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Nasolabial aesthetics correlates poorly with skeletal symmetry in unilateral cleft lip and palate.
J Plast Reconstr Aesthet Surg. 2013 Jan; 66(1):e1-7.JP

Abstract

OBJECTIVE

To evaluate the correlation between symmetry of the craniofacial skeleton and aesthetics of the nose and upper lip in children with complete unilateral cleft lip and palate (CUCLP).

MATERIAL AND METHODS

Craniofacial symmetry was evaluated on postero-anterior (PA) cephalograms of 54 children (37 boys and 17 girls; mean age = 11.0 years, SD 1.6) with CUCLP repaired with a one-stage closure (Cleft group). Treated subjects were age- and gender-matched with 54 untreated subjects taken from the University of Michigan Growth Study (Control group). Fourteen coefficients of asymmetry (CAs) were calculated and four angles were measured. Four raters assessed the nasolabial appearance on cropped facial and profile photographs with the 5-grade aesthetic index of Asher-McDade (grade 1 means the most aesthetic and grade 5 the least aesthetical outcome) in the Cleft group only. Independent t-tests were used to evaluate the inter-group differences for CAs. Pearson's correlation coefficients were calculated to examine a relationship between particular components of the aesthetical index and CAs. Multiple regression analyses were carried out to explain the nasolabial aesthetics on the basis of craniofacial symmetry.

RESULTS

In the Cleft group, most cephalometric variables demonstrated asymmetry not exceeding 10%. The Cleft and Control groups differed regarding three angular measurements (Se, Ism, and ANS) and 1 CA (Mo-V). Three of the four nasolabial components demonstrated correlation with some cephalometric variables. However, the correlation coefficients were low (range: -0.309 to 0.305).

CONCLUSIONS

There is a weak correlation between craniofacial skeletal symmetry and aesthetics of the nose and upper lip in children with CUCLP.

Authors+Show Affiliations

Department of Orthodontics and Cleft Anomalies, 3rd Medical Faculty, Charles University, Prague, Czech Republic.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22985870

Citation

Urbanova, Wanda, et al. "Nasolabial Aesthetics Correlates Poorly With Skeletal Symmetry in Unilateral Cleft Lip and Palate." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 66, no. 1, 2013, pp. e1-7.
Urbanova W, Brudnicki A, Strydom H, et al. Nasolabial aesthetics correlates poorly with skeletal symmetry in unilateral cleft lip and palate. J Plast Reconstr Aesthet Surg. 2013;66(1):e1-7.
Urbanova, W., Brudnicki, A., Strydom, H., Bronkhorst, E. M., Katsaros, C., & Fudalej, P. S. (2013). Nasolabial aesthetics correlates poorly with skeletal symmetry in unilateral cleft lip and palate. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 66(1), e1-7. https://doi.org/10.1016/j.bjps.2012.08.032
Urbanova W, et al. Nasolabial Aesthetics Correlates Poorly With Skeletal Symmetry in Unilateral Cleft Lip and Palate. J Plast Reconstr Aesthet Surg. 2013;66(1):e1-7. PubMed PMID: 22985870.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nasolabial aesthetics correlates poorly with skeletal symmetry in unilateral cleft lip and palate. AU - Urbanova,Wanda, AU - Brudnicki,Andrzej, AU - Strydom,Hardus, AU - Bronkhorst,Ewald M, AU - Katsaros,Christos, AU - Fudalej,Piotr S, Y1 - 2012/09/15/ PY - 2011/10/12/received PY - 2012/05/08/revised PY - 2012/08/27/accepted PY - 2012/9/19/entrez PY - 2012/9/19/pubmed PY - 2013/3/5/medline SP - e1 EP - 7 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 66 IS - 1 N2 - OBJECTIVE: To evaluate the correlation between symmetry of the craniofacial skeleton and aesthetics of the nose and upper lip in children with complete unilateral cleft lip and palate (CUCLP). MATERIAL AND METHODS: Craniofacial symmetry was evaluated on postero-anterior (PA) cephalograms of 54 children (37 boys and 17 girls; mean age = 11.0 years, SD 1.6) with CUCLP repaired with a one-stage closure (Cleft group). Treated subjects were age- and gender-matched with 54 untreated subjects taken from the University of Michigan Growth Study (Control group). Fourteen coefficients of asymmetry (CAs) were calculated and four angles were measured. Four raters assessed the nasolabial appearance on cropped facial and profile photographs with the 5-grade aesthetic index of Asher-McDade (grade 1 means the most aesthetic and grade 5 the least aesthetical outcome) in the Cleft group only. Independent t-tests were used to evaluate the inter-group differences for CAs. Pearson's correlation coefficients were calculated to examine a relationship between particular components of the aesthetical index and CAs. Multiple regression analyses were carried out to explain the nasolabial aesthetics on the basis of craniofacial symmetry. RESULTS: In the Cleft group, most cephalometric variables demonstrated asymmetry not exceeding 10%. The Cleft and Control groups differed regarding three angular measurements (Se, Ism, and ANS) and 1 CA (Mo-V). Three of the four nasolabial components demonstrated correlation with some cephalometric variables. However, the correlation coefficients were low (range: -0.309 to 0.305). CONCLUSIONS: There is a weak correlation between craniofacial skeletal symmetry and aesthetics of the nose and upper lip in children with CUCLP. SN - 1878-0539 UR - https://www.unboundmedicine.com/medline/citation/22985870/Nasolabial_aesthetics_correlates_poorly_with_skeletal_symmetry_in_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(12)00491-3 DB - PRIME DP - Unbound Medicine ER -