Upper Lip Asymmetry Perception Using Three-Dimensional Anthropometry in Patients With Unilateral Cleft Lip Deformity

2011 ◽  
Vol 22 (6) ◽  
pp. 2080-2083 ◽  
Author(s):  
Tae Suk Oh ◽  
Jong Woo Choi ◽  
Kyung S. Koh
2019 ◽  
Vol 47 (2) ◽  
pp. 245-254 ◽  
Author(s):  
Namiko Kimura ◽  
Etsuro Nozoe ◽  
Takako Okawachi ◽  
Kiyohide Ishihata ◽  
Takao Fuchigami ◽  
...  

2006 ◽  
Vol 43 (3) ◽  
pp. 350-355 ◽  
Author(s):  
Michael Krimmel ◽  
Susanne Kluba ◽  
Margit Bacher ◽  
Klaus Dietz ◽  
Siegmar Reinert

Objective To analyze the three-dimensional morphology of the cleft infant face with digital surface photogrammetry. Design Fifty plaster casts of unoperated infants with cleft lip and palate were imaged three-dimensionally with digital surface photogrammetry. Twenty-one standard craniofacial measurements were taken. The plaster casts were divided into 4 groups with unilateral, bilateral, complete, and incomplete clefts of the lip and palate. The measurements were compared with standard values for healthy infants. Results Significant differences (p < .0025) were found for the alar base width (33% to 55%), the alar base root width (59% to 103%), the width of the nose (7% to 25%), the length of the alar wing (18% to 25%), and the intercanthal (6% to 17%) and biocular (4% to 12%) width, depending on the cleft type. The vertical dimensions of the nose and the upper lip did not differ significantly from the controls. Conclusion This study describes preliminary data on the cleft infant facial deformity. The obtained results were mainly in agreement with data in the limited literature. Three-dimensional photogrammetry has proven to be reliable and can be applied more readily to potentially uncooperative patients.


2015 ◽  
Vol 35 (1) ◽  
pp. 53 ◽  
Author(s):  
Enrico Vezzetti ◽  
Domenico Speranza ◽  
Federica Marcolin ◽  
Giulia Fracastoro

The aim of this work is to automatically diagnose and formalize prenatal cleft lip with representative key points and identify the type of defect (unilateral, bilateral, right, or left) in three-dimensional ultrasonography (3D US). Geometry has been used as a framework for describing facial shapes and curvatures. Then, descriptors coming from this field are employed for identifying the typical key points of the defect and its dimensions. The descriptive accuracy of these descriptors has allowed us to automatically extract reference points, quantitative distances, labial profiles, and to provide information about facial asymmetry. Eighteen foetal faces, ten of healthy foetuses and eight with different types of cleft lips, have been obtained through a Voluson system and used for testing the algorithm. Cleft lip has been diagnosed and correctly characterized in all cases. Transverse and cranio-caudal length of the cleft have been computed and upper lip profile has been automatically extract to have a visual quantification of the overall labial defect. The asymmetry information obtained is consistent with the defect. This algorithm has been designed to support practitioners in identifying and classifying cleft lips. The gained results have shown that geometry might be a proper tool for describing faces and for diagnosis.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7302 ◽  
Author(s):  
Sander Brons ◽  
Jene W. Meulstee ◽  
Tom G.J. Loonen ◽  
Rania M. Nada ◽  
Mette A.R. Kuijpers ◽  
...  

Background Stereophotogrammetry can be used to study facial morphology in both healthy individuals as well as subjects with orofacial clefts because it shows good reliability, ability to capture images rapidly, archival capabilities, and high resolution, and does not require ionizing radiation. This study aimed to compare the three-dimensional (3D) facial morphology of infants born with unilateral cleft lip and palate (UCLP) with an age-matched normative 3D average face before and after primary closure of the lip and soft palate. Methods Thirty infants with a non-syndromic complete unilateral cleft lip, alveolus, and palate participated in the study. Three-dimensional images were acquired at 3, 6, 9, and 12 months of age. All subjects were treated according to the primary surgical protocol consisting of surgical closure of the lip and the soft palate at 6 months of age. Three-dimensional images of UCLP patients at 3, 6 (pre-treatment), 9, and 12 months of age were superimposed on normative datasets of average facial morphology using the children’s reference frame. Distance maps of the complete 3D facial surface and the nose, upper lip, chin, forehead, and cheek regions were developed. Results Assessments of the facial morphology of UCLP and control subjects by using color-distance maps showed large differences in the upper lip region at the location of the cleft defect and an asymmetry at the nostrils at 3 and 6 months of age. At 9 months of age, the labial symmetry was completely restored although the tip of the nose towards the unaffected side showed some remnant asymmetry. At 12 months of age, the symmetry of the nose improved, with only some remnant asymmetry noted on both sides of the nasal tip. At all ages, the mandibular and chin regions of the UCLP patients were 2.5–5 mm posterior to those in the average controls. Conclusion In patients with UCLP deviations from the normative average 3D facial morphology of age-matched control subjects existed for the upper lip, nose, and even the forehead before lip and soft palate closure was performed. Compared to the controls symmetry in the upper lip was restored, and the shape of the upper lip showed less variation after primary lip and soft palate closure. At this early age, retrusion of the soft-tissue mandible and chin, however, seems to be developing already.


2020 ◽  
Vol 44 (6) ◽  
pp. 442-450
Author(s):  
N Kumjan ◽  
A Manosudprasit ◽  
A Pisek ◽  
K Winaikosol ◽  
M Manosudprasit ◽  
...  

Objectives: The objectives were to assess the treatment outcomes of unilateral cleft lip and palate after primary surgery on nasolabial soft tissue of children ages 4–5 years old as compared with unaffected children and to establish a nasolabial soft tissue norm within Khon Kaen. Study design: This cross-sectional study consisted of 60 unaffected subjects living in Khon Kaen province and 20 subjects with repaired complete unilateral cleft lip and palate who were treated at Srinagarind Hosipital, Khon Kaen, Thailand. 3D images were taken by a Morpheus 3D Scanner and measured by the Morpheus 3D program. Independent t-tests and paired t-tests were used to analyze the significant differences between subjects with cleft and unaffected subjects. Results: There were statistically significant differences (p&lt;0.05) of nasolabial measurements between affected subjects and unaffected subjects. Unilateral measurements showed decreased nostril height, columella lengths, and nose protrusion from ala base and ala length in the affected group. In addition, bilateral measurements found decreased upper lip protrusion, philtrum length, upper lip height, upper vermillion thickness, and lip angle. Conclusion: This study attempted to establish a norm for evaluating the treatment outcome of cleft lip and cleft palate repair at Srinagarind Hospital in relation to unaffected or noncleft individuals. The results suggest that the noncleft side in affected patients is not an optimal surgical guide for cleft repair and the surgeon should correct both sides of lip and nose features according to the norms. A surgical treatment plan should emphasize correcting nostril height, columella length, nose protrusion from ala base, ala length, and upper lip features.


2016 ◽  
Vol 53 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Marcio De Menezes ◽  
Ana Maria Cerón-Zapata ◽  
Ana Maria López-Palacio ◽  
Andrea Mapelli ◽  
Luca Pisoni ◽  
...  

1991 ◽  
Vol 27 (3) ◽  
pp. 238-252 ◽  
Author(s):  
Takuya Onizuka ◽  
Masaharu Ichinose ◽  
Yoshiaki Hosaka ◽  
Yoshihiro Usui ◽  
Takao Jinnai

2014 ◽  
Vol 84 (4) ◽  
pp. 623-627 ◽  
Author(s):  
M. Okan Akcam ◽  
Halise Aydemir ◽  
Levent Özer ◽  
Berna Özel ◽  
T. Ufuk Toygar-Memikoğlu

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