Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial
Background: The purpose of this study was to evaluate the association between the use of relaxing incisions and maxillary growth disturbance after primary palatoplasty in patients with unilateral cleft lip and palate. Methods: This is a prospective, randomized, double-blind controlled trial study wi...
Guardado en:
| Autores principales: | , , , |
|---|---|
| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
2017
|
| Materias: | |
| Acceso en línea: | Ver en el sistema de origen Enlace permanente (DOI o Handle) Enlace permanente (DOI o Handle) |
| Etiquetas: |
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1881508851035930624 |
|---|---|
| author | Percy Rossell‐Perry Omar Cotrina‐Rabanal Olga Figallo-Hudtwalcker Alicia Gonzalez-Vereau |
| author_browse | Alicia Gonzalez-Vereau Olga Figallo-Hudtwalcker Omar Cotrina‐Rabanal Percy Rossell‐Perry |
| author_facet | Percy Rossell‐Perry Omar Cotrina‐Rabanal Olga Figallo-Hudtwalcker Alicia Gonzalez-Vereau |
| author_sort | Percy Rossell‐Perry |
| collection | Producción científica |
| description | Background: The purpose of this study was to evaluate the association between the use of relaxing incisions and maxillary growth disturbance after primary palatoplasty in patients with unilateral cleft lip and palate. Methods: This is a prospective, randomized, double-blind controlled trial study with ethical committee approval between 2 groups of patients with unilateral cleft lip and palate who were operated on using the two-flap and one-flap techniques from 2008 to 2011. Two groups of patients with unilateral cleft lip and palate were operated on using the mentioned techniques by the Outreach Surgical Center Program Lima since 2008. Data collection was accomplished by evaluation of maxillary arch dimensions and dental arch relationships (scored using the 5-year-olds’ index). Results: The mean score for the 5-year-olds’ index was 2.57 for two-flap technique and 2.80 for one-flap technique without statistical significant differences ( P = 0.71). Our comparative study did not find statistically significant differences in maxillary arch dimensions between the studied techniques for unilateral cleft palate repair. Good levels of agreement were observed according to the κ statistics. Conclusions: The results arising from this clinical trial do not provide statistical evidence that one technique let us obtain better maxillary development than the other at 5 years. The use of relaxing incisions was not associated with maxillary growth impairment. A technique with limited relaxing incisions does not has better maxillary growth. Additional longer term study is necessary to confirm this preliminary report. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1325 |
| institution | UPeU |
| language | English |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/13252026-10-30T16:15:35ZEffect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical TrialPercy Rossell‐PerryOmar Cotrina‐RabanalOlga Figallo-HudtwalckerAlicia Gonzalez-VereauMedicinePalatoplastyDentistryRandomized controlled trialDental archClinical trialOrthodonticsHard palateSurgeryPathologyMedicinePalatoplastyDentistryRandomized controlled trialDental archClinical trialOrthodonticsHard palateSurgeryLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Dentistry Orthodontics Orthodontics and Dentofacial OrthopedicsHealth Sciences Medicine Physiology Obstructive Sleep Apnea ResearchBackground: The purpose of this study was to evaluate the association between the use of relaxing incisions and maxillary growth disturbance after primary palatoplasty in patients with unilateral cleft lip and palate. Methods: This is a prospective, randomized, double-blind controlled trial study with ethical committee approval between 2 groups of patients with unilateral cleft lip and palate who were operated on using the two-flap and one-flap techniques from 2008 to 2011. Two groups of patients with unilateral cleft lip and palate were operated on using the mentioned techniques by the Outreach Surgical Center Program Lima since 2008. Data collection was accomplished by evaluation of maxillary arch dimensions and dental arch relationships (scored using the 5-year-olds’ index). Results: The mean score for the 5-year-olds’ index was 2.57 for two-flap technique and 2.80 for one-flap technique without statistical significant differences ( P = 0.71). Our comparative study did not find statistically significant differences in maxillary arch dimensions between the studied techniques for unilateral cleft palate repair. Good levels of agreement were observed according to the κ statistics. Conclusions: The results arising from this clinical trial do not provide statistical evidence that one technique let us obtain better maxillary development than the other at 5 years. The use of relaxing incisions was not associated with maxillary growth impairment. A technique with limited relaxing incisions does not has better maxillary growth. Additional longer term study is necessary to confirm this preliminary report.Articlehttps://pubmed.ncbi.nlm.nih.gov/28203502https://doi.org/10.1097/gox.000000000000120110.1097/gox.0000000000001201https://hdl.handle.net/20.500.15037/1325W2579478296enPlastic & Reconstructive Surgery Global Open2169-75742017-01-012026-06-13T09:53:24Z2026-06-13T09:53:24Z |
| spellingShingle | Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Pathology Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Dentistry Orthodontics Orthodontics and Dentofacial Orthopedics Health Sciences Medicine Physiology Obstructive Sleep Apnea Research Percy Rossell‐Perry Omar Cotrina‐Rabanal Olga Figallo-Hudtwalcker Alicia Gonzalez-Vereau Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title | Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title_full | Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title_fullStr | Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title_full_unstemmed | Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title_short | Effect of Relaxing Incisions on the Maxillary Growth after Primary Unilateral Cleft Palate Repair in Mild and Moderate Cases: A Randomized Clinical Trial |
| title_sort | effect of relaxing incisions on the maxillary growth after primary unilateral cleft palate repair in mild and moderate cases a randomized clinical trial |
| topic | Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Pathology Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Dentistry Orthodontics Orthodontics and Dentofacial Orthopedics Health Sciences Medicine Physiology Obstructive Sleep Apnea Research |
| topic_facet | Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Pathology Medicine Palatoplasty Dentistry Randomized controlled trial Dental arch Clinical trial Orthodontics Hard palate Surgery Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research Health Sciences Dentistry Orthodontics Orthodontics and Dentofacial Orthopedics Health Sciences Medicine Physiology Obstructive Sleep Apnea Research |
| url | https://pubmed.ncbi.nlm.nih.gov/28203502 https://doi.org/10.1097/gox.0000000000001201 https://hdl.handle.net/20.500.15037/1325 |
| work_keys_str_mv | AT percyrossellperry effectofrelaxingincisionsonthemaxillarygrowthafterprimaryunilateralcleftpalaterepairinmildandmoderatecasesarandomizedclinicaltrial AT omarcotrinarabanal effectofrelaxingincisionsonthemaxillarygrowthafterprimaryunilateralcleftpalaterepairinmildandmoderatecasesarandomizedclinicaltrial AT olgafigallohudtwalcker effectofrelaxingincisionsonthemaxillarygrowthafterprimaryunilateralcleftpalaterepairinmildandmoderatecasesarandomizedclinicaltrial AT aliciagonzalezvereau effectofrelaxingincisionsonthemaxillarygrowthafterprimaryunilateralcleftpalaterepairinmildandmoderatecasesarandomizedclinicaltrial |