Long-Term Follow-Up of UCLP Patients: Surgical and Orthodontic Burden of Care during Growth and Final Orthognathic Surgery Need

Abstract

Patients needing final jaw surgery had a more severe skeletal discrepancy during early childhood. The ANB angle at 5 years allowed doctors to identify 45% of the need for orthognathic surgery. The final craniofacial pattern does not seem to change significantly with early or prolonged orthodontic treatment.

Long-Term Computed Tomographic Evaluation of Alveolar Bone Formation in Patients with Unilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty

“…Therefore, as published in an article evaluating the orthodontic burden of care, 76 percent of the patients needed palatal expansion. 53 Concerning velopharyngeal insufficiency, although the data are not published, the need for velopharyngeal insufficiency surgery in our center is 4 percent and thus significantly lower than what is suggested by the literature on two-stage palatoplasty. 54 Volume 137, Number 2 • Evaluation of Alveolar Cleft Formation…”

Long-term follow-up of large maxillary advancements with distraction osteogenesis in growing and non-growing cleft lip and palate patients

“…This group was extrapolated from a large sample of unilateral cleft lip and palate children who had been retrospectively collected for a previous growth study. 18 In order to select a control sample with a comparable class III growth pattern, only the patients from the sample who had needed a Le Fort I osteotomy at the completion of growth were included.…”

Assessment of Orthodontic Burden of Care in Patients With Unilateral Complete Cleft Lip and Palate

“…The mean number of appointments was 24.3 per patient (Semb et al, 2011). Meazzini et al (2013) conducted a study with 62 UCLP patients and assessed the development of craniofacial morphology, the need of orthognathic surgery at the completion of growth, and the orthodontic burden of care. These authors observed that neither earlier nor longer orthodontic treatment altered long-term maxillary growth; that is, because all patients exhibited similar malocclusion severities before orthodontic treatment, the treatment length did not interfere in orthognathic surgery need.…”