Palatal volume estimation in operated unilateral and bilateral cleft lip and palate subjects using digital study models

Monga, Nitika; Kharbanda, OP; Balachandran, Rajiv; Neelapu, Bala Chakravarthy

doi:10.1111/ocr.12368

Cited by 10 publications

(17 citation statements)

References 30 publications

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“…The palatal volume in operated cleft lip and palate patients both UCLP and BCLP, was evaluated using digital models. [ 17 ] The results of the study showed significantly lesser palatal volume in cleft patients compared to non-cleft controls. [ 18 ] The palatal volume in operated cleft lip and palate patients, both UCLP and BCLP was estimated using digital models and palatal volume in cleft patientswas found to be smaller compared to non-cleft controls.…”

Section: Discussionmentioning

confidence: 99%

“…The recent studies[ 17 18 ] estimated the palatal area and volume in patients with cleft deformity using digital models and found that measurements were smaller as compared to normal control. The palatal area in nonsyndromic and unoperated CLP patients evaluated the intrinsic deficiency of maxillary growth and found that the intrinsic deficiency was also a contributing factor for maxillary hypoplasia.…”

Section: Introductionmentioning

confidence: 99%

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Three dimensional changes of maxillary arch in Unilateral cleft lip and palate patients following comprehensive orthodontic treatment on digital study models

et al. 2022

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OBJECTIVE: To compare the effects of comprehensive orthodontic treatment on palatal area, volume, inter-canine and inter-molar width in patients with Unilateral Cleft Lip and Palate (UCLP) using scanned models of the maxillary arch. DESIGN: Retrospective cohort study. SETTING: Tertiary setting. PATIENTS: Two hundred and ten plaster study models of 70 patients with Unilateral Cleft Lip and Palate (Study group SG) and Control Group ( n = 70) were scanned using Maestro 3D Dental scanner. The study groupwas further divided into subgroups; Subgroup I: treated with orthodontic treatment only (non-surgical), Subgroup II: patientsmanaged with combined orthodontics and orthognathic surgery (either maxillary advancement or maxillary distraction), Subgroup A: age >14 years and Subgroup B: age <14 years. INTERVENTIONS: Comprehensive orthodontic and Orthosurgical treatment MAIN OUTCOME MEASURES: Pre- and post-treatment scanned maxillary models of the study group were compared for palatal area and volumeand intercanine and intermolar width. The palatal dimensions of post-treatment scanned models were also compared to that of the control group. RESULTS: The Palatal area and volume, intercanine and intermolar width were significantly higher in the post-treatment as compared to pre-treatment study models ( P < 0.01). The measurements ofthe maxillary arch were significantly higher in the control group compared to the post-treatment measurements of the study group. The increase in palatal area and volume was greater in Subgroup I and A compared to Subgroup II and B patients, respectively. CONCLUSION: The 3-Dimensional palatal dimensions in UCLP group improved after orthodontic treatment but were still not comparable to the normal subjects. The patients with age >14 years showed more improvement in the maxillary arch.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Three dimensional changes of maxillary arch in Unilateral cleft lip and palate patients following comprehensive orthodontic treatment on digital study models

et al. 2022

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“…10 Few studies analyzed the volume on dental casts of individuals with cleft lip and palate through different methodologies. [12][13][14][15][16] Some studies analyzed the palate volume of children by marking the gingival margin and a plane tangent to the primary and/or permanent teeth, posteriorly, [12][13][14] while others evaluated through the segmented areas of the dental arches. 15,16 In this study, we employed the methodology described by Pucciarelli et al 8 because of the proven accuracy and repeatability of the volumetric analysis Ã Statistically significant difference.…”

Section: Discussionmentioning

confidence: 99%

Digital Volumetric Monitoring of Palate Growth in Children With Cleft Lip and Palate

Ambrosio

Fusco

Carrara

et al. 2021

Journal of Craniofacial Surgery

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Objective: This thesis addresses a neglected aspect of bioinformatics research of hemifacial microsomia (HFM). Existing research stops short of prediction based on big data. This study combines multiple databases to explore underlying pathogenesis using bioinformatic approach. Methods: The research consisted of multiple bioinformatic methods, included pathogenic genes analyses, protein-protein interaction network construction, functional enrichment, and mining target genes related miRNA, for studying pathogenic genes of HFM.

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“…Despite the critical role played by the amount of bone required for reconstruction of the bone defect, rather than using objective criteria, surgeons mostly determine the amount of graft on the basis of their experience, potentially resulting in either superfluous or scarce graft harvest. Heiser et al (2004) were the first to attempt measurement of palatal volume, and this was done indirectly by weight correlation [ 24 ]. According to Quereshy et al, objective criteria to estimate the amount of graft were landmarks and linear calculations, corresponding to the cleft width, height, and facial-palatal length.…”

Section: Discussionmentioning

confidence: 99%

Intra- and Interobserver Reliability of Bone Volume Estimation Using OsiriX Software in Patients with Cleft Lip and Palate Using Cone Beam Computed Tomography

et al. 2021

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The objective of the current study was to evaluate intra- and interobserver bone volume measurements and effect of orientation on the reliability of bone volume evaluation in as-acquired vis-à-vis oriented cone beam computed tomography scans using Osirix software and possible correlation between gender, age, and bone volume required. For this, 31 cone beam computed tomography (CBCT) scans of 14 girls and 17 boys (aged 9–13) with unilateral cleft lip and/or palate who met the inclusion criteria were analyzed. Efficacy and reliability of third party software Osirix for bone volume calculation was assessed using as acquired and oriented volumes by three specialists (a radiologist, an orthodontist, and an oral maxillofacial surgeon). The dataset and readings were anonymized to prevent any bias. Two-way mixed model analysis on as-acquired and oriented observations exhibited intra-class coefficient (ICC) values ≥ 0.90. Wilcoxon signed rank test (p = 0.10) and Kruskal–Wallis ANOVA (p = 0.46) indicated that although a clinical difference in volume assessment was seen between as-acquired and oriented observations (inter-observer and intra-observer), it was statistically insignificant. Spearman’s bi-variate correlation analysis revealed a significant relation between the type (side) of cleft and bone volume required to fill the defect (p < 0.05). Although there was clinical difference in bone volume measurement by the three observers, it was insignificant statistically. Clefts on the left side in the patients had significantly more bone required than the right side, whereas age and gender had no relation with bone needed to fill the defect. OsiriX software provided good reliability in measurements of bone volume.

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Palatal volume estimation in operated unilateral and bilateral cleft lip and palate subjects using digital study models

Cited by 10 publications

References 30 publications

Three dimensional changes of maxillary arch in Unilateral cleft lip and palate patients following comprehensive orthodontic treatment on digital study models

Three dimensional changes of maxillary arch in Unilateral cleft lip and palate patients following comprehensive orthodontic treatment on digital study models

Digital Volumetric Monitoring of Palate Growth in Children With Cleft Lip and Palate

Intra- and Interobserver Reliability of Bone Volume Estimation Using OsiriX Software in Patients with Cleft Lip and Palate Using Cone Beam Computed Tomography

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