THE DEVELOPMENT OF INTRACRANIAL RELATIONS
IN PATIENTS WITH COMPLETE UNILATERAL CLEFT LIP
AND PALATE IN RELATION TO SURGERY METHOD
AND GENDER ASPECT
Marešová K.1, Velemínská J.1, Müllerová Ž.2
1Department of Anthropology and Human Genetics, Faculty of Natural Sciences, Charles University, Prague, 2Department of Cleft Defects, Stomatology Clinic, Charles University Hospital Kr lovsk V inohrady, Prague, Czech Republic |
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Summary:
This study focuses on cranium development during puberty growth spurt in patients with complete unilateral cleft
of the lip and palate (UCLPC) after use of various surgery methods. Next, this study focuses on cranium development
differences between the genders in patients undergoing operations by the same method, as well as comparison
of intracranial relations between impaired and healthy individuals. The work is based on longitudinal
cephalometric measurement of X-ray films and it is interpreted by cluster analysis. It focuses mainly on mutual interrelations
of linear dimensions (meaning longitudinal and vertical) with angular dimensions (characteristic of
shape and position).
Mutual relationships of linear characteristics were closer than its relationship with the angular characteristics and
characteristics of shape and position were mutually closely related than with characteristics of the size. The development
of the cranial shape in regards to the linear dimensions is influenced particularly by the depth of maxilla,
the length of the ramus of the mandible, and the height of the upper face. The study confirms the least
positive development of cranium in boys with a bone graft. Girls undergoing operations with the same technique
have the advantage of earlier growth termination of most parts of the cranium, which makes it possible to maintain
the results of the therapeutical compensation of the defect.
Key words:
cleft lip and palate, intracranial relations, cluster analysis
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