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Abstract：
To assess the maxillofacial growth of patients with isolated cleft palate following the Sommerlad-Furlow modified technique and compare it with the effect of the Sommerlad technique.
A Retrospective Cohort Study.
A total of 90 participants, 60 patients with non-syndromic isolated soft and hard cleft palate (ISHCP) underwent primary palatoplasty without relaxing incision (30 patients received the Sommerlad-Furlow modified (S-F) technique and 30 received Sommerlad (S) technique). While the other 30 were healthy noncleft participants with skeletal class I pattern (C group). All participants had lateral cephalometric radiographs at least 5 years old age. All the study variables were measured by using stable landmarks, including 11 linear and 9 angular variants.
The means age at collection of cephalograms were 6.03 ± 0.80 (5-7 yrs) in the S group, 5.96 ± 0.76 (5-7 yrs) in the S-F group, and 5.91 ± 0.87 (5-7 yrs) in the C group. Regarding cranial base, the results showed that there were no statistically significant differences between the three groups in S-N and S-N-Ba. The S group had a significantly shortest S-Ba than the S-F & C groups (P = 0.01), but there was no statistically significant difference between S-F and C groups (P = 0.80). Regarding skeletal maxillary growth, the S group had significantly shorter Co-A, S- PM and significantly less SNA angle than the C group (P = < 0.01). While there was no significant difference between S-F & C groups (P = 0.42). The S group had significantly more MP-SN inclination than the C group (P = < 0.01). Regarding skeletal mandibular growth, there were no statistically significant differences in all linear and angular mandibular measurements between the three groups, except Co-Gn of the S group had a significantly shorter length than the C group (P = 0.05). Regarding intermaxillary relation, the S-F group had no significant differences in Co-Gn-Co-A and ANB as compared with the C group. The S group had significantly less ANB angle than S-F & C groups (P = 0.01 & P = < 0.01). In addition, there were no significant differences in all angular occlusal measurements between the three groups.
As a preliminary report, Sommerlad-Furlow modified technique showed that maxillary positioning in the face tended to be better, and the intermaxillary relationship was more satisfactory than that in Sommerlad technique when compared them in healthy noncleft participants.
A Retrospective Cohort Study.
A total of 90 participants, 60 patients with non-syndromic isolated soft and hard cleft palate (ISHCP) underwent primary palatoplasty without relaxing incision (30 patients received the Sommerlad-Furlow modified (S-F) technique and 30 received Sommerlad (S) technique). While the other 30 were healthy noncleft participants with skeletal class I pattern (C group). All participants had lateral cephalometric radiographs at least 5 years old age. All the study variables were measured by using stable landmarks, including 11 linear and 9 angular variants.
The means age at collection of cephalograms were 6.03 ± 0.80 (5-7 yrs) in the S group, 5.96 ± 0.76 (5-7 yrs) in the S-F group, and 5.91 ± 0.87 (5-7 yrs) in the C group. Regarding cranial base, the results showed that there were no statistically significant differences between the three groups in S-N and S-N-Ba. The S group had a significantly shortest S-Ba than the S-F & C groups (P = 0.01), but there was no statistically significant difference between S-F and C groups (P = 0.80). Regarding skeletal maxillary growth, the S group had significantly shorter Co-A, S- PM and significantly less SNA angle than the C group (P = < 0.01). While there was no significant difference between S-F & C groups (P = 0.42). The S group had significantly more MP-SN inclination than the C group (P = < 0.01). Regarding skeletal mandibular growth, there were no statistically significant differences in all linear and angular mandibular measurements between the three groups, except Co-Gn of the S group had a significantly shorter length than the C group (P = 0.05). Regarding intermaxillary relation, the S-F group had no significant differences in Co-Gn-Co-A and ANB as compared with the C group. The S group had significantly less ANB angle than S-F & C groups (P = 0.01 & P = < 0.01). In addition, there were no significant differences in all angular occlusal measurements between the three groups.
As a preliminary report, Sommerlad-Furlow modified technique showed that maxillary positioning in the face tended to be better, and the intermaxillary relationship was more satisfactory than that in Sommerlad technique when compared them in healthy noncleft participants.
摘要：
目的：评估Sommerlad-Furlow改良技术后孤立性腭裂患者的颌面部生长，并将其与Sommerlad技术的效果进行比较。
方法：回顾性队列研究。
方法：共有90名参与者，60例非综合征性孤立性软硬腭裂（ISHCP）患者接受了无松弛切口的原发性腭成形术（30例患者接受了Sommerlad-Furlow改良（S-F）技术，30例接受了Sommerlad（S）技术）。而其他30名是健康的无裂参与者，具有骨骼I类模式（C组）。所有参与者都有至少5岁的侧位头颅X光片。所有研究变量都是通过使用稳定的地标来测量的，包括11个线性和9个角度的变化。
结果：S组收集头图的平均年龄为6.03±0.80（5-7岁），S-F组5.96±0.76(5-7年)，C组5.91±0.87(5-7年)。关于颅底，结果显示,S-N和S-N-Ba三组间差异无统计学意义。S组的S-Ba比S-F&C组短(P=0.01),但S-F组和C组之间差异无统计学意义(P=0.80)。关于上颌骨的生长，S组的Co-A明显较短，S-PM和SNA角明显小于C组(P=<0.01)。而S-F&C组间差异无统计学意义(P=0.42)。S组MP-SN倾向明显多于C组(P<0.01)。关于骨骼下颌骨生长，三组之间的所有线性和角度下颌测量值没有统计学上的显着差异，除Co-Gn外，S组的长度明显短于C组（P=0.05）。关于颌间关系，S-F组与C组比较,Co-Gn-Co-A和ANB无显著性差异。S组ANB角明显小于S-F&C组(P=0.01&P=<0.01)。此外,三组间所有角度咬合测量值无显著差异.
结论：作为初步报告，Sommerlad-Furlow改良技术显示，上颌在面部的定位趋于更好，与健康的非裂参与者相比，颌间关系比Sommerlad技术更令人满意。
方法：回顾性队列研究。
方法：共有90名参与者，60例非综合征性孤立性软硬腭裂（ISHCP）患者接受了无松弛切口的原发性腭成形术（30例患者接受了Sommerlad-Furlow改良（S-F）技术，30例接受了Sommerlad（S）技术）。而其他30名是健康的无裂参与者，具有骨骼I类模式（C组）。所有参与者都有至少5岁的侧位头颅X光片。所有研究变量都是通过使用稳定的地标来测量的，包括11个线性和9个角度的变化。
结果：S组收集头图的平均年龄为6.03±0.80（5-7岁），S-F组5.96±0.76(5-7年)，C组5.91±0.87(5-7年)。关于颅底，结果显示,S-N和S-N-Ba三组间差异无统计学意义。S组的S-Ba比S-F&C组短(P=0.01),但S-F组和C组之间差异无统计学意义(P=0.80)。关于上颌骨的生长，S组的Co-A明显较短，S-PM和SNA角明显小于C组(P=<0.01)。而S-F&C组间差异无统计学意义(P=0.42)。S组MP-SN倾向明显多于C组(P<0.01)。关于骨骼下颌骨生长，三组之间的所有线性和角度下颌测量值没有统计学上的显着差异，除Co-Gn外，S组的长度明显短于C组（P=0.05）。关于颌间关系，S-F组与C组比较,Co-Gn-Co-A和ANB无显著性差异。S组ANB角明显小于S-F&C组(P=0.01&P=<0.01)。此外,三组间所有角度咬合测量值无显著差异.
结论：作为初步报告，Sommerlad-Furlow改良技术显示，上颌在面部的定位趋于更好，与健康的非裂参与者相比，颌间关系比Sommerlad技术更令人满意。
