An Appraisal of Three Methods of Rating Facial Deformity in Patients with Repaired Complete Unilateral Cleft Lip and Palate

2003 ◽  
Vol 40 (5) ◽  
pp. 530-537 ◽  
Author(s):  
I. Al-Omari ◽  
D. T. Millett ◽  
A. Ayoub ◽  
M. Bock ◽  
A. Ray ◽  
...  
Keyword(s):  
Clinical Assessment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Ordinal Scale ◽  
Kappa Statistics ◽  
Two Dimensional ◽  
Facial Deformity ◽  
Clinical Scores ◽  
Full Face

Objectives To evaluate the reliability of clinical assessment, two-dimensional color transparencies and three-dimensional imaging for evaluating the residual facial deformity in patients with repaired complete unilateral cleft lip and palate (UCLP) and compare the ratings of facial deformity made by health care professionals with those made by lay assessors. Patients and Participant Thirty-one randomly selected subjects aged 10 to 30 years with repaired complete UCLP. Five professionals and five laypersons evaluated each subject's residual cleft-related facial deformity using clinical assessment, two-dimensional color transparencies, and three-dimensional images. Main Outcome Measures The facial deformity of the full face, lip, nose, and midface were scored using a 5-point ordinal scale on two occasions with a 1-month interval. Intra- and interexaminer agreements were calculated from weighted kappa statistics. Bootstrap permutation tests were used to detect any differences in agreement. Results Assessment of facial deformity showed good reproducibility across the three assessment media (κ = 0.42 to 0.83, SE 0.08). Clinical assessment among lay assessors, however, was poor to moderate (κ = 0.16 to 0.58, SE 0.07). For all assessors, there was no difference in the two nonclinical media relative to the standard clinical assessment for assessments of the full face (p = .377). For assessments of the lip or nose, transparency scores were in greater agreement with the clinical scores than were the three-dimensional assessment scores (p = .017 and .011, respectively). For rating the midface, the three-dimensional scores were in greater agreement with the clinical scores than were the color transparencies scores (p = .047). Conclusions In comparison with lay assessors, clinical assessment among professionals was more reproducible. This was not so for nonclinical media. The equivalence of using the color transparencies and three-dimensional media relative to the clinical assessment depends on the region of the face being considered.

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

2005 ◽  
Vol 42 (2) ◽  
pp. 145-156 ◽  
Author(s):  
I. Al-Omari ◽  
D. T. Millett ◽  
A. F. Ayoub
Keyword(s):  
Clinical Assessment ◽  
Three Dimensional ◽  
Reliability And Validity ◽  
Limited Attention ◽  
Two Dimensional ◽  
Facial Deformity ◽  
Facial Region ◽  
Facial Area ◽  
Full Face ◽  
Method Of Assessment

Objective To review the stimulus media, measurements and scoring system, rater's characteristics, and facial region used in assessment of the appearance of cleft-related deformity. Methods A review of the literature was conducted using MedLine from January 1966 to June 2003. Key orthodontic journals and The Cleft Palate–Craniofacial Journal were hand searched as well. Results Most studies used a static two-dimensional means of assessment. Direct clinical assessment, three-dimensional media, or both have been used to a lesser extent. Only one study utilized all three assessment media. Three studies, however, attempted to compare the direct clinical assessment with that obtained using two-dimensional media. Most of the studies demonstrated that appearance of the cleft-related deformity could be measured by a variety of judges. The reliability and validity of the three different media as methods of assessment have received limited attention. The facial area assessed has varied from the full face, nasolabial area, or specific features of the lip or nose. Conclusions 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.

Digital Surface Photogrammetry for Anthropometric Analysis of the Cleft Infant Face

2006 ◽  
Vol 43 (3) ◽  
pp. 350-355 ◽  
Author(s):  
Michael Krimmel ◽  
Susanne Kluba ◽  
Margit Bacher ◽  
Klaus Dietz ◽  
Siegmar Reinert
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Upper Lip ◽  
Facial Deformity ◽  
Alar Base ◽  
Healthy Infants ◽  
Standard Values ◽  
Base Width ◽  
Plaster Casts

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.

scholarly journals Two-Dimensional Intra-Oral Radiographs Compared to Three-Dimensional CBCT at Six-Month Post-Operative Evaluation of Secondary Bone-Grafting in Patients with Cleft Lip and Palate

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Wiedel A P ◽  
◽  
Svensson H ◽  
Hellén-Halme K ◽  
Ghaffari H ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Three Dimensional ◽  
Treatment Decision ◽  
Clinical Findings ◽  
Two Dimensional ◽  
Alveolar Bone Grafting ◽  
The Mean

Background: The aim of this study was to investigate whether a complementary Cone-Beam Computed Tomography (CBCT) in patients with Cleft Lip and Palate (CLP) after alveolar bone-grafting to clefts gave substantial additional information, and particularly whether such new information had any implications for the further care of the patients. Methods: Seventeen children, with complete CLP, 10 unilateral and seven bilateral clefts, in all 24 clefts, were evaluated six months after secondary alveolar bone-grafting with two-dimensional intra-oral radiographs complemented with CBCT. The mean age at bone-grafting was 8.8 years. Three different examiners evaluated the radiographic documentation. Results: The mean pre-operative cleft width was 5.8mm. In 15 of the 24 clefts the same interpretation was made on both two-dimensional radiographs and CBCT. In the remaining nine clefts, CBCT added important information to the treatment decision. Conclusions: For the evaluation six months post-operatively of the success of alveolar bone-grafting to clefts, the two-dimensional radiograph should be complemented with CBCT unless the two-dimensional radiograph without doubt reveals open residual cleft and clinical findings indicate graft failure.

scholarly journals Prenatal Diagnosis of Fetal Cleft Lip and Palate with Three-Dimensional Ultrasound Information Technology

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xinglong Deng ◽  
Suhui He ◽  
Qiumei Wu ◽  
Zongjie Weng ◽  
Minmin Yang ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Cleft Palate ◽  
Detection Rate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Ultrasound Examination ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Palate

Objective. To evaluate the three-dimensional ultrasound paper cleft lip and palate deformities in applications in prenatal diagnosis. Methods. 25 cases of cleft lip and palate fetus, 20–32 weeks of gestational age, with the maternal age of 22–44 years, were examined by prenatal ultrasound in our hospital; conventional two-dimensional ultrasound examination was performed after a cleft lip, and the application of three-dimensional ultrasound imaging surface and a transparent imaging showed the alveolar process and the palate of the fetus. Also, the results of two-dimensional ultrasound and postnatal (or after induction) results were compared. Results. Of the 25 cases, there were 6 cases of postpartum induction or simply unilateral cleft lip, 17 cases of unilateral cleft palate, and two cases of bilateral cleft lip palate. There was no significant ( P > 0.05 ) difference of two- and three-dimensional ultrasound detection rate of pure cleft lip; two-dimensional ultrasound cleft palate detection rate was 36.8% (7/19), and three-dimensional ultrasound cleft palate detection rate was 89.5% (17/19). The two methods showed a statistically significant ( P < 0.05 ) difference in the detection rate of cleft palate. Conclusion. Three-dimensional ultrasound can significantly improve the diagnostic accuracy of prenatal cleft palate.

scholarly journals Virtual Modeling of a Cleft Lip and Palate Patient

2012 ◽  
Vol 2 (2) ◽  
pp. 43
Author(s):  
İrfan Karadede ◽  
Özkan ADIGÜZEL ◽  
Törün Özer ◽  
Fundagül Bilgiç ◽  
Renin Özhal İzol
Keyword(s):  
Treatment Planning ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Native Speakers ◽  
Three Dimensional ◽  
Three Dimensions ◽  
Two Dimensional ◽  
Native Speakers Of English ◽  
Virtual Modeling ◽  
Palate Patient

Aim: To demonstrate three-dimensional virtual modeling of a cleft lip and palate patient. Methodology: Traditional two-dimensional treatment planning modalities are often inadequate. Developing technology has enabled the virtual modeling of cleft lip and palate patients. Mimics software was used to demonstrate how to construct such a model. Conclusion: We are now able to model cleft lip and palate patients in three dimensions. How to cite this article: Karadede İ, Adıgüzel Ö, Özer T, Bilgiç F, Özhal İzol R. Virtual Modeling of a Cleft Lip and Palate Patient. Int Dent Res 2012;2:43-47. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Sign in / Sign up

Export Citation Format

Share Document