Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 8 , Pages 1661-1666 , August 2009

Nasolabial Esthetics in Children With Complete Unilateral Cleft Lip and Palate After 1- Versus 3-Stage Treatment Protocols

  • Piotr Fudalej, DDS, MSD, PhD

      Affiliations

    • Assistant Professor, Department of Pediatric Surgery, Institute of Mother and Child, Warsaw, Poland
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Fudalej: Department of Pediatric Surgery, Institute of Mother and Child, Kasprzaka Street 17a, 01-211 Warszawa, Poland
    • ,
  • Christos Katsaros, DDS, DrMedDent, DrOdont, PhD

      Affiliations

    • Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, Switzerland
    • ,
  • Catharina Bongaarts, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Zofia Dudkiewicz, MD, MS, PhD

      Affiliations

    • Professor and Head, Department of Pediatric Surgery, Institute of Mother and Child, Warsaw, Poland
    • ,
  • Anne Marie Kuijpers-Jagtman, DDS, PhD, FDSRCSEng

      Affiliations

    • Professor and Head, Department of Orthodontics and Biology, and Cleft Palate Craniofacial Unit, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

References 

  1. Jacobsen A. Psychological aspects of dentofacial esthetics and orthognathic surgery. Angle Orthod. 1984;54:18
  2. Alley TR. Social and Applied Aspects of Perceiving Faces. Hillsdale, NJ: Lawrence Erlbaum; 1988;
  3. Broder H, Strauss RP. Self-concept of early primary school age children with visible or invisible defects. Cleft Palate J. 1989;26:114
  4. Tobiasen JM. Social judgments of facial deformity. Cleft Palate J. 1987;24:323
  5. Asher-McDade C, Brattström V, Dahl E, et al. A six-center international study of treatment outcome in patients with clefts of the lip and palate (Part 4. Assessment of nasolabial appearance). Cleft Palate Craniofac J. 1992;29:409
  6. Savaci N, Hosnuter M, Tosun Z, et al. Maxillofacial morphology in children with complete unilateral cleft lip and palate treated by one-stage simultaneous repair. Plast Reconstr Surg. 2005;115:1509
  7. Fudalej P, Obloj B, Miller-Drabikowska D, et al. Midfacial growth in a consecutive series of preadolescent children with complete unilateral cleft lip and palate following a one-stage simultaneous repair. Cleft Palate Craniofac J. 2008;45:667
  8. Lilja J, Mars M, Elander A, et al. Analysis of dental arch relationships in Swedish unilateral cleft lip and palate subjects: 20-Year longitudinal consecutive series treated with delayed hard palate closure. Cleft Palate Craniofac J. 2006;43:606
  9. Susami T, Ogihara Y, Matsuzaki M, et al. Assessment of dental arch relationships in Japanese patients with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2006;43:96
  10. Brattström V, McWilliam J, Semb G, et al. Craniofacial development in children with unilateral clefts of the lip, alveolus, and palate treated according to three different regimes: Assessment of nasolabial appearance. Scand J Plast Reconstr Surg Hand Surg. 1992;26:313
  11. Nollet PJPM, Kuijpers-Jagtman AM, Chatzigianni A, et al. Nasolabial appearance in unilateral cleft lip, alveolus and palate: A comparison with Eurocleft. J Cranio-Maxillofacial Surg. 2007;35:278
  12. Brattström V, Mølsted K, Prahl-Andersen B, et al. The Eurocleft study: Intercenter study of treatment outcome in patients with complete cleft lip and palate (Part 2: Craniofacial form and nasolabial appearance). Cleft Palate Craniofac J. 2005;42:69
  13. Prahl C, Kuijpers-Jagtman AM, van't Hof MA, et al. A randomized prospective clinical trial into the effect of infant orthopedics on maxillary arch dimensions in unilateral cleft lip and palate (Dutchcleft). Eur J Oral Sci. 2001;109:297
  14. Asher-McDade C, Roberts C, Shaw WC, et al. Development of a method for rating nasolabial appearance in patients with clefts of the lip and palate. Cleft Palate Craniofac J. 1991;28:385
  15. Dahlberg G. Statistical Methods for Medical and Biological Students. London: George Allen and Unwin; 1940;
  16. Johnson N, Sandy J. An aesthetic index for evaluation of cleft repair. Eur J Orthod. 2003;25:243
  17. Al-Omari I, Millett DT, Ayoub AF, et al. An appraisal of three methods of rating facial deformity in patients with repaired complete unilateral cleft lip and palate. Cleft Palate Craniofac J. 2003;40:530
  18. Trotman CA, Phillips C, Essick GK, et al. Functional outcomes of cleft lip surgery (Part I: Study design and surgeon ratings of lip disability and need for lip revision). Cleft Palate Craniofac J. 2007;44:598
  19. Lo LJ, Wong FH, Mardini S, et al. Assessment of bilateral cleft lip nose deformity: A comparison of results as judged by cleft surgeons and laypersons. Plast Reconstr Surg. 2002;110:733
  20. McNeil CK. Congenital oral deformities. Br Dent J. 1956;18:191
  21. McNeil CK. Oral and Facial Deformity. London: Pitman Medical; 1954;
  22. Winters JC, Hurwitz DJ. Presurgical orthopedics in the surgical management of unilateral cleft lip and palate. Plast Reconstr Surg. 1995;95:755
  23. Prahl C, Prahl-Andersen B, van't Hof MA, et al. Infant orthopedics and facial appearance: A randomized clinical trial (Dutchcleft). Cleft Palate Craniofac J. 2006;43:659
  24. Horswell BB, Pospisil OA. Nasal symmetry after primary cleft lip repair: Comparison between Delaire cheilorhinoplasty and modified rotation-advancement. J Oral Maxillofac Surg. 1995;53:1025
  25. Bilwatsch S, Kramer M, Haeusler G, et al. Nasolabial symmetry following Tennison-Randall lip repair: A three-dimensional approach in 10-year-old patients with unilateral clefts of lip, alveolus and palate. J Cranio-Maxillofacial Surg. 2006;34:253
  26. Reddy GS, Webb RM, Reddy RR, et al. Choice of incision for primary repair of unilateral complete cleft lip: A comparative study of outcomes in 796 patients. Plast Reconstr Surg. 2008;121:932
  27. Schendel SA. Unilateral cleft lip repair—State of the art. Cleft Palate Craniofac J. 2000;37:335
  28. Cutting CB, Bardach J, Pang R. A comparative study of the skin envelope of the unilateral cleft lip nose subsequent to rotation-advancement and triangular flap lip repairs. Plast Reconstr Surg. 1989;84:409
  29. Yamada T, Mori Y, Minami K, et al. Three-dimensional facial morphology, following primary cleft lip repair using the triangular flap with or without rotation advancement. J Cranio-Maxillofacial Surg. 2002;30:337
  30. Lazarus DD, Hudson DA, van Zyl JE, et al. Repair of unilateral cleft lip: A comparison of five techniques. Ann Plast Surg. 1998;41:587
  31. Chowdri NA, Darzi MA, Ashraf MM. A comparative study of surgical results with rotation-advancement and triangular flap techniques in unilateral cleft lip. Br J Plast Surg. 1990;43:551
  32. Holtmann B, Wray RC. A randomized comparison of triangular and rotation-advancement unilateral cleft lip repairs. Plast Reconstr Surg. 1983;71:172
  33. Becker M, Svensson H, Jacobsson S. Clinical examination compared with morphometry of digital photographs for evaluation of repaired cleft lips. Scand J Plast Reconstr Surg Hand Surg. 1998;32:301
  34. Semb G, Shaw WC. Simonart's band and facial growth in unilateral clefts of the lip and palate. Cleft Palate Craniofac J. 1991;28:40

 This study was partially supported by the Polish State Committee for Scientific Research.

PII: S0278-2391(09)00453-4

doi: 10.1016/j.joms.2009.04.003

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 8 , Pages 1661-1666 , August 2009

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