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Original Research

Open Access

A Three-Dimensional Comparison of Nasolabial Soft Tissue between Children with Repaired Unilateral Complete Cleft Lip and Palate and Unaffected Children in Khon Kaen, Thailand

  • Kumjan N1
  • Manosudprasit A1,*,
  • Pisek A2
  • Winaikosol K3
  • Manosudprasit M1
  • Pisek P1
  • Phaoseree N1
  • Manosudprasit A1

1Division of Orthodontics, Department of Preventive Dentistry, Khon Kaen University, Khon Kaen, Thailand

2Division of Dental Public Health, Department of Preventive Dentistry, Khon Kaen University, Khon Kaen, Thailand

3Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

DOI: 10.17796/1053-4625-44.6.9 Vol.44,Issue 6,November 2020 pp.442-450

Published: 01 November 2020

*Corresponding Author(s): Manosudprasit A E-mail: agg441@hotmail.com

Abstract

Objectives: The objectives were to assess the treatment outcomes of unilateral cleft lip and palate after primary surgery on nasolabial soft tissue of children ages 4-5 years old as compared with unaffected children and to establish a nasolabial soft tissue norm within Khon Kaen. Study design: This cross-sectional study consisted of 60 unaffected subjects living in Khon Kaen province and 20 subjects with repaired complete unilateral cleft lip and palate who were treated at Srinagarind Hosipital, Khon Kaen, Thailand. 3D images were taken by a Morpheus 3D Scanner and measured by the Morpheus 3D program. Independent t-tests and paired t- tests were used to analyze the significant differences between subjects with cleft and unaffected subjects. Results: There were statistically significant differences (p<0.05) of nasolabial measurements between affected subjects and unaffected subjects. Unilateral measurements showed decreased nostril height, columella lengths, and nose protrusion from ala base and ala length in the affected group. In addition, bilateral measurements found decreased upper lip protrusion, philtrum length, upper lip height, upper vermillion thickness, and lip angle. Conclusion: This study attempted to establish a norm for evaluating the treatment outcome of cleft lip and cleft palate repair at Srinagarind Hospital in relation to unaffected or noncleft individuals. The results suggest that the noncleft side in affected patients is not an optimal surgical guide for cleft repair and the surgeon should correct both sides of lip and nose features according to the norms. A surgical treatment plan should emphasize correcting nostril height, columella length, nose protrusion from ala base, ala length, and upper lip features.


Keywords

Nasolabial soft tissue norm; Repaired unilateral complete cleft lip and palate

Cite and Share

Kumjan N,Manosudprasit A,Pisek A,Winaikosol K,Manosudprasit M,Pisek P,Phaoseree N,Manosudprasit A. A Three-Dimensional Comparison of Nasolabial Soft Tissue between Children with Repaired Unilateral Complete Cleft Lip and Palate and Unaffected Children in Khon Kaen, Thailand. Journal of Clinical Pediatric Dentistry. 2020. 44(6);442-450.

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