Hariharan, P (2016) Growth Evaluation and Treatment Outcome of Unilateral and Bilateral Cleft Lip and Cleft Palate Patients: A Retrospective study. Masters thesis, Ragas Dental College and Hospital, Chennai.
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Abstract
PURPOSE: The purpose of this retrospective study was to compare the growth and treatment outcome of unilateral and bilateral cleft lip and palate patients operated by the same surgeon employing standard cleft treatment protocols. MATERIALS AND METHODS: 11 patients who were operated for cleft lip and palate by employing standard treatment protocols which includes cleft lip operated between 3 to 6 months using standard modified Millard’s rotation advancement flap and cleft palate operated between 12 to 18 months by Bardach two flap palatoplasty within 2 years of age were included in this study. All these patients were recalled, a lateral cephalograph was obtained and McNamara’s analysis were performed. A diagnostic model was obtained and Goslon Index were performed. The real time soft tissue clinical measurments of the nasomaxillary region were performed. RESULTS: A statistically significant difference was seen in the cephalometric values of the mandibular growth ‘p’ value being 0.002, maxilla-mandibular differential growth ‘p’ value being 0.001 and lower anterior facial height, ‘p’ value being ˂ 0.001. A statistically significant difference was seen in the real time soft tissue measurement , of the height of the lower alar groove from the interpupilary line of the non-cleft side (C) Fig.8 and cleft side (C’) Fig.6 ‘p’ value being 0.004. We would also like to conclude that by employing Goslon Index using study models 45 percent of patients were placed in a favourable excellent group (Group-1) (Graph.3). CONCLUSION: From the results obtained from our study, we conclude that the growth of maxilla in operated cleft lip and palate patients using standardized cleft treatment protocols (modified Millard’s rotation advancement flap for cleft lip and Bardach two flap palatoplasty for cleft palate) does not show statistically significant reduction. In addition we would like to conclude the comparison ratio between C (the height of the lower alar groove from the interpupilary line of the non-cleft side) and C’ (the height of the lower alar groove from the interpupilary line of cleft side) show a statistically significant difference, hence forth we would like to state from above mentioned results that C’(the height of the lower alar groove from the interpupilary line of cleft side) (Fig.6) is more than C (the height of the lower alar groove from the interpupilary line of the non-cleft side) (Fig.8).
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Growth Evaluation, Cleft Lip and Palate, Cephalometric Evaluation, Goslon Index, Real time soft tissue measurements. |
| Subjects: | DENTAL > Oral and Maxillofacial Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 21 Sep 2021 03:52 |
| Last Modified: | 21 Sep 2021 03:52 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18060 |
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