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Incidence of Le Fort Surgery in a Mature Cohort of Patients With Cleft Lip and Palate
- Source :
- Annals of plastic surgery. 78(5 Suppl 4)
- Publication Year :
- 2017
-
Abstract
- Primary repair of cleft lip and palate occurs early in life, but ideal timing of these interventions remains controversial. Prior research has indicated that a later palate repair may improve patients' midfacial growth long term, whereas optimal timing of lip repair to maximize midfacial growth has not been identified.The purpose of this study is to analyze a large, diverse cohort of patients with cleft lip and palate to determine whether timing of primary palate repair and primary lip repair contributed significantly to subsequent orthognathic surgery. Methods Seventy-one nonsyndromic patients with cleft lip and/or palate were followed until age 23 years, and data regarding original diagnosis, surgical procedures, and dates were collected. Within our patient cohort, 12 patients (16.9%) underwent orthognathic surgery. Binary logistic regressions, Fisher exact tests, and Mann-Whitney U tests were used to determine whether timing of primary palate repair and primary lip repair contributed significantly to subsequent orthognathic surgery. Results In our cohort, the association of early lip repair with later orthognathic surgery trended toward significance (P = 0.080). Timing of primary palate repair was not significantly associated with later orthognathic surgery (P= 0.291). When correcting for sex, race, diagnosis, location of care, incidence of lip adhesions, and incidence of lip revisions, patient age at primary lip procedure was a significant predictor of later orthognathic surgery (P = 0.041). Conclusions Inconsistent with prior research, age at primary palate repair in our cohort was not correlated with incidence of orthognathic surgery. Delayed primary lip repair was associated with a significant decrease in the rate of subsequent orthognathic surgery.
- Subjects :
- Male
medicine.medical_specialty
Primary palate
medicine.medical_treatment
Cleft Lip
Orthognathic surgery
Dentistry
Osteotomy
03 medical and health sciences
Orthognathic Surgical Procedures
symbols.namesake
Young Adult
0302 clinical medicine
medicine
Humans
Osteotomy, Le Fort
Young adult
Fisher's exact test
business.industry
Incidence (epidemiology)
Incidence
030206 dentistry
Surgery
Cleft Palate
stomatognathic diseases
Treatment Outcome
030220 oncology & carcinogenesis
Cohort
symbols
Female
business
Subjects
Details
- ISSN :
- 15363708
- Volume :
- 78
- Issue :
- 5 Suppl 4
- Database :
- OpenAIRE
- Journal :
- Annals of plastic surgery
- Accession number :
- edsair.doi.dedup.....008a39a0c6e52841d72d3f2a7a1e7cd2