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Anthropometric and aesthetic outcomes for the nasolabial region in 101 consecutive African children with unilateral cleft lip one year after repair using the anatomical subunit approximation technique.
Int J Oral Maxillofac Surg 2017; 46(10):1338-1345IJ

Abstract

One hundred and one patients with complete or incomplete cleft lip underwent the anatomical subunit approximation technique for repair. The patients were followed up prospectively for 1year. The objective of this study was to determine the outcomes for the nasolabial area through anthropometric measurements and assessment of the Asher-McDade Aesthetic Index and Steffensen's criteria at 1year after surgery. Six assessors (three cleft surgeons and three non-surgeon medical professionals) examined cropped images; reliability was assessed using Cronbach's alpha. The difference in lip length between the healthy and operated sides was 0.61mm and the difference in nostril diameter was 0.37mm (differences not significant). The average scar width was 2.78±1.35mm. Hypertrophic scars were observed in 9.9% of cases. The average Asher-McDade Aesthetic Index rating varied between 1.35 and 1.98 for all parameters. Cronbach's alpha coefficient was 0.83, 0.89, 0.98, and 0.89 for nasal form, nasal symmetry, vermilion border, and nasolabial profile, respectively. Steffensen's criteria rated appearance as 'good' in 69.3% to 91.1% of cases. The anatomical subunit approximation technique can be performed in Sub-Saharan Africans for all types of unilateral cleft lip. It significantly improves the length of the medial and lateral lips, leaving an acceptable scar. A study with a larger sample size and longer follow-up is warranted.

Authors+Show Affiliations

Department of Surgery, Paediatric and Maxillofacial Surgery, University Clinic of Lubumbashi, University of Lubumbashi, Lubumbashi, Congo.Department of Surgery, Paediatric and Maxillofacial Surgery, University Clinic of Lubumbashi, University of Lubumbashi, Lubumbashi, Congo.Genetics Department, University Clinic of Kinshasa, University of Kinshasa, Kinshasa, Congo.Gynaecology Department, University Clinic of Lubumbashi, University of Lubumbashi, Lubumbashi, Congo.Department of Human Genetics, Katholieke Universiteit Leuven, UZ Leuven, Belgium.Department of Oral and Maxillofacial Surgery, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. Electronic address: herve.reychler@uclouvain.be.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28629945

Citation

Mbuyi-Musanzayi, S, et al. "Anthropometric and Aesthetic Outcomes for the Nasolabial Region in 101 Consecutive African Children With Unilateral Cleft Lip One Year After Repair Using the Anatomical Subunit Approximation Technique." International Journal of Oral and Maxillofacial Surgery, vol. 46, no. 10, 2017, pp. 1338-1345.
Mbuyi-Musanzayi S, Tshilombo Katombe F, Lukusa Tshilobo P, et al. Anthropometric and aesthetic outcomes for the nasolabial region in 101 consecutive African children with unilateral cleft lip one year after repair using the anatomical subunit approximation technique. Int J Oral Maxillofac Surg. 2017;46(10):1338-1345.
Mbuyi-Musanzayi, S., Tshilombo Katombe, F., Lukusa Tshilobo, P., Kalenga Mwenze Kayamba, P., Devriendt, K., & Reychler, H. (2017). Anthropometric and aesthetic outcomes for the nasolabial region in 101 consecutive African children with unilateral cleft lip one year after repair using the anatomical subunit approximation technique. International Journal of Oral and Maxillofacial Surgery, 46(10), pp. 1338-1345. doi:10.1016/j.ijom.2017.05.022.
Mbuyi-Musanzayi S, et al. Anthropometric and Aesthetic Outcomes for the Nasolabial Region in 101 Consecutive African Children With Unilateral Cleft Lip One Year After Repair Using the Anatomical Subunit Approximation Technique. Int J Oral Maxillofac Surg. 2017;46(10):1338-1345. PubMed PMID: 28629945.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anthropometric and aesthetic outcomes for the nasolabial region in 101 consecutive African children with unilateral cleft lip one year after repair using the anatomical subunit approximation technique. AU - Mbuyi-Musanzayi,S, AU - Tshilombo Katombe,F, AU - Lukusa Tshilobo,P, AU - Kalenga Mwenze Kayamba,P, AU - Devriendt,K, AU - Reychler,H, Y1 - 2017/06/16/ PY - 2017/01/24/received PY - 2017/05/12/revised PY - 2017/05/24/accepted PY - 2017/6/21/pubmed PY - 2018/6/19/medline PY - 2017/6/21/entrez KW - aesthetic outcome KW - anatomical subunit approximation technique KW - anthropometric outcome KW - unilateral cleft lip repair SP - 1338 EP - 1345 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 46 IS - 10 N2 - One hundred and one patients with complete or incomplete cleft lip underwent the anatomical subunit approximation technique for repair. The patients were followed up prospectively for 1year. The objective of this study was to determine the outcomes for the nasolabial area through anthropometric measurements and assessment of the Asher-McDade Aesthetic Index and Steffensen's criteria at 1year after surgery. Six assessors (three cleft surgeons and three non-surgeon medical professionals) examined cropped images; reliability was assessed using Cronbach's alpha. The difference in lip length between the healthy and operated sides was 0.61mm and the difference in nostril diameter was 0.37mm (differences not significant). The average scar width was 2.78±1.35mm. Hypertrophic scars were observed in 9.9% of cases. The average Asher-McDade Aesthetic Index rating varied between 1.35 and 1.98 for all parameters. Cronbach's alpha coefficient was 0.83, 0.89, 0.98, and 0.89 for nasal form, nasal symmetry, vermilion border, and nasolabial profile, respectively. Steffensen's criteria rated appearance as 'good' in 69.3% to 91.1% of cases. The anatomical subunit approximation technique can be performed in Sub-Saharan Africans for all types of unilateral cleft lip. It significantly improves the length of the medial and lateral lips, leaving an acceptable scar. A study with a larger sample size and longer follow-up is warranted. SN - 1399-0020 UR - https://www.unboundmedicine.com/medline/citation/28629945/Anthropometric_and_aesthetic_outcomes_for_the_nasolabial_region_in_101_consecutive_African_children_with_unilateral_cleft_lip_one_year_after_repair_using_the_anatomical_subunit_approximation_technique_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(17)31485-6 DB - PRIME DP - Unbound Medicine ER -