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ObjectiveTo determine whether facial growth at five years is different for children with a left versus right sided cleft lip and palate.DesignRetrospective cohort study.SettingSeven UK regional cleft centres.PatientsPatients born between 2000-2014 with a complete unilateral cleft lip and palate (UCLP).Main Outcomes Measure5-Year-Old's Index scores.Results378 children were included. 256 (68%) had a left sided UCLP and 122 (32%) had a right sided UCLP. 5-Year-Old's index scores ranged from 1 (good) to 5 (poor). There was a higher proportion of patients getting good scores (1 and 2) in left UCLP (43%) compared to right UCLP (37%) but there was weak evidence for a difference (Adjusted summary odds ratio 1.27, 95% CI 0.87 to 1.87; = .22).ConclusionsWhilst maxillary growth may be different for left versus right sided UCLP, definitive analysis requires older growth indices and arch forms.
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http://dx.doi.org/10.1177/10556656241233220 | DOI Listing |
J Craniofac Surg
September 2025
Faculty School of Human Medicine, Peruvian University Union (UpeU), Lima, Peru.
Objective: Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores the efficacy of the vestibular Z-plasty technique for primary nasal deformity repair.
Methods: Since 2023, a single surgeon has operated on 12 consecutive unilateral cleft lip and palate patients with associated nasal deformities.
Int J Comput Assist Radiol Surg
September 2025
Division of Plastic and Reconstructive Surgery, Neonatal and Pediatric Craniofacial Airway Orthodontics, Department of Surgery, Stanford University School of Medicine, 770 Welch Road, Palo Alto, CA, 94394, USA.
Background: Alveolar molding plate treatment (AMPT) plays a critical role in preparing neonates with cleft lip and palate (CLP) for the first reconstruction surgery (cleft lip repair). However, determining the number of adjustments to AMPT in near-normalizing cleft deformity prior to surgery is a challenging task, often affecting the treatment duration. This study explores the use of machine learning in predicting treatment duration based on three-dimensional (3D) assessments of the pre-treatment maxillary cleft deformity as part of individualized treatment planning.
View Article and Find Full Text PDFOrthod Craniofac Res
September 2025
Georgia School of Orthodontics, Atlanta, Georgia, USA.
Management of class III malocclusion in patients with cleft is geared toward improving the maxillary position with maxillary protraction therapy with or without bone anchorage. This study aims at evaluating the effects of bone-anchored maxillary protraction (BAMP) and tooth-anchored maxillary protraction (TAMP) appliances in patients with cleft lip and palate (CLP). A search of PubMed MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Web of Science, ProQuest Dissertations and Theses Global, and ClinicalTrials.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Facial feminization surgery (FFS) reshapes masculine facial attributes to align with feminine norms, yet normative anthropometric data for Asian populations remain sparse. We therefore quantified sex-related 3-dimensional (3D) facial metrics in healthy Asian adults to delineate dimorphic benchmarks for surgical planning. We prospectively recruited 40 healthy Asian adults (20 males, 20 females; age 18 to 45 years, mean 28.
View Article and Find Full Text PDFUnilateral cleft lip repair methods have evolved from straight-line repairs to geometric procedures, rotation-advancement, and contemporary hybrid techniques. The Fisher anatomical subunit repair is a versatile, effective, and highly reproducible technique. It utilizes mathematical precision in design, avoids multi-point closure, minimizes scar burden, and does not compromise horizontal lip length for vertical height in various deformities.
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