Facial Symmetry in Unilateral Cleft Lip and Palate following Alar Base Augmentation with Bone Graft: A Three-Dimensional Assessment

2007 ◽  
Vol 44 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Mark F. Devlin ◽  
Arup Ray ◽  
Peter Raine ◽  
Adrian Bowman ◽  
Ashraf F. Ayoub
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Facial Symmetry ◽  
Alar Base ◽  
Student’S T ◽  
A Prospective Study ◽  
Dimensional Assessment

Objective: The aim of this study was to assess the outcome of bone grafting using a corticocancellous block of iliac crest to reconstruct the support for the deformed, volume-deficient alar base in treated patients with unilateral cleft lip and palate (UCLP). The main outcome being measured was nasal symmetry. Design: This was a prospective study using a noninvasive three-dimensional stereophotogrammetry system (C3D) to assess the position of the alar base. Images were captured immediately preoperatively and at 6 months following the augmentation of the alar base with a block of bone graft. These images were used to calculate facial symmetry scores and were compared using a two sample Student's t test to assess the efficacy of the surgical method in reducing facial/nasal asymmetry. Patients: This investigation was conducted on 18 patients with one patient failing to attend for follow-up. The results for 17 patients are presented. Results: Facial symmetry scores improved significantly following the insertion of the bone graft at the deficient alar base (p = 0.005). Conclusions: 3D stereophotogrammetry is a noninvasive, accurate, and archiveable method of assessing facial form and surgical change. Nasal symmetry can be quantified and measured reliably with this tool. Bone grafting to the alar base region of treated UCLP patients with volume deficiency produces improvement in nasal symmetry.

scholarly journals Presurgical nasoalveolar moulding in unilateral cleft lip and palate

2016 ◽  
Vol 49 (01) ◽  
pp. 42-52 ◽  
Author(s):  
Mohammed Zuhaib ◽  
Krishnamurthy Bonanthaya ◽  
Renu Parmar ◽  
Pritham N. Shetty ◽  
Pradeep Sharma
Keyword(s):  
Prospective Study ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Valuable Adjunct ◽  
Alar Base ◽  
Student’S T ◽  
A Prospective Study ◽  
Post Therapy ◽  
Student’S T Test

ABSTRACT Context: Presurgical nasoalveolar moulding (PNAM) is a non-surgical method of reshaping the cleft lip, alveolus, palate and the nose to minimize the severity of the cleft deformity, before primary cheiloplastyand palatoplasty. In this context, PNAM proves to be an invaluable asset in the management of unilateral cleft lip and palate. Aims: The study was conducted to evaluate the effi cacy of PNAM in the management of unilateral cleft lip and palate with the following objectives: (1) To assess and compare the degree of reduction in the size of cleft palate and alveolus (pre-PNAM and post-PNAM). (2) To evaluate and compare the improvement in columellar length and correction of columellar deviation (pre-PNAM and post-PNAM). (3) To assess the changes in the position of the alar base and the alar cartilages. Settings and Design: Prospective study. Subjects and Methods: A prospective study consisting of, which included 20 patients with complete unilateral cleft lip and palate was conducted. The age at the start of PNAM treatment of the infants ranged from 2 to 44 days of age reporting to our institute between December 2011 and August 2013. All the patients underwent PNAM therapy before primary cheiloplasty at 6 months of age; clinical parameters were assessed pre- and post-therapy using photographs and dental study models of the maxilla. Statistical Analysis Used: Student's t-test for paired comparisons. Results: Results of the study showed a promising reduction in the cleft size before the surgery, signifi cant improvement in nasal symmetry, including the columellar length on the cleft side. Conclusions: PNAM is a valuable adjunct to our surgical armamentarium in dealing with the challenges of primary closure of unilateral cleft lip and palate thereby enhancing the overall surgical outcome. The advantages of this method include the simplicity of the procedure and improving the quality of surgical repair, particularly in obtaining tension free muscle closure in unilateral clefts.

Effectiveness of the Nasal Creator Device after Cheiloplasty in Patients with Cleft Lip and Palate as Measured by 3D Stereophotogrammetry

2021 ◽  
Vol 45 (4) ◽  
pp. 284-290
Author(s):  
Sulawan Waewsanga ◽  
Poonsak Pisek ◽  
Palakorn Surakunprapha ◽  
Surasith Piyasin ◽  
Araya Pisek
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Repeated Measure ◽  
Measure Anova ◽  
Affected Side ◽  
Alar Base ◽  
3D Stereophotogrammetry ◽  
A Prospective Study ◽  
Base Width

Objective: To evaluate nostril morphology post-cheiloplasty after patients with unilateral cleft lip and palate (UCLP) use of the nasal creator device. Study Design: This is a prospective study. Sixteen patients with nonsyndromic UCLP treated at Khon Kaen University underwent cheiloplasty and then wear the nasal creator device for 6 months. Three-dimensional images were taken, from which 5 lines and 8 landmark points were evaluated prior to (T0) and 1 day (T1), 1 month (T2), 3 months (T3), and 6 months (T4) after cheiloplasty. A Repeated Measure ANOVA was used to evaluate nostril changes between time periods and a paired t-test was used to compare values between the affected and non-affected side at T4 (P < .05). Results: On the affected side, the nostril height significantly increased from T0 (2.46±0.89 mm) to T4 (4.22±1.03 mm), and the nostril width significantly decreased from T0 (9.46±2.57 mm) to T4 (7.34±1.41 mm). On the non-affected side, the nostril height significantly increased from T0 (3.39±0.78 mm) to T4 (4.65±1.07 mm), and the nostril width was not significantly different from T0 (6.00±1.25 mm) to T4 (6.59±0.95 mm). The alar base width was not significantly different between T0 (30.18±2.72 mm) and T4 (29.82±1.69 mm). Nostril height and width were not significantly different by T4 when comparing the affected and non-affected sides. Conclusion: Using nasal creator device for 6 months significantly increased the nostril height and decreased nostril width and alar base width after cheiloplasty.

Three-dimensional Analysis of Facial Symmetry in Cleft Lip and Palate Patients Using Optical Surface Data

2008 ◽  
Vol 69 (4) ◽  
pp. 268-282 ◽  
Author(s):  
Irene Stauber ◽  
Eleftherios Vairaktaris ◽  
Alexandra Holst ◽  
Maria Schuster ◽  
Ursula Hirschfelder ◽  
...  
Keyword(s):  
Dimensional Analysis ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Optical Surface ◽  
Facial Symmetry ◽  
Surface Data

scholarly journals Radiological evaluation of secondar y bone grafting results in patients with cleft lip and palate

2021 ◽  
Vol 3 (59) ◽  
pp. 51-55
Author(s):  
Silvia Railean ◽  
◽  
Egor Porosencov ◽  
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Pearson Correlation ◽  
Type I ◽  
Alveolar Ridge ◽  
Radiological Evaluation ◽  
Equal Distribution ◽  
Care Protocol

Introduction. Bone grafts are a necessary component of the care protocol for patients with cleft lip and palate (CLP). Radiological evaluation is an essential tool in evaluating the integration of the bone graft at the cleft area. Aim: Evaluation of the interdental height of the alveolar ridge in patients with CLP at the pre- and postoperative stages in order to assess the integration of bone graft in the cleft area. Material and methods: Cross-sectional clinical study, which included 34 patients with CLP; with equal distribution by gender, with an average age of 17.6±0.43 years. The study group underwent surgical treatment with bone grafting in the cleft region. The radiological evaluation was performed pre- and postoperatively (over 6 months), according to the scale of assessment proposed by Abyholm et al. Statistical evaluation of the data was performed by the Pearson correlation coefficient. Results: Overall, favorable postoperative results were observed. Initially, according to the radiological evaluation, the patients presented at the preoperative stage type III 29.4% (n = 10) and type IV - 70.6% (n = 24) of the interdental height of the alveolar ridge. Following bone grafting, it was recorded at 52.9% (n = 18) - type I, mainly in female patients (n = 11) and 47.1% (n = 16) - type II of the interdental height of the alveolar ridge , being predominantly registered in male patients (n = 10). Statistically significant differences between the sexes were not recorded (p = 0.132). The successful results obtained by secondary bone grafting in the cleft region allowed to continue the rehabilitation treatment of patients with CLP. Conclusion: Radiological evaluation of secondary bone grafting in the cleft area in terms of assessing the height of the alveolar ridge according to the scale of Abyholm et al. is a valuable diagnostic tool, readily available for assessing the condition of the grafted bone.

Three-dimensional assessment of alveolar bone thickness in individuals with nonsyndromic unilateral complete cleft lip and palate

2018 ◽  
Vol 5 (2) ◽  
pp. 106 ◽  
Author(s):  
Shahista Parveen ◽  
Roopali Shetty ◽  
Akhter Husain ◽  
Rohan Mascarenhas ◽  
Neevan D'Souza ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Three Dimensional ◽  
Bone Thickness ◽  
Dimensional Assessment

Three-Dimensional Assessment of Early Surgical Outcome in Repaired Unilateral Cleft Lip and Palate: Part 1. Nasal Changes

2011 ◽  
Vol 48 (5) ◽  
pp. 571-577 ◽  
Author(s):  
Ashraf Ayoub ◽  
Ann Garrahy ◽  
Declan Millett ◽  
Adrian Bowman ◽  
J.P. Siebert ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Dimensional Assessment ◽  
Nasal Changes

Three dimensional assessment of protraction in craniofacial structures of cleft lip and palate model using Facemask and Maxgym

2019 ◽  
Vol 19 (2) ◽  
pp. 553-561
Author(s):  
Shahistha Parveen ◽  
Akhter Husain ◽  
Satish Shenoy ◽  
Rohan Mascarenhas ◽  
Srinivas Gosla Reddy ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Dimensional Assessment
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