Secondary Cleft Lip Reconstruction and the Use of Pedicled, Deepithelialized Scar Tissue

Nadjmi, Nasser; Amadori, Sara; Casteele, Elke Van de

doi:10.1097/gox.0000000000001061

Cited by 8 publications

(19 citation statements)

References 17 publications

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“…One of the aims of the primary surgery of cleft lip and palate is to improve facial appearance, where restoring facial symmetry is of paramount importance (Nadjmi et al, 2016). Residual asymmetry following surgery is one of the known stigmas of cleft lip and palate, and secondary surgical intervention may be necessary.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal 3D Assessment of Facial Asymmetry in Unilateral Cleft Lip and Palate

Al-Rudainy

Mehendale

et al. 2018

The Cleft Palate Craniofacial Journal

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Section: Introductionmentioning

confidence: 99%

Longitudinal 3D Assessment of Facial Asymmetry in Unilateral Cleft Lip and Palate

Al-Rudainy

Mehendale

et al. 2018

The Cleft Palate Craniofacial Journal

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“…Out of these patients, small percentage (5%) had undergone secondary lip revision. Secondary lip revision can be indicated in whistle deformity, a poorly defined philtrum, notching of the upper lip, bulging on the lateral lip segment and volume deficiency at the upper vermilion (Nadjmi et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Demographics and Clinical Profile of Orofacial Cleft in International Islamic University Malaysia from 2009 until 2018

Bakar

Azman

Jaffar

et al. 2020

AOS

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Orofacial clefts (OFC) are the most common craniofacial anomalies. There is no published data regarding the demographic of OFC cases seen in International Islamic University Malaysia (IIUM), since the establishment of the IIUM Multi-Disciplinary Cleft Team (IIUM-MDCT). The present study aimed to build a database on demographic profile of OFC cases seen in IIUM from 2009 until 2018. Data from all registered OFC cases were obtained from the medical records. Birth prevalence was tabulated against the population statistics for the period, obtained from the Department of Statistics Malaysia. A total of 20 cases were seen over the period of nine years. The registry recorded about 60% of females and 40% of males. Age distribution was 40% below the age of 10 years old, 40% between 11 to 20 years old and 20% of 21 years old and above. As for race, 90% were Malay, 5% were Chinese and Indian, respectively. Majority of patients (75%) were from Kuantan, 10% from Kemaman and 5% from Pekan, Kuala Terengganu and Kota Bharu, respectively. The most common OFC was cleft lip and palate (80%), followed by cleft palate (15%) and facial cleft (5%). The LAHSHAL classification was recorded with 75% of cases were unilateral, of which 73% affecting the left side. Other health anomalies were recognised in 45% of cases and 20% of them has family history of cleft. The present study could provide a baseline information on the status of OFC patients seen by IIUM-MDCT.

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“…Nonetheless, substantial differences between patient and professional assessments were found (Cohen κ = 0.39). This applies to Nadjmi et al (2016) too, where a 5-point scale compared preoperative and postoperative results from secondary lip reconstruction for both patients and physicians. Though the physicians and patients both had high scores for postoperative satisfaction, they concluded no correlation between scores was found (no correlation coefficient displayed; Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Our data signify the importance of a good nose result, not only aesthetically but functionally too, as the highest correlation to a wish for surgical correction of the nasolabial area was when the patient was less satisfied with their nose appearance or experienced functional nose problems more often. Some other studies, however, conclude that the lip is of more influence than the nose when assessing CL±P faces, because the lip is both functionally and aesthetically a dominant structure of the face (Deall et al, 2016; Nadjmi et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Despite numerous assessment techniques to evaluate facial symmetry and nasolabial aesthetics on 2-dimensional (2D) photographs, 3-dimensional images, videographic assessment, and direct clinical assessment, no internationally accepted standardized rating method for the aesthetic evaluation of patients with cleft after cleft repair is recognized (Al-Omari et al, 2005; Sharma et al, 2012; Mosmuller et al, 2013). Besides, there appears to be a discrepancy between professional assessment of nasolabial aesthetics and patient satisfaction with their appearance (Mani et al, 2010; Keijser et al, 2016; Nadjmi et al, 2016; Pausch et al, 2016). It should be realized that professional assessment and patient satisfaction are 2 different modalities and they probably should be interpreted like this.…”

Section: Introductionmentioning

confidence: 99%

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Aesthetics Assessment and Patient Reported Outcome of Nasolabial Aesthetics in 18-Year-Old Patients With Unilateral Cleft Lip

Mulder

Mosmuller

Vet

et al. 2019

The Cleft Palate Craniofacial Journal

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Objective: To determine if there is a correlation between objective nasolabial aesthetics assessment using the Cleft Aesthetic Rating Scale (CARS) and patient satisfaction. Design: Retrospective analysis of a generic satisfaction questionnaire and independent assessment by three cleft surgeons of the nasolabial area of these patients on 2D frontal photographs, using the CARS. Setting: The Vrije Universiteit Medical Center and The Academic Center for Dentistry Amsterdam. Patients: Thirty-nine 18-year old patients with a repaired complete or incomplete unilateral cleft lip, with or without a cleft palate, and a completed satisfaction questionnaire. Exclusion criteria were an incomplete questionnaire; a history of facial trauma; and congenital syndromes affecting facial appearance. Main Outcome Measures: The correlation between surgeon evaluation (on a 5-point Likert scale) and patient satisfaction (not, moderately or very satisfied) on nasolabial appearance was assessed using Spearman rho (ρ). Results: There was a negligible correlation between surgeon evaluation and patient satisfaction on nose assessment (ρ = 0.20) and a moderate correlation on lip assessment (ρ = 0.32). Conclusions: Most literature supports this discrepancy between different objective aesthetics evaluation methods and subjective patient-reported outcome measures, suggesting there are factors playing a role in patient satisfaction that are impossible to objectify with assessment methods. Therefore, a strong emphasis should remain on clear communication between the physician and patient regarding their expectations, perception, and satisfaction of surgery results.

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Secondary Cleft Lip Reconstruction and the Use of Pedicled, Deepithelialized Scar Tissue

Abstract: Supplemental Digital Content is available in the text.

Cited by 8 publications

References 17 publications

Longitudinal 3D Assessment of Facial Asymmetry in Unilateral Cleft Lip and Palate

Longitudinal 3D Assessment of Facial Asymmetry in Unilateral Cleft Lip and Palate

Demographics and Clinical Profile of Orofacial Cleft in International Islamic University Malaysia from 2009 until 2018

Aesthetics Assessment and Patient Reported Outcome of Nasolabial Aesthetics in 18-Year-Old Patients With Unilateral Cleft Lip

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