目的:这里,我们回顾性调查了双侧唇裂(OC)的病例,以确定详细区分不完全唇裂亚表型的临床相关性,根据裂隙的形态严重程度,在有或没有肺泡(CL±A)的唇裂和唇裂类别中,肺泡,和上颚(CLAP)。我们进一步评估了CL亚表型(完整和不同的不完整类型)与侧切牙的不同牙列模式之间的可能关联。
方法:我们的分析包括来自荷兰腭裂和颅面异常协会注册的151名非综合征性白种人双侧OC患者(8-20岁)。区分了六种不同的乳牙和永久性侧切牙模式:正常位置(z/Z),多余的侧切牙(n/N),存在于裂隙的前(x/X)或后(y/Y)段,每个裂隙段(XY/XY)中一个,和发育不全(ab/AB)。进行Logistic回归以显示CL亚表型与侧切牙的牙列模式之间的关联。
结果:一百三个已经完成,而48个有不完整的CLs。z/Z和n/N模式与粘膜下/朱红色缺口相关,不完整CL,和完整的肺泡.模式x/X,Y/Y,和xy/XY在2/3次总CL和完全CL的患者中最常见。最严重的模式,ab/AB,最常与完全CL相关。
结论:根据CLs的形态严重程度,可以说,双侧CL±A和CLAP中的CL越严重,牙列的异常模式越严重。
结论:进一步区分不完全唇裂亚表型(粘膜下/朱红色缺口,三分之一到三分之二的CL,双侧CL±A和CLAP中CL小计的三分之二)具有临床意义。
OBJECTIVE: Here, we retrospectively investigated cases of bilateral oral clefts (OCs) to determine the clinical relevance of detailed distinction of incomplete cleft lip subphenotypes, based on morphological severity of the cleft, within the categories cleft lip with or without alveolus (CL ± A) and cleft lip, alveolus, and palate (CLAP). We further assessed possible associations between CL subphenotypes (complete vs different incomplete types) and different dentition patterns of the lateral incisor.
METHODS: Our analysis included 151 non-syndromic Caucasian bilateral OC-patients (8-20 years old) from the Dutch Association for Cleft Palate and Craniofacial Anomalies registry. Six different deciduous and permanent lateral incisor patterns were distinguished: normal position (z/Z), supernumerary lateral incisor (n/N), presence in the anterior (x/X) or posterior (y/Y) segment of the cleft, one in each cleft segment (xy/XY), and agenesis (ab/AB). Logistic regression was performed to show the associations between the CL subphenotypes and dentition patterns of the lateral incisor.
RESULTS: One hundred three had complete, while 48 had incomplete CLs. Patterns z/Z and n/N were associated with a submucous/vermillion notch, incomplete CL, and intact alveolus. Patterns x/X, y/Y, and xy/XY were most common in patients with two-thirds to subtotal CL and complete CL. The most severe pattern, ab/AB, was most commonly associated with complete CL.
CONCLUSIONS: Based on the morphological severity of the CLs, it can be stated that the more severe the CL in bilateral CL ± A and CLAP, the more severe the abnormal pattern of the dentition.
CONCLUSIONS: Further distinction of incomplete cleft lip subphenotypes (submucous/vermillion notch, one-third to two-thirds CL, two-thirds to subtotal CL) in bilateral CL ± A and CLAP has clinical relevance.