| ORIGINAL ARTICLE |
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| Year : 2021 | Volume
: 8
| Issue : 1 | Page : 21-25 |
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Cephalometric evaluation of soft palate changes after maxillary advancement in lip and palate cleft patients
Kamal Qaranizade1, Alireza Jafari2, Mona Farahmand2, Hamidreza Mahaseni Aghdam3, Leila Talebzade Shooshtari4
1 Department of Oral and Maxillofacial Surgery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2 Department of Orthodontics, Dental Faculty, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
3 Department of Oral and Maxillofacial Surgery, Implant Research Center, Dental Faculty, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
4 Craniomaxillofacial Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Correspondence Address:
Dr. Hamidreza Mahaseni Aghdam
Department of Oral and Maxillofacial Surgery, Dental Faculty, Tehran Medical Sciences, Islamic Azad University, Tehran
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jclpca.jclpca_6_20
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Introduction: Changes in the soft palate and velopharyngeal function are among the most important concerns for maxillofacial surgeons in patients with midface deficiency, especially in those with cleft palate who needed maxillary advancement. In this study, we evaluated cephalometric changes in soft palate after maxillary advancement. Materials and Methods: This study included 16 cleft patients (7 females and 9 males), with a mean age of 22 ± 3.47. The maxillary advancement alone was done in 10 patients and bimaxillary osteotomy in the other six patients. Cephalometric characteristics were assessed before and 6 months after the surgery, and the results were analyzed using paired t-test or Wilcoxon test. Results: The results showed a 6% increase (P < 0.05) for PNS-U (soft palate length) index. In addition, PTM-UPW (upper pharyngeal space) and U-MPW (middle pharyngeal space) increased by 5% (P < 0.05) and 5% (P < 0.08), respectively, after the surgery. V-LPW (lower pharyngeal space) also increased by 0.6% but was not statically significant. Conclusions: According to the results of this study, after surgical maxillary advancement, changes were observed in upper and middle pharyngeal spaces, soft palate length, and inclination, but lower pharyngeal space remained unchanged.
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