
回顾性横断面研究。
CUCLP患儿。
每位患者均有唇修复术前即刻进行的人体测量学唇部测量值。在任何正畸治疗之前和牙槽骨植骨之前，使用改良的哈达特和博德汉姆（MHB）评分系统，对牙研究模型（8.6±0.9岁）上的牙弓关系进行评估。使用线性回归分析确定人体测量学唇部测量值与牙弓关系之间是否存在关联。
在纳入研究的63例患者中，87%的患者患侧唇外侧部分高度不足，86%的患者患侧唇外侧部分宽度不足。患侧唇外侧高度不足更明显的患者更有可能出现更负的MHB评分（r = 0.443；P < 0.001）。相反，患侧唇外侧宽度不足更明显的患者更常出现更正的MHB评分（r = 0.281；P = 0.025）。
在CUCLP患者中，患侧唇外侧部分在垂直和横向维度上的不足程度存在很大差异。这种不足的程度可能部分预测最终的牙弓关系。
