<abstract xmlns="http://www.w3.org/1999/xhtml"><sec><h3>Objectives</h3><p>The assessment of hand-wrist films to identify skeletal maturation stage is a commonly used method for the determination of the status of a growing patient. However, there is limited information available regarding skeletal growth evaluation in subjects with a unilateral cleft lip and palate (UCLP). Therefore, the current study aimed to examine skeletal and chronological ages in subjects with a UCLP for comparison with those of a non-cleft control group to derive clinical guidelines.</p></sec><sec><h3>Methods</h3><p>Hand-wrist films of 45 UCLP subjects (24 male, 21 female) and 45 Angle Class I orthodontic patients (17 male, 28 female) were evaluated. Skeletal age was assessed by comparing ossification events with standard radiographs illustrated in the Greulich-Pyle atlas and recording based on the best match of maturity criteria.</p></sec><sec><h3>Results</h3><p>A high correlation coefficient was observed between skeletal and chronological ages in the overall study sample (<italic>p</italic> &lt; 0.01) (N = 90). Skeletal age (11.4 years) was delayed in the UCLP group when compared with chronological age (12.3 years), although the difference between the two was statistically insignificant. Skeletal age (13.6 years) was similar to chronological age in the control group (13.1 years).</p></sec><sec><h3>Conclusions</h3><p>The discrepancy between chronological and skeletal age was greater in UCLP subjects compared with controls. Given that the skeletal age of male and female UCLP subjects was delayed in comparison with their chronological ages, it is of particular importance that hand-wrist films should be used instead of chronological age to assess the growth status of UCLP subjects.</p></sec></abstract>

ObjectivesThe assessment of hand-wrist films to identify skeletal maturation stage is a commonly used method for the determination of the status of a growing patient. However, there is limited information available regarding skeletal growth evaluation in subjects with a unilateral cleft lip and palate (UCLP). Therefore, the current study aimed to examine skeletal and chronological ages in subjects with a UCLP for comparison with those of a non-cleft control group to derive clinical guidelines.MethodsHand-wrist films of 45 UCLP subjects (24 male, 21 female) and 45 Angle Class I orthodontic patients (17 male, 28 female) were evaluated. Skeletal age was assessed by comparing ossification events with standard radiographs illustrated in the Greulich-Pyle atlas and recording based on the best match of maturity criteria.ResultsA high correlation coefficient was observed between skeletal and chronological ages in the overall study sample (p < 0.01) (N = 90). Skeletal age (11.4 years) was delayed in the UCLP group when compared with chronological age (12.3 years), although the difference between the two was statistically insignificant. Skeletal age (13.6 years) was similar to chronological age in the control group (13.1 years).ConclusionsThe discrepancy between chronological and skeletal age was greater in UCLP subjects compared with controls. Given that the skeletal age of male and female UCLP subjects was delayed in comparison with their chronological ages, it is of particular importance that hand-wrist films should be used instead of chronological age to assess the growth status of UCLP subjects.

Evaluation of skeletal maturation in individuals with cleft lip and palate

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Evaluation of skeletal maturation in individuals with cleft lip and palate"}

ObjectivesThe assessment of hand-wrist films to identify skeletal maturation stage is a commonly used method for the determination of the status of a growing...

Evaluation of skeletal maturation in individuals with cleft lip and palate

Published Online: Jul 30, 2021

Page range: 194 - 198

Received: Sep 01, 2016

Accepted: Mar 01, 2017

DOI: https://doi.org/10.21307/aoj-2020-098

© 2017 Ozge Uslu-Akcam et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.