Analysis of nasal and labial deformities in cleft lip, alveolus and palate patients by a new rating scale: preliminary report

Anastassov, Y; Chipkov, C

doi:10.1016/s1010-5182(03)00054-4

Cited by 39 publications

(39 citation statements)

References 8 publications

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“…In a study by Anastassov [4] similar deformity was found predominantly in both unilateral and bilateral lip Cheiloplasties. The lack of insertion of the transverse nasal muscle to the anterior nasal spine leads to dislocation of the medial alar cartilages and insertion into the skin, which takes place in utero [28,29].…”

Section: Discussionmentioning

confidence: 78%

“…Correction of this deformity might be achieved following primary cheiloplasty. It is not possible to correct this deformity by secondary cheiloplasty, unless the open rhinoplasty technique would be utilized which allows for proper repositioning of the alar cartilages, as well as redraping of the overlying nasal skin [4]. Many surgeons prefer the Millard rotation-advancement lip repair because the surgical scar is masked in the philtrum crest and the nostril floor.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, an adequate sill with bone formation and adequate height of the ala will be obtained. The handling of the skin, the resulting scars and the depth of the vestibule are also very important, but they have no effect on the nasal deformity [4].…”

Section: Discussionmentioning

confidence: 99%

“…In this study a rating scale previously used by Anastassov and Chipkov was used [4]. The scale is slightly modified as the surgical procedure was not based on triangular flaps.…”

Section: Exclusion Criteriamentioning

confidence: 99%

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Assessment of Deformities of the Lip and Nose in Cleft Lip Alveolus and Palate Patients by a Rating Scale

Rajanikanth

Rao

Sharma

et al. 2011

J. Maxillofac. Oral Surg.

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Introduction Labial and nasal deformities have always been a fundamental problem in the treatment of cleft lip, alveolus and palate patients. The primary surgical treatment of nasolabial area is of paramount importance in order to obtain both an esthetical correction of the deformity and a progressive and a balanced development of midface. In this study the nasal deformities in patients with cleft lip, alveolus and palate (CLAP) were analyzed and the relevant role of the perinasal, perioral muscular balance and the inborn dislocation of the alar cartilages are presented. Patients and Methods 50 CLAP patients were analyzed, 40 UCLP and 10BCLP. The lip repair was done by modification of Millard's technique. The severity of the cleft appearance was evaluated pre and post operatively, according to a pre-agreed visual rating scale. There are 4°o f severity of the deformity pre operatively (mild, moderate, severe and very severe) and post operatively 5 categories of outcome (excellent,very good, good, satisfactory and poor), depending on the scores obtained by summing up the points corresponding to different types of deformity.This scale is closely related to the American Cleft Palate classification of clefts. Results In the 40 UCLP patients, 8 excellent, 10 very good, 16 good and 6 satisfactory results were obtained following primary cheiloplasty. In 10 BCLP patients 1 very good, 7 good, 1 satisfactory and 1 poor result were obtained. Conclusions During the primary repair, it is important to correct the abnormal position of ala nasi, the nasal floor and the base of the columella. Abnormalities in the insertion of the nasolabial muscles with their abnormal function contribute to the cleft nose deformities. Therefore the reconstruction not only the orbicularis muscle but also of the paranasal muscles is therefore important for a symmetrical growth of the nose. Separate suture of intrinsic orbicularis oris provide a better shape to the vermillion. The position of the alar cartilage plays an important role for the symmetry of the nose. It is necessary to place the alar base symmetrically in three dimensions.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In this study a rating scale previously used by Anastassov and Chipkov was used [4]. The scale is slightly modified as the surgical procedure was not based on triangular flaps.…”

Section: Exclusion Criteriamentioning

confidence: 99%

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Assessment of Deformities of the Lip and Nose in Cleft Lip Alveolus and Palate Patients by a Rating Scale

Rajanikanth

Rao

Sharma

et al. 2011

J. Maxillofac. Oral Surg.

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“…7 In most cases, there are four degrees of deformity preoperatively (mild, moderate, severe and very severe), and five different postoperative categories of outcome (excellent, good, fair, poor, and bad). 8 Because it is very important to obtain an objective assessment of the deformity, a computer aided diagnosis can be very helpful to reduce the subjective influence of the surrounding facial features, since it is known that judges are influenced by general facial attractiveness. We propose a new method of evaluating the outcome of surgery mainly based on the evaluation of the symmetry of the two nostrils.…”

Section: Introductionmentioning

confidence: 99%

Assessing the deformity of cleft lip nose based on neural network

Wang

Vista

Kim

et al. 2010

Int. J. Precis. Eng. Manuf.

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The physical appearance of the nostril is important in the objective assessment of a cleft-lip patient while an objective quantitative evaluation is necessary to improve the result of the surgical procedure. The use of Kendall's coefficient of concordance (W) to identify consistency between several raters is proposed in this paper. Linear regression method was then compared with the Neural Network method to find out which is better in determining the consistency of data. The feature factors were extracted from a digital image of the nostril taking into consideration symmetry as the basis. Statistical and Neural Network methods were utilized to process and analyze the deformity assessment data. Two groups of raters were chosen to evaluate the deformity of the cleft lip/ cleft nose based on photos shown to them. The angles and distance were measured with respect to the symmetrical aspect and the elementary reference score and factors were obtained through statistical analysis. Linear regression equations describing the relationship between the selected factors and the elementary score were formulated in order to obtain a more reliable reference data. The target data was pre-processed to achieve a more consistent and stable performance. A Neural Network was used to predict the evaluation score and it performed better than the linear regression method under certain conditions. The proposed method can give an objective evaluation to help surgeons evaluate their performance after a surgical procedure and find out if there is a need for further procedures to be done with lesser computational requirement over other existing three-dimensional algorithms.

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A preliminary observation on interdomal suture through bilateral reverse-J incisions to repair cleft lip nose deformity in the setting of traveling charity programs

Prasetyono

Sopandi²

2013

Eur J Plast Surg

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Analysis of nasal and labial deformities in cleft lip, alveolus and palate patients by a new rating scale: preliminary report

Cited by 39 publications

References 8 publications

Assessment of Deformities of the Lip and Nose in Cleft Lip Alveolus and Palate Patients by a Rating Scale

Assessment of Deformities of the Lip and Nose in Cleft Lip Alveolus and Palate Patients by a Rating Scale

Assessing the deformity of cleft lip nose based on neural network

A preliminary observation on interdomal suture through bilateral reverse-J incisions to repair cleft lip nose deformity in the setting of traveling charity programs

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