Do pharyngeal flaps restrict early midface growth in patients with clefts?

Christine M. Jones, Andrew F.J. Mackay, Donald Mackay, Ross E. Long

Research output: Contribution to journalArticle

Abstract

Objective To compare facial growth characteristics in patients with cleft palate who have undergone pharyngeal flap with those who had palatal lengthening or pharyngoplasty and to control subjects who have not had surgery for velopharyngeal insufficiency (VPI). Design Matched retrospective cohort study. Setting Multidisciplinary cleft care center. Patients All patients with cleft palate who had undergone pharyngeal flap or pharyngoplasty/palatal lengthening for VPI were included. Patients with craniofacial syndromes or those who had undergone maxillary protraction were excluded. A control group did not undergo surgery for VPI. The three groups were matched based on cleft type and ages at VPI surgery and cephalogram. Main Outcome Measures Thirteen craniofacial measurements were evaluated on postoperative cephalograms using an analysis of variance with a Bonferroni adjustment for significant measures (α = 0.05). Results Seventy-two patients were included; mean ages at VPI surgery and postoperative cephalogram were 5 and 8 years, respectively. Twelve of thirteen craniofacial measures were not significantly different; notably, this included maxillary height and projection. Only gonial angle was found to differ significantly (P = 018) in that pharyngoplasty and pharyngeal flap yielded a smaller angle compared with that in control subjects. Conclusion Facial growth, and in particular maxillary growth, was not altered as expected after pharyngeal flap surgery. Pharyngeal flap appears to be equivalent to pharyngoplasty and palatal lengthening in that no significant effects on early facial growth were detected after surgery for VPI in this cohort of children with cleft palate.

Original languageEnglish (US)
Pages (from-to)629-633
Number of pages5
JournalCleft Palate-Craniofacial Journal
Volume53
Issue number6
DOIs
StatePublished - Jan 1 2016

Fingerprint

Velopharyngeal Insufficiency
Cleft Palate
Growth
Analysis of Variance
Cohort Studies
Research Design
Retrospective Studies
Outcome Assessment (Health Care)
Control Groups

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Otorhinolaryngology

Cite this

Jones, Christine M. ; Mackay, Andrew F.J. ; Mackay, Donald ; Long, Ross E. / Do pharyngeal flaps restrict early midface growth in patients with clefts?. In: Cleft Palate-Craniofacial Journal. 2016 ; Vol. 53, No. 6. pp. 629-633.
@article{97cb21a1ae134dd38e061420271a3a4d,
title = "Do pharyngeal flaps restrict early midface growth in patients with clefts?",
abstract = "Objective To compare facial growth characteristics in patients with cleft palate who have undergone pharyngeal flap with those who had palatal lengthening or pharyngoplasty and to control subjects who have not had surgery for velopharyngeal insufficiency (VPI). Design Matched retrospective cohort study. Setting Multidisciplinary cleft care center. Patients All patients with cleft palate who had undergone pharyngeal flap or pharyngoplasty/palatal lengthening for VPI were included. Patients with craniofacial syndromes or those who had undergone maxillary protraction were excluded. A control group did not undergo surgery for VPI. The three groups were matched based on cleft type and ages at VPI surgery and cephalogram. Main Outcome Measures Thirteen craniofacial measurements were evaluated on postoperative cephalograms using an analysis of variance with a Bonferroni adjustment for significant measures (α = 0.05). Results Seventy-two patients were included; mean ages at VPI surgery and postoperative cephalogram were 5 and 8 years, respectively. Twelve of thirteen craniofacial measures were not significantly different; notably, this included maxillary height and projection. Only gonial angle was found to differ significantly (P = 018) in that pharyngoplasty and pharyngeal flap yielded a smaller angle compared with that in control subjects. Conclusion Facial growth, and in particular maxillary growth, was not altered as expected after pharyngeal flap surgery. Pharyngeal flap appears to be equivalent to pharyngoplasty and palatal lengthening in that no significant effects on early facial growth were detected after surgery for VPI in this cohort of children with cleft palate.",
author = "Jones, {Christine M.} and Mackay, {Andrew F.J.} and Donald Mackay and Long, {Ross E.}",
year = "2016",
month = "1",
day = "1",
doi = "10.1597/15-149",
language = "English (US)",
volume = "53",
pages = "629--633",
journal = "Cleft Palate-Craniofacial Journal",
issn = "1055-6656",
publisher = "American Cleft Palate Craniofacial Association",
number = "6",

}

Do pharyngeal flaps restrict early midface growth in patients with clefts? / Jones, Christine M.; Mackay, Andrew F.J.; Mackay, Donald; Long, Ross E.

In: Cleft Palate-Craniofacial Journal, Vol. 53, No. 6, 01.01.2016, p. 629-633.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Do pharyngeal flaps restrict early midface growth in patients with clefts?

AU - Jones, Christine M.

AU - Mackay, Andrew F.J.

AU - Mackay, Donald

AU - Long, Ross E.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Objective To compare facial growth characteristics in patients with cleft palate who have undergone pharyngeal flap with those who had palatal lengthening or pharyngoplasty and to control subjects who have not had surgery for velopharyngeal insufficiency (VPI). Design Matched retrospective cohort study. Setting Multidisciplinary cleft care center. Patients All patients with cleft palate who had undergone pharyngeal flap or pharyngoplasty/palatal lengthening for VPI were included. Patients with craniofacial syndromes or those who had undergone maxillary protraction were excluded. A control group did not undergo surgery for VPI. The three groups were matched based on cleft type and ages at VPI surgery and cephalogram. Main Outcome Measures Thirteen craniofacial measurements were evaluated on postoperative cephalograms using an analysis of variance with a Bonferroni adjustment for significant measures (α = 0.05). Results Seventy-two patients were included; mean ages at VPI surgery and postoperative cephalogram were 5 and 8 years, respectively. Twelve of thirteen craniofacial measures were not significantly different; notably, this included maxillary height and projection. Only gonial angle was found to differ significantly (P = 018) in that pharyngoplasty and pharyngeal flap yielded a smaller angle compared with that in control subjects. Conclusion Facial growth, and in particular maxillary growth, was not altered as expected after pharyngeal flap surgery. Pharyngeal flap appears to be equivalent to pharyngoplasty and palatal lengthening in that no significant effects on early facial growth were detected after surgery for VPI in this cohort of children with cleft palate.

AB - Objective To compare facial growth characteristics in patients with cleft palate who have undergone pharyngeal flap with those who had palatal lengthening or pharyngoplasty and to control subjects who have not had surgery for velopharyngeal insufficiency (VPI). Design Matched retrospective cohort study. Setting Multidisciplinary cleft care center. Patients All patients with cleft palate who had undergone pharyngeal flap or pharyngoplasty/palatal lengthening for VPI were included. Patients with craniofacial syndromes or those who had undergone maxillary protraction were excluded. A control group did not undergo surgery for VPI. The three groups were matched based on cleft type and ages at VPI surgery and cephalogram. Main Outcome Measures Thirteen craniofacial measurements were evaluated on postoperative cephalograms using an analysis of variance with a Bonferroni adjustment for significant measures (α = 0.05). Results Seventy-two patients were included; mean ages at VPI surgery and postoperative cephalogram were 5 and 8 years, respectively. Twelve of thirteen craniofacial measures were not significantly different; notably, this included maxillary height and projection. Only gonial angle was found to differ significantly (P = 018) in that pharyngoplasty and pharyngeal flap yielded a smaller angle compared with that in control subjects. Conclusion Facial growth, and in particular maxillary growth, was not altered as expected after pharyngeal flap surgery. Pharyngeal flap appears to be equivalent to pharyngoplasty and palatal lengthening in that no significant effects on early facial growth were detected after surgery for VPI in this cohort of children with cleft palate.

UR - http://www.scopus.com/inward/record.url?scp=85045867717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045867717&partnerID=8YFLogxK

U2 - 10.1597/15-149

DO - 10.1597/15-149

M3 - Article

VL - 53

SP - 629

EP - 633

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

SN - 1055-6656

IS - 6

ER -