Quantitative Assessment of Lip Morphology in Patients With and Without Cleft Lip and Palate Using 3-Dimensional Stereophotogrammetry.

Autor:	Neves MC; Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil., Nogueira VO; Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil., Sforza C; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy., Oliveira Valarelli TM; Department of Pediatric Dentistry, Orthodontics and Collective Health, Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil., Neppelenbroek KH; Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil., Soares S; Department of Prosthodontics and Periodontology, Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Oct 01; Vol. 35 (7), pp. 1990-1993. Date of Electronic Publication: 2024 Jul 08.
DOI:	10.1097/SCS.0000000000010467
Abstrakt:	This study aimed to assess and quantify the morphologic characteristics of the lips and the lower third of the face in cleft and noncleft patients, utilizing three-dimensional (3D) stereophotogrammetry. Sixty patients were included in the study, comprising 30 unilateral cleft lip and palate patients (G1, 24 female, 6 male; aged 20 to 60 y, mean age 44.0±12.0 y) and 30 noncleft patients (G2, 23 female, 7 male; aged 20 to 59 y, mean age 43.5±12.0 y). Anthropometric landmarks were identified on the facial surface. Three-dimensional stereophotogrammetry was employed to capture images. Statistical analysis was conducted to compare the groups, with a significance level set at 0.05. The comparative analysis revealed statistically significant differences in 5 linear and 6 angular measurements. Linear measurements such as philtrum width, upper and lower cutaneous lip height, mandibular ramus length, and midfacial depth exhibited significant differences between cleft and noncleft patients. Similarly, angular measurements, including upper lip angle, Cupid's bow angle, lower/medium face convexity, lip seal, nasolabial angle, and left gonial angle, displayed statistically significant disparities. These findings underscore the ongoing surgical challenges in the comprehensive rehabilitation of patients with clefts, highlighting the critical need for continued advancements in treatment strategies. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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