Cephalometric evaluation of adenoids, upper airway, maxilla, velum length, need ratio for determining velopharyngeal incompetency in subjects with unilateral cleft lip and palate

Abstract

Decreased Adenoids, restricted airway, small, retruded maxilla, smaller velum length and larger need ratio larger were seen in the cleft group as compared to the non-cleft group, which was suggestive of VPI.

Evaluation of Nasal Airway Volume of Operated Unilateral Cleft Lip and Palate Patients Compared With Skeletal Class III Individuals

“…Trindade et al (2015) evaluated the nasal airways of children with UCLP using acoustic rhinometry and showed that the UCLP children had narrower nasal cross-sectional areas than the noncleft children. Imamura et al (2002) and Gohilot et al (2014) reported that, when compared to a control group of noncleft skeletal class I participants, UCLP children and adolescents had a more retruded positioned maxilla and had narrowed nasal airway volume. Aras et al (2012) and Ö lmez-Gürlen et al (2015) evaluated the differences in nasal passage volume between UCLP patients and noncleft individuals using similar boundaries than our study.…”

“…Previous comparative CLP studies have enrolled non-CLP participants with normal occlusion participants as the control group, and comparisons may have been made between class III patients with CLP and class I normal controls (Aras et al, 2012; Celikoglu et al, 2014; Gohilot et al, 2014; Pimenta et al, 2015). To our knowledge, no previous studies evaluating the nasal volume of UCLP patients correlated with skeletal class III participants have been published.…”

“…In the available literature, studies evaluating UCLP patients often compare them with individuals who have skeletal class I relationship, using them as the control group (Aras et al, 2012; Celikoglu et al, 2014; Gohilot et al, 2014; Pimenta et al, 2015). However, it would be more appropriate to compare these patients with skeletal class III individuals because individuals with CLP also have commonly skeletal class III relationships (Tinano et al, 2015; Lin et al, 2016).…”

Assessment of nasopharynx area and level of severity posterior crossbite on children with cleft lips and palate post-palatoplasty

“…7 Gohilot et al 8 mentioned that a reduction in the nasopharynx area was accompanied by a decrease in lateral and vertical maxillary growth after palatoplasty surgery, which can be determined by nasopharynx examination through lateral cephalometric radiograph analysis in postpalatoplasty. 8 Reduction of nasopharynx area was one of the factors in the occurrence of a posterior crossbite that cannot be seen clinically, but can be measured by performing radiographic assessments using radiographic analysis lateral cephalometry as a routine diagnostic tool in determining orthodontic cases and for assessing nasopharynx area. 9 Huddart and Bodenham explained that the measurement of a posterior crossbite in the primary teeth of CLP children after palatoplasty can be done quite easy.…”

Cone-Beam Computed Tomography Evaluation of Skeletal Deformities and Pharyngeal Airway in Chinese Han Individuals With Nonsyndromic Unilateral Cleft Lip and Palate

“…Several studies have evaluated the airways of patients affected by CLP, and some studies utilized 2-dimensional radiographs. Gohilot et al (2014) and Trotman and Ross (1993) used lateral cephalometric radiographs and found that patients with CLP have a narrow upper airway, maxillary deficiency, and a short soft palate. With the development of 3-dimensional (3D) technology, cone-beam computed tomography (CBCT) has gradually become a widely accepted diagnostic technique for evaluating the upper airway due to its advantages, which include a lower radiation dose, shorter image acquisition time, and lower cost (Aras et al, 2012).…”