非罗宾序列孤立性腭裂患者的咬合效果。

IF 1.1 4区 医学 Q2 Dentistry
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-22 DOI:10.1177/10556656241236078
Catherine Beaumont, Audrey Bellerive, Anne-Sophie Julien, Jacques E Leclerc
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引用次数: 0

摘要

目标1.评估孤立性腭裂(非罗宾序列)患儿的骨骼类咬合和头颅侧位测量结果;2. 确定这些结果与腭裂成形术前测量结果之间的关联:研究设计:回顾性队列研究:研究设计:回顾性队列研究:对我们的腭裂数据库进行了审查,如果患者有孤立性腭裂,但没有罗宾序列诊断,做过Furlow腭裂成形术,在6至8岁期间有可获得的术前腭裂测量数据和可获得的侧位头颅影像,则将其纳入研究。32名患者符合纳入标准:干预措施:Furlow腭成形术:分析腭裂成形术时的裂隙大小、头颅测量和骨骼咬合等级。方差分析用于检验头颅测量和咬合等级之间的关联。结果以平均值和 95% 的置信区间表示。用斯皮尔曼相关性(Spearman Correlation,rs)检验了裂隙测量和头形测量参数之间的关联:该系列患者 7 岁时的骨骼咬合结果为Ⅰ类:19%;Ⅱ类:59%;Ⅲ类:22%。腭裂成形术时的任何一项裂隙测量都不能预测骨骼咬合的结果。结论:较大的硬腭裂与较短的前上颌骨有关:结论:骨骼咬合等级结果与之前文献研究中发现的结果相似。与罗宾序列或伴有唇裂的患者相比,咬合预后似乎更好。没有发现术前测量与咬合结果有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occlusal Outcomes in Non-Robin Sequence Patients with Isolated Cleft Palate.

Objectives1. To assess the skeletal class occlusion and lateral cephalometry in children with isolated cleft palates (non-Robin sequence) and 2. to identify associations between these findings and pre-palatoplasty cleft palate measurements.Study designRetrospective cohort study.SettingNorth American Institutional Tertiary Paediatric Center.PatientsOur cleft database was reviewed, and patients were included if they had an isolated cleft palate without a Robin Sequence diagnosis, had a Furlow palatoplasty and had available per operative cleft palate measurements and available lateral cephalogram between 6 and 8 years old. Thirty-two patients matched to inclusion criteria.InterventionFurlow's Palatoplasty.Main Outcome and MeasuresCleft size at palatoplasty, cephalometric measurements and skeletal occlusal classes were analysed. ANOVA was used to test the association between cephalometric measurements and occlusal classes. Results are presented as means with a 95% confidence interval. The association between cleft measurements and cephalometric parameters was tested with Spearman Correlation (rs).ResultsThe skeletal occlusal outcome at 7 years old for this series of patients was: Class I: 19%; Class II: 59% and Class III: 22%. No single cleft measurement at palatoplasty was predictive of the skeletal occlusal outcome. A larger hard palate cleft was associated with a shorter antero-posterior maxilla.ConclusionsThe skeletal occlusal class outcomes were similar to those found in a previous study in the literature. The occlusal prognosis appears to be better than in patients with Robin Sequence or with an associated cleft lip. No preoperative measurement was found to be associated with the occlusal outcome.

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来源期刊
Cleft Palate-Craniofacial Journal
Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY
CiteScore
2.20
自引率
36.40%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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