Timing of Spheno-Occipital Synchondrosis Ossification in Children and Adolescents with Cleft Lip and Palate: A Retrospective Case-Control Study

Int J Environ Res Public Health. 2020 Nov 29;17(23):8889. doi: 10.3390/ijerph17238889.

Abstract

Background: Cleft lip and palate (CLP) can affect the development of the maxilla; which may create a midfacial deficiency as well as an interference of the facial growth pattern and dentofacial esthetics.

Objective: This study aimed to estimate the chronological age of complete fusion of the spheno-occipital synchondrosis (SOS) in cleft lip and palate patients and a control group; using cone beam computed tomography (CBCT) images.

Methods: In this retrospective study; 125 patients were enrolled (cleft lip and palate group (n = 91); control group (n = 34)). Age comparison was made with a chi-square test; and a Kaplan-Meier analysis determined the median time to reach complete fusion of the spheno-occipital synchondrosis (p <0.05).

Results: The experimental group showed statistically significant differences in the median time for complete ossification between males and females (p = 0.019). The median time for complete ossification of the spheno-occipital synchondrosis was; for males; 15.0 years in both groups; for females; it was 14.0 years and 13.0 years in the experimental group and in the control group; respectively. Both for males and females; there were no statistically significant differences between experimental and control groups (p = 0.104).

Conclusions: The present study showed no differences in the ossification of the spheno-occipital synchondrosis between individuals with and without cleft lip and/or palate.

Keywords: cleft lip; cleft palate; cone beam computed tomography.

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Child
  • Cleft Lip* / diagnostic imaging
  • Cleft Palate* / diagnostic imaging
  • Female
  • Humans
  • Male
  • Occipital Bone / diagnostic imaging
  • Osteogenesis*
  • Palate
  • Retrospective Studies
  • Sphenoid Bone