A novel computer system for the evaluation of nasolabial morphology, symmetry and aesthetics after cleft lip and palate treatment. Part 2: Comparative anthropometric analysis of patients with repaired unilateral complete cleft lip and palate and healthy individuals

Pietruski, Piotr; Majak, Marcin; Pawłowska, Elżbieta; Skiba, Adam; Antoszewski, Bogusław

doi:10.1016/j.jcms.2017.01.022

Cited by 15 publications

(7 citation statements)

References 56 publications

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“…According to the findings of the present study, the nasolabial angle decreased in the Class III and UCLP patients as compared to the Class I control group. This was consistent with the findings of other studies in the literature [62,63]. However, the nasolabial angle increased in the BCLP group.…”

Section: Discussionsupporting

confidence: 93%

Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate

Özdemir

Esenlik

2018

Med Sci Monit

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BackgroundIn cleft lip and palate (CLP) patients, the shape of the facial soft tissues shows variety in 3 dimensions (3D). Two-dimensional (2D) photographs and radiographs are insufficient in the examination of these anomalies. The aim of this retrospective study was to examine the soft tissue and craniofacial characteristics of individuals with nonsyndromic unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), skeletal Class III malocclusions, or skeletal Class I malocclusions using 3D facial imaging.Material/MethodsThe entire study group consisted of a total of 158 patients, aged 8–32 years: 29 of the patients had UCLP, 22 BCLP, 54 had skeletal Class III malocclusions, and 53 had skeletal Class I malocclusions. 3D stereophotogrammetric soft-tissue recordings of all patients were analyzed. ANOVA and the Kruskal-Wallis test were performed to compare the groups.ResultsStatistically significant differences were observed among the groups in terms of linear, angular, proportional. and volumetric measurements. While nasal differences were not observed in the Class III group, nose and upper-lip deformities were common in the CLP groups. Upper-lip projection was reduced in all 3 groups. In the Class III patients, the lower lip and chin were more prominent than in the other groups. The facial convexity angle was increased in the CLP and Class III groups. The upper-lip volume was decreased in the BCLP, the UCLP, and the Class III groups.ConclusionsPatients with skeletal Class III or CLP anomalies showed significantly different soft-tissue characteristics than the Class I control group. 3D stereophotogrammetric facial imaging is an easy and noninvasive method that can be used in examination and recording of these facial deformities. It is possible to make volumetric measurements using this method.

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Section: Discussionsupporting

confidence: 93%

Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate

Özdemir

Esenlik

2018

Med Sci Monit

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“…One study included patients of both UCL and UCLP groups, whereas 2 studies included patients of both UCLP and UCLA groups. The selected studies included Caucasian [8][9][10][11]14,16,17 and East Asian 1,12,13,15,18,19 populations. Considering the differences in ethnicities and the number of enrolled studies, we performed a subgroup analysis for the UCLP group according to the patients' ethnicity.…”

Section: Resultsmentioning

confidence: 99%

“…Second, the number of studies, including UCL and UCLA groups, was limited, and the measurement indicators differed across studies, resulting in some estimates that could not be combined for the analysis. Third, some studies that adopted two-dimensional analysis, 2,16 although elaborately studied, could only yield proportional and angular relationships, rather than more intuitive linear values.…”

Section: Discussionmentioning

confidence: 99%

“…Several three-dimensional (3D) evaluation methods have been employed to assess the preoperative morphology of secondary unilateral CLP (UCLP) nasolabial deformities and to examine short- and long-term surgical outcomes 1,8–19 . Nonetheless, the inferences varied due to the small sample size of previous studies, use of varying techniques, and regional ethnographic differences.…”

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confidence: 99%

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Three-Dimensional Evaluation of Deformed Noses in Patients With Unilateral Cleft Lip and Palate: A Meta-Analysis

Wang

Zhang

et al. 2021

Journal of Craniofacial Surgery

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procedures, including minor trauma to the face. Patients should be made aware that inflammations may occur in other parts of the body when controlling infectious complications in a particular area.Once a foreign body reaction or inflammatory and infectious complication occurs because of filler injection, treatment is difficult, and recurrence is common. The treatment of choice is surgical drainage of the material, removal of the biofilm and capsule, and serial irrigation. It is important to use appropriate intravenous antibiotics concurrently.Although the AQUAfilling filler containing PAAG exhibits an augmentation effect and is effective for rejuvenation, patients should be clearly informed that aesthetic outcomes may change with aging and that fillers can simply be removed by request, but remnant fillers during the process may cause inflammation.Inflammatory complications in filler injection sites may occur at different time points without a definite cause, even in areas other than the injection sites. Therefore, the possibility of inflammation at sites other than that of the injection should always be considered during periodic follow-up, even if the filler injection site shows no complications initially.

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“…9 It is widely accepted that there is a link between subjectively evaluated attractiveness and objective symmetry analyzes, 1,10,11 and there are several studies on the facial asymmetries of CLP patients in the literature. 7,[12][13][14] These studies were conducted using various methods, such as direct anthropometric measurements, 3 postero-posteroanterior cephalometric radiographs, 15 two-dimensional photographs, 16 cone-beam computed tomographies, 17 and three-dimensional (3D) stereophotogrammetry images. [18][19][20] Posteroanterior radiographic analysis, which is frequently used to evaluate facial asymmetries, is an effective method by which to demonstrate skeletal asymmetry; however, the soft tissues that cover skeletal structures can compensate for the underlying skeletal anomaly, to either reflect it as is or as more severe.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of pronasale, nasolabial and paranasal asymmetries in patients with unilateral cleft lip and palate using three-dimensional imaging

Özdemir¹,

Esenlik

2020

Acta Odontologica Turcica

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OBJECTIVE: Facial symmetry is an important component of a successful treatment of patients with cleft lip and palate. The aim of this retrospective study was to examine the pronasale, nasolabial, and paranasal region asymmetries in patients with nonsyndromic unilateral cleft lip and palate (UCLP) using three-dimensional (3D) facial imaging. MATERIALS AND METHOD: The study group consisted of 29 patients with complete UCLP aged 8-29 years. 3D stereophotogrammetric soft tissue recordings of all patients were analyzed. Measurements were performed on the cleft and noncleft side and compared with each other by the paired t-test. RESULTS: Statistically significant differences were observed between the cleft and noncleft sides. Alar contour-Pronasale distance was longer on the cleft side than on the noncleft side, with the difference between them being statistically significant (p<0.05). The Subnasale-Pronasale / Alar contour-Pronasale ratio was also significantly lower on the cleft side than on the noncleft side (p<0.05). CONCLUSION: Patients with UCLP did not present significant asymmetries regarding Cheek and Buccal contours and Chelion-Subnasale and Christa Philtry-Subnasale heights. Asymmetrical appearance was prominent on alar base and pronasale regions.

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A novel computer system for the evaluation of nasolabial morphology, symmetry and aesthetics after cleft lip and palate treatment. Part 2: Comparative anthropometric analysis of patients with repaired unilateral complete cleft lip and palate and healthy individuals

Cited by 15 publications

References 56 publications

Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate

Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate

Three-Dimensional Evaluation of Deformed Noses in Patients With Unilateral Cleft Lip and Palate: A Meta-Analysis

Evaluation of pronasale, nasolabial and paranasal asymmetries in patients with unilateral cleft lip and palate using three-dimensional imaging

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