Nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate

Nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate
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DOI:
10.1016/j.bjoms.2011.11.019
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发表时间:
2012-10-01
影响因子:
1.8
通讯作者:
Kuijpers-Jagtman, Anne Marie
Kuijpers-Jagtman, Anne Marie
中科院分区:
医学4区
文献类型:
--
作者:
Fudalej, Piotr;Katsaros, Christos;Kuijpers-Jagtman, Anne Marie

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本研究旨在探讨完全性单侧唇腭裂患儿鼻唇对称与美学的关系。采用60例连续治疗的先天性腭裂患儿(唇裂组41例男童,19例女童,平均(SD)年龄11(2)岁)和44例非唇裂患儿(对照组16例男童,28例女童,平均(SD)年龄11(2)岁)的正面和基底照片评价鼻唇对称和美观。测量鼻部和唇部以计算不对称系数(CA)。采用Asher-McDade等人描述的5级审美指数来评价鼻唇外观。使用相关和回归分析来确定美学与CA,性别和CUCLP存在之间的关联。裂唇组的10个测量值和对照组的2个测量值分别在裂唇组和非裂唇组(或左右)之间存在显著差异。腭裂患儿的11个CA中有9个CA值显著高于无腭裂患儿,表明其鼻唇区不对称程度高于无腭裂患儿。然而,回归分析显示,只有少数CA与鼻唇美学有关。总之,鼻唇美观和鼻唇对称在CUCLP患者中似乎只有微弱的相关性。(C) 2011英国口腔颌面外科医师协会。Elsevier Ltd.出版。版权所有。
The objective of this study was to evaluate the association between nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate (CUCLP). Frontal and basal photographs of 60 consecutively treated children with CUCLP (cleft group: 41 boys and 19 girls, mean (SD) age 11 (2) years) and 44 children without clefts (control group: 16 boys and 28 girls, mean (SD) age 11(2) years), were used for evaluation of nasolabial symmetry and aesthetics. Nasal and labial measurements were made to calculate the coefficient of asymmetry (CA). The 5-grade aesthetic index described by Asher-McDade et al. was used to evaluate nasolabial appearance. Correlation and regression analysis were used to identify an association between aesthetics and CA, sex, and the presence of CUCLP. Ten measurements in the cleft, and 2 in the control, group differed significantly between the cleft and non-cleft (or right and left) sides, respectively. The significantly higher values of 9 of 11 CA in the children with CUCLP indicated that they had more asymmetrical nasolabial areas than children without clefts. However, the regression analyses showed that only a few CA were associated with nasolabial aesthetics. In conclusion, nasolabial aesthetics and nasolabial symmetry seem to be only weakly associated in patients with CUCLP. (C) 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.