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 ◽  
...  
2011 ◽  
Vol 48 (5) ◽  
pp. 578-583 ◽  
Author(s):  
Ashraf Ayoub ◽  
Ann Garrahy ◽  
Declan Millett ◽  
Adrian Bowman ◽  
J.P. Siebert ◽  
...  

2018 ◽  
Vol 56 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Laura Mancini ◽  
Travis L. Gibson ◽  
Barry H. Grayson ◽  
Roberto L. Flores ◽  
David Staffenberg ◽  
...  

Objective: To quantify 3-dimensional (3D) nasal changes in infants with unilateral cleft lip with or without cleft palate (UCL±P) treated by nasoalveolar molding (NAM) and cheilorhinoplasty and compare to noncleft controls. Design: Retrospective case series of infants treated with NAM and primary cheilorhinoplasty between September, 2012 and July, 2016. Infants were included if they had digital stereophotogrammetric records at initial presentation (T1), completion of NAM (T2), and following primary cheilorhinoplasty (T3). Images were oriented in 3dMD Vultus software, and 16 nasolabial points identified. Patients: Twenty consecutively treated infants with UCL±P. Interventions: Nasoalveolar molding and primary cheilorhinoplasty. Main Outcome Measures: Anthropometric measures of nasal symmetry and morphology were compared in the treatment group between time points using paired Student t tests. Postsurgical nasal morphology was compared to noncleft controls. Results: Nasal tip protrusion increased, and at T3 was 2.64 mm greater than noncleft controls. Nasal base width decreased on the cleft side by 4.01 mm after NAM and by 6.73 mm after cheilorhinoplasty. Columellar length of the noncleft to cleft side decreased from 2:1 to 1:1 following NAM. Significant improvements in subnasale, columella, and nasal tip deviations from midsagittal plane were observed. Treatment improved symmetry of the alar morphology angle and the nasal base–columella angle between cleft and noncleft sides. Conclusions: Three-dimensional analysis of UCL±P patients demonstrated significant improvements in nasal projection, columella length, nasal symmetry, and nasal width. Compared to noncleft controls, nasal form was generally corrected, with overcorrection of nasal tip projection, columella angle, and outer nasal widths.


2018 ◽  
Vol 5 (2) ◽  
pp. 106 ◽  
Author(s):  
Shahista Parveen ◽  
Roopali Shetty ◽  
Akhter Husain ◽  
Rohan Mascarenhas ◽  
Neevan D'Souza ◽  
...  

2019 ◽  
Vol 19 (2) ◽  
pp. 553-561
Author(s):  
Shahistha Parveen ◽  
Akhter Husain ◽  
Satish Shenoy ◽  
Rohan Mascarenhas ◽  
Srinivas Gosla Reddy ◽  
...  

2007 ◽  
Vol 44 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Mark F. Devlin ◽  
Arup Ray ◽  
Peter Raine ◽  
Adrian Bowman ◽  
Ashraf F. Ayoub

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.


2014 ◽  
Vol 51 (4) ◽  
pp. 462-471 ◽  
Author(s):  
Aileen Bell ◽  
Tsz-Wai Rachel Lo ◽  
Denise Brown ◽  
Adrian W. Bowman ◽  
J. Paul Siebert ◽  
...  

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