Methods of Assessment of Cleft-Related Facial Deformity: A Review

Al-Omari, Iyad K.; Millett, Declan T; Ayoub, Ashraf

doi:10.1597/02-149.1

Cited by 136 publications

(80 citation statements)

References 70 publications

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“…The evaluation of facial appearance is an important outcome variable in the study of health-related quality of life and the impact of cleft treatment [11–13]. Given the importance of facial attractiveness, much research has been devoted to understanding subjective evaluations or ratings of facial difference.…”

Section: Introductionmentioning

confidence: 99%

“…Given the importance of facial attractiveness, much research has been devoted to understanding subjective evaluations or ratings of facial difference. However, the selection and composition of raters may have a significant impact on study findings [11]. For example, even though laypersons and professionals can reliably differentiate between varying levels of facial attractiveness [14], professionals reportedly rate facial difference more severely than laypersons [15, 16].…”

Section: Introductionmentioning

confidence: 99%

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Surgeon’s and Caregivers’ Appraisals of Primary Cleft Lip Treatment with and without Nasoalveolar Molding

Broder

Flores

Clouston

et al. 2016

Plastic and Reconstructive Surgery

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Background Despite the increasing use of nasoalveolar molding (NAM) in early cleft treatment, questions remain about its effectiveness. This study examines clinician and caregiver appraisals of primary cleft lip and nasal reconstruction with and without NAM in a non-randomized, prospective multicenter study. Methods Participants were 110 infants with cleft lip/palate (62 treated with NAM and 48 treated without NAM (NO-NAM)) and their caregivers seeking treatment at one of six high-volume cleft centers. Using the Extent of Difference Scale, standard photos for a randomized subset of 54 infants were rated pre-treatment and post-surgery by an expert clinician blinded to treatment group. Standard blocked and cropped photos included frontal, basal, left and right views of the infants. Using the same scale, caregivers rated their infants’ lip, nose, and facial appearance compared to the general population of infants without clefts pre-treatment and post-surgery. Multilevel modeling was used to model change in ratings of infants’ appearance pre-treatment and post-surgery. Results The expert clinician ratings indicated that NAM-treated infants had more severe clefts at pre-treatment; yet both groups were rated equally post-surgery. NAM caregivers reported better post-surgery outcomes compared to NO-NAM caregivers (p<0.05), particularly in relation to the appearance of the nose. Conclusions Despite having a more severe cleft before treatment, infants who underwent NAM were found by clinician ratings to have comparable results to those who underwent lip repair alone. Infants who underwent NAM were perceived by caregivers to have better treatment outcomes than those that underwent lip repair without NAM.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgeon’s and Caregivers’ Appraisals of Primary Cleft Lip Treatment with and without Nasoalveolar Molding

Broder

Flores

Clouston

et al. 2016

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…Such methods also have the potential to enhance clinical care by facilitating surgical planning, improving outcome assessment, and aiding in syndrome delineation [8-13]. Non-contact 3D surface imaging systems are rapidly replacing traditional "hands-on" anthropometry as the preferred method for capturing quantitative information about the facial soft-tissues [14,15]. These systems offer a number of distinct advantages: minimal invasiveness, quick capture speeds (often under one second), and the ability to archive images for subsequent analyses [16,17].…”

Section: Introductionmentioning

confidence: 99%

3D digital stereophotogrammetry: a practical guide to facial image acquisition

et al. 2010

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The use of 3D surface imaging technology is becoming increasingly common in craniofacial clinics and research centers. Due to fast capture speeds and ease of use, 3D digital stereophotogrammetry is quickly becoming the preferred facial surface imaging modality. These systems can serve as an unparalleled tool for craniofacial surgeons, proving an objective digital archive of the patient's face without exposure to radiation. Acquiring consistent high-quality 3D facial captures requires planning and knowledge of the limitations of these devices. Currently, there are few resources available to help new users of this technology with the challenges they will inevitably confront. To address this deficit, this report will highlight a number of common issues that can interfere with the 3D capture process and offer practical solutions to optimize image quality.

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“…(1,(6)(7)(8)(9)(10)(11) However, interest in overcoming the limitations of these techniques has led to the development of numerous 3D scanning devices which have an obvious appeal over the "old-fashioned" techniques. Despite the huge amount of literature about the new 3D-systems, a clear and objective evaluation of accuracy and reliability under different circumstances is missing for many of them.…”

Section: Introductionmentioning

confidence: 99%

Precision and Accuracy of the 3dMD Photogrammetric System in Craniomaxillofacial Application

Lübbers¹,

Medinger²,

Kruse³

et al. 2010

Journal of Craniofacial Surgery

191

133

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Methods of Assessment of Cleft-Related Facial Deformity: A Review

Abstract: Wide variation exists in the study design related to assessment of cleft-related deformity. An internationally agreed objective method of assessment for this facial deformity is required. A three-dimensional, rather than a two-dimensional, means of assessment should be adopted.

Cited by 136 publications

References 70 publications

Surgeon’s and Caregivers’ Appraisals of Primary Cleft Lip Treatment with and without Nasoalveolar Molding

Surgeon’s and Caregivers’ Appraisals of Primary Cleft Lip Treatment with and without Nasoalveolar Molding

3D digital stereophotogrammetry: a practical guide to facial image acquisition

Precision and Accuracy of the 3dMD Photogrammetric System in Craniomaxillofacial Application

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