Craniofacial Growth and Development • HRB4059

 

RESPONSIBLE PROFESSOR:

Daniela Gamba Garib Carreira

Renato Yassutaka Faria Yaedú

 

CREDITS: 2

 

COURSE LOAD:

Theoretical
(per week)
Practical
(per week)
Studies
(per week)
Duration Total
4h 8h 3h 2 weeks 30h

OBJECTIVES:

Craniofacial development is significantly affected by congenital malformations. The aim of this discipline is to discuss basic elements for the comprehension of facial growth of individuals without and with cleft lip and palate; and to provide references for new methodologies of study. 

 

BACKGROUND:

The knowledge of normative facial growth in humans is very important for understanding the effects of orofacial clefts and the therapeutic procedures. The role of genetics on facial growth and the interaction of environmental factors explains the possibilities and limitations of treatment, defining treatment time and strategies.  

Important fields are related to facial growth as reconstructive plastic surgeries and orthodontics/orthognathic surgeries. Other areas of the rehabilitation process, as intraoral and extra-oral prosthetic rehabilitation and speech pathology, also are influenced by facial growth justifying the introduction of this discipline in the postgraduate program. 

 

CONTENTS:

Prenatal growth: embryogenesis of facial processes; origin of facial malformations; palate formations and time of closuring; etiology of cleft lip and palate 
• Growth in patients without clefts
• Craniofacial growth in individuals with clefts: growth pattern in non-operated patients; growth pattern in operated cleft lip; growth pattern in operated unilateral and bilateral cleft lip and palate; growth pattern in operated cleft palate 

 

BIBLIOGRAPHY:

Atack N, Hathorn I, Mars M, Sandy J. Study models of 5 year old children as predictors of surgical outcome in unilateral cleft lip and palate. Eur J Orthod. 1997;19(2):165-70.

Bartzela T, Katsaros C, Shaw WC, Rønning E, Rizell S, Bronkhorst E, Okada TO, Pinheiro FHSL, Dominguez-Gonzalez S, Hagberg C, Semb G, Kuijpers-Jagtman AM. A longitudinal three-center study of dental arch relationship in patients with bilateral cleft lip and palate. Cleft Palate Craniofac J. 2010;47(2):167-74. doi: http://dx.doi.org/10.1597/08-249.1

Bichara LM, Araújo RC, Flores-Mir C, Normando D. Impact of primary palatoplasty on the maxillomandibular sagittal relationship in patients with unilateral cleft lip and palate: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2015;44(1):50-6. doi: http://dx.doi.org/10.1016/j.ijom.2014.08.004

Capelozza Filho, L. Diagnóstico em ortodontia. Maringá: Dental Press; 2004.

Capelozza Filho L, Normando AD, Silva Filho OG. Isolated influences of lip and palate surgery on facial growth: comparison of operated and unoperated male adults with UCLP. Cleft Palate Craniofac J. 1996;33(1):51-6. doi:http://dx.doi.org/10.1597/1545-1569(1996)033<0051:IIOLAP>2.3.CO;2

Chiu YT, Liao YF, Chen PK. Initial cleft severity and maxillary growth in patients with complete unilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 2011;140(2):189-95. doi: http://dx.doi.org/10.1016/j.ajodo.2010.04.033

Enlow DH. Crescimento facial. 3a. ed. São Paulo: Artes Médicas; 1993.

Lee YH, Liao YF. Hard palate-repair technique and facial growth in patients with cleft lip and palate: a systematic review. Br J Oral Maxillofac Surg. 2013;51(8):851-7. doi: http://dx.doi.org/10.1016/j.bjoms.2013.08.012

Mars M, Plint DA, Houston WJ, Bergland O, Semb G. The Goslon Yardstick: a new system of assessing dental arch relationships in children with unilateral clefts of the lip and palate. Cleft Palate J. 1987;24(4):314-22.

Mølsted K, Brattström V, Prahl-Andersen B, Shaw WC, Semb G. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 3: dental arch relationships. Cleft Palate Craniofac J. 2005;42(1):78-82. doi: http://dx.doi.org/10.1597/02-119.3.1

Ozawa TO, Shaw WC, Katsaros C, Kuijpers-Jagtman AM, Hagberg C, Rønning E, Semb G. A new yardstick for rating dental arch relationship in patients with complete bilateral cleft lip and palate. Cleft Palate Craniofac J. 2011;48(2):167-72. doi: http://dx.doi.org/10.1597/09-122

Semb G. A study of facial growth in patients with unilateral cleft lip and palate treated by the Oslo CLP Team. Cleft Palate Craniofac J. 1991;28(1):1-21; discussion 46-8. doi:http://dx.doi.org/10.1597/1545-1569(1991)028<0001:ASOFGI>2.3.CO;2

Silva Filho OG, Machado FMC, Andrade AC, Souza Freitas JA, Bishara SE. Upper dental arch morphology of adult unoperated complete bilateral cleft lip and palate. Am J Orthod Dentofacial Orthop. 1998;114(2):154-61.

Silva Filho OG, Normando AD, Capelozza Filho L. Mandibular growth in patients with cleft lip and/or cleft palate–the influence of cleft type. Am J Orthod Dentofacial Orthop. 1993;104(3):269-75.

Silva Filho OG, Ramos AL, Abdo RC. The influence of unilateral cleft lip and palate on maxillary dental arch morphology. Angle Orthod. 1992;62(4):283-90. doi: http://dx.doi.org/10.1043/0003-3219(1992)062<0283:TIOUCL>2.0.CO;2

Silva Filho OG, Rosa LA, Lauris RC. Influence of isolated cleft palate and palatoplasty on the face. J Appl Oral Sci. 2007;15(3):199-208. doi: http://dx.doi.org/10.1590/S1678-77572007000300009

Trindade IEK, Silva Filho OG, coordenadores. Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Editora Santos; 2007.

Zheng ZW, Fang YM, Lin CX. Isolated influences of surgery repair on maxillofacial growth in complete unilateral cleft lip and palate. J Oral Maxillofac Surg. 2016;74(8):1649-57. doi: http://dx.doi.org/10.1016/j.joms.2016.03.019

 

 

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Seção de Pós-Graduação HRAC-USP

Horário de atendimento: de segunda a sexta-feira, das 8h às 18h (exceto feriados) | e-mail: secpghrac@usp.br