Sato T
Shikwa Gakuho. 1989 Sep;89(9):1479-506.
In order to elucidate their cranial and facial morphological features, frontal and lateral cephometric analysis was made of parents of 86 children with cleft lip with or without cleft palate [CL (P)] and 14 children with cleft palate (CP). Similar analysis was made of 30 control male and female volunteers who demonstrated no maxillofacial anormalies and had no blood relatives affected by CL(P) or CP. In addition, discriminative analysis was performed. Results (1) Maximum cranial breadth values in the 4 parent groups, both father groups [CL(P)-F, CP-F] and mother groups [CL(P)-M, CP-M] were lower than those in controls. Differences were significant in the CP-F and CP-M groups. The shapes and sizes of the cranial base, however, in all parent groups showed no distinct difference from those in the control group. (2) Inner canthal distance and maximum piriform aperture breadth in all parent groups and outer canthal distance, zygoma breadth, and maxillary alveolar base breadth in the CL(P)-F, CL(P)-M, and CP-M groups were all greater than those in controls. The differences were significant in the case of inner canthal distance and maximum piriform aperture breadth in the CL(P)-F group and in both inner and outer canthal distances and maximum piriform aperture breadth in the CL(P)-M group. (3) SNA angle in all parent groups was slightly greater, but occlusal plane angle and maxillary incisor angle were smaller than those in the control group. Significant difference was noted in occlusal plane angle in the CL(P)-F group. In all parent groups, depth values at various upper facial points in the lateral aspect of hard tissue tended to be greater and height values smaller than those of the control group. (4) In all parent groups, upper facial height, upper labial thickness, upper labial bending degree, and anterior nasal angle in the lateral aspect of the upper facial soft tissue tended to be smaller and upper labial height greater than those in the control group. A distinct difference between subjects and controls was observed in upper labial height in the CL(P)-F and CL(P)-M groups and in upper labial bending degree in the CP-F and CP-M groups. (5) Although no distinct difference was observed between controls and the parent groups in terms of facial angle and SNB angle, mandibular plane angle and gonial angle were relatively large and incisor axial angle was small in the parent groups.(ABSTRACT TRUNCATED AT 400 WORDS)
为了阐明其颅面形态特征，对86例唇裂伴或不伴腭裂患儿[CL(P)]的父母及14例腭裂患儿(CP)的父母进行了头颅侧位X线头影测量分析。对30名无颌面部异常且无受CL(P)或CP影响的血亲的对照男女志愿者进行了类似分析。此外，还进行了判别分析。结果：(1) 4组父母，即父亲组[CL(P)-F、CP-F]和母亲组[CL(P)-M、CP-M]的最大颅宽值均低于对照组。CP-F组和CP-M组差异有统计学意义。然而，所有父母组颅底的形状和大小与对照组相比无明显差异。(2) 所有父母组的内眦间距和最大梨状孔宽度，以及CL(P)-F、CL(P)-M和CP-M组的外眦间距、颧骨宽度和上颌牙槽基宽度均大于对照组。CL(P)-F组的内眦间距和最大梨状孔宽度，以及CL(P)-M组的内眦和外眦间距及最大梨状孔宽度差异有统计学意义。(3) 所有父母组的SNA角略大，但咬合平面角和上颌切牙角小于对照组。CL(P)-F组的咬合平面角差异有统计学意义。所有父母组硬组织侧面各上半面部点的深度值倾向于大于对照组，高度值小于对照组。(4) 所有父母组上半面部软组织侧面的上半面部高度、上唇厚度、上唇弯曲度和前鼻角倾向于小于对照组，上唇高度大于对照组。CL(P)-F组和CL(P)-M组的上唇高度以及CP-F组和CP-M组的上唇弯曲度在受试者与对照组之间存在明显差异。(5) 尽管对照组与父母组在面角和SNB角方面未观察到明显差异，但父母组的下颌平面角和下颌角相对较大，切牙轴角较小。(摘要截断于400字)
