M R Ortiz-Posadas1, L Vega-Alvarado, J Maya-Behar. 1. Universidad Autónoma Metropolitana-Iztapalapa, Ingeniería Eléctrica, Av. Michoacán y La Purisima S/N Col. Vicentina C.P. 09340, D.F. México. posa@xanum.uam.mx.
Abstract
OBJECTIVE: To propose a new method, which allows for a complete description of primary and secondary cleft palates, incorporating elements that are related to the palate, lip, and nose that will also reflect the complexity of this problem. METHOD: To describe the type of cleft, two embryonic structures were considered: (1) the primary palate, formed by the prolabium, premaxilla, and columella and (2) the secondary palate, which begins at the incisive foramen and is formed by a horizontal portion of the maxilla, the horizontal portion of the palatine bones, and the soft palate. Anatomical characteristics to be considered were defined, and a new method is proposed to more fully describe any cleft. RESULTS: A description of five cases was made using the method proposed in this work and compared with other published methods for the classification and description of clefts. CONCLUSIONS: A mathematical expression was developed to characterize clefts of the primary palate, including the magnitude of palatal segment separation and the added complexity of bilateral clefts, yielding a numerical score that reflects overall complexity of the cleft. Clefts of the secondary palate are also considered in a separate score. Using this method, it is possible to incorporate elements that are not considered in other approaches and to describe all possible clefts that may exist.
OBJECTIVE: To propose a new method, which allows for a complete description of primary and secondary cleft palates, incorporating elements that are related to the palate, lip, and nose that will also reflect the complexity of this problem. METHOD: To describe the type of cleft, two embryonic structures were considered: (1) the primary palate, formed by the prolabium, premaxilla, and columella and (2) the secondary palate, which begins at the incisive foramen and is formed by a horizontal portion of the maxilla, the horizontal portion of the palatine bones, and the soft palate. Anatomical characteristics to be considered were defined, and a new method is proposed to more fully describe any cleft. RESULTS: A description of five cases was made using the method proposed in this work and compared with other published methods for the classification and description of clefts. CONCLUSIONS: A mathematical expression was developed to characterize clefts of the primary palate, including the magnitude of palatal segment separation and the added complexity of bilateral clefts, yielding a numerical score that reflects overall complexity of the cleft. Clefts of the secondary palate are also considered in a separate score. Using this method, it is possible to incorporate elements that are not considered in other approaches and to describe all possible clefts that may exist.
Authors: Kathie H Wang; Carrie L Heike; Melissa D Clarkson; Jose L V Mejino; James F Brinkley; Raymond W Tse; Craig B Birgfeld; David A Fitzsimons; Timothy C Cox Journal: Front Physiol Date: 2014-05-14 Impact factor: 4.566
Authors: Shariselle M W Pool; Lisanne M van der Lek; Kim de Jong; Christl Vermeij-Keers; Chantal M Mouës-Vink Journal: Cleft Palate Craniofac J Date: 2020-06-30