Abstract:Objective: To evaluate the soft tissue profile and frontal photographs of 8- to 12-year-old patients with repaired complete bilateral cleft lip and palate (BCLP). Methods: The profile and frontal photographs obtained from 31 nonsyndromic BCLP children (aged 8-12 years: 14 boys and 17 girls) were analyzed and compared with an age- and sex-matched normal population (18 boys and 32 girls). In each patient, 12 soft tissue angular and proportional parameters on the frontal photograph and 12 angular parameters for t… Show more
“…Similar results were found in previous soft tissue profile analysis of subjects with complete cleft lip and palate. 12 In contrast, Lin et al reported normal facial convexity in fifty subjects with unoperated unilateral cleft palate compared with noncleft controls by measuring facial profile photographs. 3 This difference might be a result of the different measurement techniques used.…”
The aim of this study was to compare craniofacial soft tissue characteristics between subjects with unrepaired submucous cleft palate (SMCP) and noncleft individuals. This retrospective cross-sectional study was performed on 27 subjects with unrepaired SMCP (13 male and 14 female subjects; mean age, 21.77 ± 4.09 years) and 30 noncleft controls (14 male and 16 female subjects; mean age, 22.67 ± 4.28 years). The predictor variable was cleft deformity. The outcome variable was cephalometric soft tissue measurements. Other study variables were gender and age. Independent samples t test and Mann-Whitney U test were used for intergroup comparison. P value was set at .05. Significant differences were observed in the facial profile angle, total facial profile angle, soft tissue A-N-B angle, nasal base prominence, upper lip length, lower lip protrusion, and the ratio of upper lip length to mentolabial height between subjects with unoperated SMCP and noncleft controls. The primary deformity of the cleft palate leads to unsatisfactory facial soft tissue morphology, especially in the middle facial region.
“…Similar results were found in previous soft tissue profile analysis of subjects with complete cleft lip and palate. 12 In contrast, Lin et al reported normal facial convexity in fifty subjects with unoperated unilateral cleft palate compared with noncleft controls by measuring facial profile photographs. 3 This difference might be a result of the different measurement techniques used.…”
The aim of this study was to compare craniofacial soft tissue characteristics between subjects with unrepaired submucous cleft palate (SMCP) and noncleft individuals. This retrospective cross-sectional study was performed on 27 subjects with unrepaired SMCP (13 male and 14 female subjects; mean age, 21.77 ± 4.09 years) and 30 noncleft controls (14 male and 16 female subjects; mean age, 22.67 ± 4.28 years). The predictor variable was cleft deformity. The outcome variable was cephalometric soft tissue measurements. Other study variables were gender and age. Independent samples t test and Mann-Whitney U test were used for intergroup comparison. P value was set at .05. Significant differences were observed in the facial profile angle, total facial profile angle, soft tissue A-N-B angle, nasal base prominence, upper lip length, lower lip protrusion, and the ratio of upper lip length to mentolabial height between subjects with unoperated SMCP and noncleft controls. The primary deformity of the cleft palate leads to unsatisfactory facial soft tissue morphology, especially in the middle facial region.
“…It has been shown that patients who have undergone a cleft lip and/or palate repair still exhibit certain soft-tissue deformities when compared with a control group, particularly in the nasofrontal region. 30 The facial shape of unaffected parents who have children with cleft lip and palate has also been shown to display significant differences compared to the general populations. 31 Understanding whether these variations occur more often in different ethnicities or subpopulation groups may help further classify treatment options depending on a patient's ethnic origin and stratify service provision, and be extrapolated to all other aspects of congenital deformity and reconstruction.…”
Background
Understanding the differences in facial shapes in individuals from different races is relevant across several fields, from cosmetic and reconstructive medicine to anthropometric studies.
Objectives
To determine whether there are features shared by the faces of an aesthetic female face database and if they correlate to their racial demographics using novel computer modelling.
Methods
The database was formed using the “Top 100 most beautiful women” lists released by “For Him Magazine” for the last 15 years. Principal components analysis (PCA) of 158 parameters was carried out to check for clustering or racial correlation within these clusters. Principal components analysis (PCA) is a machine learning tool used to reduce the number of variables in a large data set, allowing for easier analysis of the data whilst retaining as much information as possible from the original data set. A review of the literature on craniofacial anthropometric differences across ethnicities was also undertaken to complement the computer data.
Results
Two thousand eight hundred-seventy aesthetic faces formed the database in the same racial proportion as 10,000 faces from the general population as a baseline. Principal components analysis (PCA) clustering illustrated grouping by latent space parameters for facial dimensions but no correlation with racial demographics. There was commonality of facial features within the aesthetic cohort, which differed from the general population. Fourteen papers were included in the review which contained 8142 individuals.
Conclusions
Aesthetic female faces have commonalities in facial features regardless of racial demographic, and the dimensions of these features vary from the baseline population. There may even be a common human aesthetic proportion that transcends racial boundaries, but this is yet to be elucidated.
The purpose of the study was to investigate the anthropometric parameters of the nasolabial complex in patients with different sizes of the congenital defect of the alveolar process before surgical intervention. Materials and methods. To achieve the goal, a clinical assessment of the nasolabial complex was carried out in 54 children with clefts of upper lip and palate (aged 10 to 19 years). The next indicators were included: the length of the nasal wing, the width of the bottom in the nostril, the vertical displacement of the nasal wing and their ratios. The children were divided into three subgroups, depending on the size of the bone defect, which involved the planning of a different type of surgical intervention: 1 (n=13) – recovery of the defect without osteoplasty, 2 (n=11) – osteoplasty using the mandibular symphysis tissue, 3 (n=30) – osteoplasty using an autograft from tibia. Results and discussion. Clefts of upper lip and palate are accompanied by numerous anatomical and functional disorders in the maxillofacial system. Reconstruction of the maxilla alveolar processes on the cleft side is a necessary stage of the complex rehabilitation of the patient. The degree of severity of functional disorders in cases of clefts of upper lip and palate depends on many factors and conditions – the form and size of the cleft, the patient's age, concomitant local and general somatic pathology, as well as the success of the performed complex treatment. Fixation of the patient's rehabilitation process by photography and analysis of clinical photos are important components of evaluation of treatment results. The volume of the congenital (residual) defect of the alveolar process on maxilla directly affects the level of facial asymmetry which is reflected in changes in the ratios on the affected and healthy side – the length of the nasal wing, the width of the nostril, the angles of the base of the nasal wing. Such anthropometric data may be crucial points in the selection of surgical intervention methods and the use of different autologous transplants. The obtained results are consistent with similar studies by Ajami S., 2020, which established pronounced differences in the structure of the nasolabial complex even under the conditions of full and timely rehabilitation of children with congenital cleft of the upper lip and palate, compared to the ethnic anthropometric norm of healthy patients. And the sooner the integrity of the upper lip is restored, the better the symmetry of the nasolabial complex is achieved. Alveolar process plasty significantly equalizes the symmetry of the nose and upper lip in patients with congenital cleft of the upper lip and palate, which was shown by three-dimensional anthropometric studies in a number of clinics around the world. Conclusion. Anthropometry (photogrammometry) of the nasolabial complex on the face is an additional method in diagnostic that is necessary to make the correct clinical decisions during the planning of reconstructive interventions on the maxilla in case of clefts of lip and palate
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