Facial soft tissue dynamics before and after primary lip repair.

Facial soft tissue dynamics before and after primary lip repair.
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DOI:
10.1597/12-080
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发表时间:
2013-05
期刊:
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
影响因子:
--
通讯作者:
van Aalst J
van Aalst J
中科院分区:
其他
文献类型:
--
作者:
Trotman CA;Faraway J;Soltmann R;Hartman T;van Aalst J

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(1) To collect three-dimensional, dynamic facial images from two groups of infants: one group born with cleft lip and palate slated to have a primary lip repair and a second, age-matched, noncleft control group. (2) To develop analyses to determine differences in facial movement between infants with cleft lip and/or palate and noncleft control infants and to determine changes in facial movement before and after primary lip repair. Longitudinal, prospective case-control study. Facial Animation Laboratory at the University of North Carolina School of Dentistry. Two groups of infants: one group with unrepaired cleft lip and/or palate slated to have primary lip repair (n = 15) and a second group of age-matched, noncleft controls (n = 15). Movement testing before and 4 months after primary lip repair in infants with cleft lip and/or palate and at similar time points in noncleft infants. Seven measures of facial movement. The range of facial movements increased by 17% for all infants during the 4-month period. Compared with the noncleft group (1) infants with unilateral cleft lip and/or palate had 50% less nasolabial movement, and this difference did not change due to the lip repair; and (2) infants with unilateral or bilateral cleft lip and/or palate had 58% and 118% greater lateral upper lip movement, respectively, and 3.67 and 3.56 times greater asymmetry of movement, respectively, before lip repair. The procedure almost entirely removed these problems. Primary surgical lip repair decreased hypermobility and improved asymmetry of upper lip movement.
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