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Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age.
Orthod Craniofac Res. 2013 Feb; 16(1):36-43.OC

Abstract

OBJECTIVES

To evaluate facial esthetics in patients with unilateral cleft lip and palate (UCLP) after alveolar bone grafting combined with rhinoplasty between 2 and 4 years of age.

DESIGN

Retrospective case-control study.

SETTING

The Department of Pediatric Surgery, Institute of Mother and Child, Warsaw, Poland.

MATERIAL AND METHODS

Photographs of full faces and cropped images of five nasolabial components: nasal deviation, nasal form, nasal profile, vermillion border, and inferior view were assessed by 5 professional and 14 layraters in 29 children (23 boys and 6 girls; mean age = 5.3 years, SD 0.5; Early-grafted group) and 30 children (20 boys and 10 girls; mean age = 5.5 years, SD 1.0; Non-grafted group) with complete unilateral cleft lip and palate repaired with a one-stage closure. The groups differed regarding the timing of alveolar bone grafting: in the Early-grafted group, alveolar bone grafting in combination with rhinoplasty (ABG-R) was performed between 2 and 4 years of age (mean age = 2.3 years; SD 0.6); in the Non-grafted group, the alveolar defect was grafted after 9 years of age. No primary nose correction was carried out in any group. To rate esthetics, a modified five-grade esthetic index of Asher-McDade was used, where grade 1 means the most esthetic and grade 5 - the least esthetic outcome.

RESULTS

Esthetics of full faces and of all nasolabial elements in the Early-grafted group was significantly better than in Non-grafted group. The scores in the Early-grafted group ranged from 2.30 to 2.66 points, whereas in the Non-grafted group ranged from 2.66 to 3.17 points. All intergroup differences were statistically significant (p < 0.05).

CONCLUSIONS

Three years post-operatively, early alveolar bone grafting combined with rhinoplasty is favorable for facial esthetics in children with UCLP, but a longer follow-up is needed to assess whether the improvement was permanent.

Authors+Show Affiliations

Department of Pediatric Surgery, Institute of Mother and Child, Warsaw, Poland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

23311658

Citation

Offert, B, et al. "Facial Esthetics in Children With Unilateral Cleft Lip and Palate 3 Years After Alveolar Bonegrafting Combined With Rhinoplasty Between 2 and 4 Years of Age." Orthodontics & Craniofacial Research, vol. 16, no. 1, 2013, pp. 36-43.
Offert B, Janiszewska-Olszowska J, Dudkiewicz Z, et al. Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age. Orthod Craniofac Res. 2013;16(1):36-43.
Offert, B., Janiszewska-Olszowska, J., Dudkiewicz, Z., Brudnicki, A., Katsaros, C., & Fudalej, P. S. (2013). Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age. Orthodontics & Craniofacial Research, 16(1), 36-43. https://doi.org/10.1111/ocr.12002
Offert B, et al. Facial Esthetics in Children With Unilateral Cleft Lip and Palate 3 Years After Alveolar Bonegrafting Combined With Rhinoplasty Between 2 and 4 Years of Age. Orthod Craniofac Res. 2013;16(1):36-43. PubMed PMID: 23311658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age. AU - Offert,B, AU - Janiszewska-Olszowska,J, AU - Dudkiewicz,Z, AU - Brudnicki,A, AU - Katsaros,C, AU - Fudalej,P S, Y1 - 2012/09/17/ PY - 2013/1/15/entrez PY - 2013/1/15/pubmed PY - 2013/6/12/medline SP - 36 EP - 43 JF - Orthodontics & craniofacial research JO - Orthod Craniofac Res VL - 16 IS - 1 N2 - OBJECTIVES: To evaluate facial esthetics in patients with unilateral cleft lip and palate (UCLP) after alveolar bone grafting combined with rhinoplasty between 2 and 4 years of age. DESIGN: Retrospective case-control study. SETTING: The Department of Pediatric Surgery, Institute of Mother and Child, Warsaw, Poland. MATERIAL AND METHODS: Photographs of full faces and cropped images of five nasolabial components: nasal deviation, nasal form, nasal profile, vermillion border, and inferior view were assessed by 5 professional and 14 layraters in 29 children (23 boys and 6 girls; mean age = 5.3 years, SD 0.5; Early-grafted group) and 30 children (20 boys and 10 girls; mean age = 5.5 years, SD 1.0; Non-grafted group) with complete unilateral cleft lip and palate repaired with a one-stage closure. The groups differed regarding the timing of alveolar bone grafting: in the Early-grafted group, alveolar bone grafting in combination with rhinoplasty (ABG-R) was performed between 2 and 4 years of age (mean age = 2.3 years; SD 0.6); in the Non-grafted group, the alveolar defect was grafted after 9 years of age. No primary nose correction was carried out in any group. To rate esthetics, a modified five-grade esthetic index of Asher-McDade was used, where grade 1 means the most esthetic and grade 5 - the least esthetic outcome. RESULTS: Esthetics of full faces and of all nasolabial elements in the Early-grafted group was significantly better than in Non-grafted group. The scores in the Early-grafted group ranged from 2.30 to 2.66 points, whereas in the Non-grafted group ranged from 2.66 to 3.17 points. All intergroup differences were statistically significant (p < 0.05). CONCLUSIONS: Three years post-operatively, early alveolar bone grafting combined with rhinoplasty is favorable for facial esthetics in children with UCLP, but a longer follow-up is needed to assess whether the improvement was permanent. SN - 1601-6343 UR - https://www.unboundmedicine.com/medline/citation/23311658/Facial_esthetics_in_children_with_unilateral_cleft_lip_and_palate_3_years_after_alveolar_bonegrafting_combined_with_rhinoplasty_between_2_and_4_years_of_age_ L2 - https://doi.org/10.1111/ocr.12002 DB - PRIME DP - Unbound Medicine ER -