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Evaluation of the Effect of Surgical Repair on Lip-Nose Morphometric Parameters of Patients with Unilateral Cleft Lip using Two-Dimensional Photogrammetry: A Comparative Study between the Cleft and the Non-Cleft Side. | LitMetric

AI Article Synopsis

  • This study examined how repairing a cleft lip affects the shape and size of the lip and nose in individuals with complete unilateral cleft lip/palate at a Nigerian hospital.
  • It involved 29 subjects, and standard photos were taken before and after surgery at various time points, along with specific measurements of lip and nose dimensions.
  • Results showed that after surgery, certain measurements, like vertical lip height and nasal width, improved but still differed between the cleft and non-cleft sides, indicating that while surgery reduced the discrepancies, it didn't completely eliminate them.

Article Abstract

Background: This prospective, comparative study was carried out to evaluate the effect of cleft lip repair on lip-nose morphometric characteristics of subjects with complete unilateral cleft lip/palate at the University of Maiduguri Teaching Hospital, Borno State, Nigeria.

Materials And Methods: The study population consisted of a total of 29 subjects. Lip repair was done using Millard's rotation advancement technique by a single consultant. Standardised photographs were taken; preoperatively and during different postoperative periods; immediately, 1 week, 3, and 6 months. Indirect measurements of eight linear distances were carried out using Rulerswift software application. For all statistical analyses of mean difference, a P-value of less than 0.05 was accepted as being statistically significant.

Results: A total of 52% were women, whereas 44% were men. There are considerable disparities between the cleft and non-cleft sides of complete unilateral cleft patients before surgery; statistically significant differences of 1.4 mm, 6.3 mm, and -17.6 mm in vertical lip height, philtral height, and nasal width respectively. Six months after repair, statistically significant differences in lip height between the cleft and the non-cleft side were observed in vertical lip height, nasal width, and philtral height (mean difference of -1.28 ± 0.78, 2.02 ± 2.86, 1.22 ± 1.83 mm; < 0.001, = 0.016, = 0.022, respectively). Horizontal lip height was maintained with no statistically significant difference (mean difference of -0.12 ± 2.19 mm).

Conclusion: Following cleft repair, using Millard's rotation advancement technique, differences in lip-nose morphometric parameters were found to be reduced, however, not always eliminated by treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204918PMC
http://dx.doi.org/10.4103/jwas.jwas_257_22DOI Listing

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