Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate.
Three-Dimensional Soft-Tissue Evaluation in Patients with Cleft Lip and Palate.
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DOI：
10.12659/msm.912305
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发表时间：
2018-11-28
期刊：
影响因子：
--
通讯作者：
Esenlik E
中科院分区：
文献类型：
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作者：
Alpagan Ozdemir S;Esenlik E
唇腭裂患者的面部软组织形态在三维（3D）上表现出多样性。二维（2D）照片和X线照片不足以检查这些异常。本回顾性研究的目的是使用3D面部成像检查非综合征型单侧唇腭裂（UCLP）、双侧唇腭裂（BCLP）、骨性III类错牙合或骨性I类错牙合患者的软组织和颅面特征。整个研究组共包括158名患者，年龄8-32岁：29名患者患有UCLP，22名患者患有BCLP，54名患者患有骨性III类错牙合，53名患者患有骨性I类错牙合。分析所有患者的三维立体摄影测量软组织记录。进行ANOVA和Kruskal-Wallis检验以比较各组。在线性、角度、比例方面，观察到组间存在统计学显著差异。和体积测量。虽然在III类组中未观察到鼻部差异，但鼻和上唇畸形在CLP组中很常见。所有3组的上唇突出均减少。在III类患者中，下唇和下巴比其他组更突出。CLP和III类组的面部凸面角增加。BCLP、UCLP和III类组的上唇体积减少。与I类对照组相比，骨骼III类或CLP异常患者的软组织特征显着不同。三维立体摄影面部成像是一种简单、无创的方法，可用于检查和记录这些面部畸形。使用这种方法可以进行体积测量。
In cleft lip and palate (CLP) patients, the shape of the facial soft tissues shows variety in 3 dimensions (3D). Two-dimensional (2D) photographs and radiographs are insufficient in the examination of these anomalies. The aim of this retrospective study was to examine the soft tissue and craniofacial characteristics of individuals with nonsyndromic unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), skeletal Class III malocclusions, or skeletal Class I malocclusions using 3D facial imaging. The entire study group consisted of a total of 158 patients, aged 8–32 years: 29 of the patients had UCLP, 22 BCLP, 54 had skeletal Class III malocclusions, and 53 had skeletal Class I malocclusions. 3D stereophotogrammetric soft-tissue recordings of all patients were analyzed. ANOVA and the Kruskal-Wallis test were performed to compare the groups. Statistically significant differences were observed among the groups in terms of linear, angular, proportional. and volumetric measurements. While nasal differences were not observed in the Class III group, nose and upper-lip deformities were common in the CLP groups. Upper-lip projection was reduced in all 3 groups. In the Class III patients, the lower lip and chin were more prominent than in the other groups. The facial convexity angle was increased in the CLP and Class III groups. The upper-lip volume was decreased in the BCLP, the UCLP, and the Class III groups. Patients with skeletal Class III or CLP anomalies showed significantly different soft-tissue characteristics than the Class I control group. 3D stereophotogrammetric facial imaging is an easy and noninvasive method that can be used in examination and recording of these facial deformities. It is possible to make volumetric measurements using this method.