Facial improvement after mandibular midline distraction and surgically assisted rapid maxillary expansion.

This case report describes the retreatment of a 49-year-old woman with severe crowding in the mandibular incisor region and tapered maxillary and mandibular arches. Treatment consisted of mandibular midline distraction and surgically assisted rapid maxillary expansion to increase arch length. The need for proper presurgical orthodontics is described, and the complications during treatment are discussed.

Comparison of Three Methods of Rating Nasolabial Appearance in Cleft Lip and Palate.

Objective: To investigate which of three methods of rating nasolabial appearance-esthetic index, visual analogue scale (VAS), or numerical scale with reference photographs-is optimal.

Design: Experimental study.

Setting: Radboud University Medical Centre, The Netherlands and University of Bern, Switzerland.

Rating nasolabial appearance on three-dimensional images in cleft lip and palate: a comparison with standard photographs.

Background/objective: Judgement of nasolabial aesthetics in cleft lip and palate (CLP) is a vital component of assessment of treatment outcome. It is usually performed based on two-dimensional (2D) facial photographs. An increasing use of three-dimensional (3D) imaging warrants an assessment if 3D images can substitute 2D photographs during aesthetic evaluation.

Nasolabial symmetry and esthetics in cleft lip and palate: analysis of 3D facial images.

Objectives: To determine the relationship between nasolabial symmetry and esthetics in subjects with orofacial clefts.

Material And Methods: Eighty-four subjects (mean age 10 years, standard deviation 1.5) with various types of nonsyndromic clefts were included: 11 had unilateral cleft lip (UCL); 30 had unilateral cleft lip and alveolus (UCLA); and 43 had unilateral cleft lip, alveolus, and palate (UCLAP).

Regional facial asymmetries in unilateral orofacial clefts.

Objectives: Assess facial asymmetry in subjects with unilateral cleft lip (UCL), unilateral cleft lip and alveolus (UCLA), and unilateral cleft lip, alveolus, and palate (UCLP), and to evaluate which area of the face is most asymmetrical.

Methods: Standardized three-dimensional facial images of 58 patients (9 UCL, 21 UCLA, and 28 UCLP; age range: 8.6-12.