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Impact of Timing of Hard Palate Closure on Maxillary Growth in Cleft Lip, Alveolus, and Palate Patients: A Comprehensive Review

MedXY Editorial Team•Jul 30, 2026•Clinical Updates
cleft lip palatehard palate closureRhinoplastyorthodontic outcomes

Highlights

  • Comparable anteroposterior maxillary growth is observed following early (around 12 months) and delayed (9-12 years) hard palate closure (HPC) in unilateral cleft lip, alveolus, and palate (CLAP) patients.
  • Gingivoperiosteoplasty (GPP) at 1.5 years can reduce the need for secondary alveolar bone grafting without compromising maxillary development.
  • The incidence of Le Fort I (LF I) osteotomy post-primary surgery is influenced by cleft type and timing of HPC, with no significant increase following delayed closure protocols.
  • Velopharyngoplasty does not exert a measurable detrimental effect on maxillary growth after HPC.

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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