A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP)
Objective: In order to better and more objectively assess and compare the aesthetics of the lip, we offer an inovative, digital measurement method. Patients and method: Patients were divided into 2 groups:a) patients with unilateral CLP andb) patients with bilateral CLP.Based on standardised photos...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-11-01
|
| Series: | Journal of Oral Biology and Craniofacial Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426823001276 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846159438549876736 |
|---|---|
| author | Andrea Grandoch Marie Wegner Teresa Kruse Bert Braumann Martin Dübbers Florian Grill |
| author_facet | Andrea Grandoch Marie Wegner Teresa Kruse Bert Braumann Martin Dübbers Florian Grill |
| author_sort | Andrea Grandoch |
| collection | DOAJ |
| description | Objective: In order to better and more objectively assess and compare the aesthetics of the lip, we offer an inovative, digital measurement method. Patients and method: Patients were divided into 2 groups:a) patients with unilateral CLP andb) patients with bilateral CLP.Based on standardised photos from 3 different directions, lip symmetry and aesthetics were assessed. A new digital measurement system was used, which was integrated into a proven clinical programme. Different symmetry indices were compared with a non-cleft control group. In addition, the function was investigated and a standardised questionnaire was used. Results: In total, 92 patients with operated CLP could be recruitetd and showed significant residual asymmetry compared to the control group with 49 patients. The results were more symmetrical in group b) than in group a). In contrast, scar width and scar aesthetics as well as orofacial function were better in group a). The preoperative cleft width showed a positive correlation with the postoperative scar width and scar aesthetics. Socioeconomic factors were not related to surgical outcome. Satisfaction of affected children and parents correlated with objectively assessed scar aesthetics and function. There was no correlation between satisfaction and symmetry or cleft width or scar width. Conclusion: The presented measurement system can be used excellently and effectively in clinical routine, especially for the inexperienced examiner, for fast and yet detailed, objective recording of findings. The measurement results can be analyzed comparatively and interpreted predictively for diagnostics, planning and therapy. |
| format | Article |
| id | doaj-art-0c9883e9bb894a4e90a3248d6a9dd7f8 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-0c9883e9bb894a4e90a3248d6a9dd7f82024-11-23T06:30:31ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682023-11-01136801806A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP)Andrea Grandoch0Marie Wegner1Teresa Kruse2Bert Braumann3Martin Dübbers4Florian Grill5Department for Oral and Craniomaxillofacial and Plastic Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Germany; Corresponding author. Department for Oral and Craniomaxillofacial and Plastic. Surgery University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.Department of Orthodontics, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937, Cologne, GermanyDepartment of Orthodontics, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937, Cologne, GermanyDepartment of Orthodontics, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937, Cologne, GermanyDivision of Pediatric Surgery, Medical Faculty and University Hospital Cologne, University of Cologne, Kerpener Strasse 62, 50937, Cologne, GermanyDepartment for Oral and Maxillofacial Surgery, School of Medicine, Technische Universität. München, GermanyObjective: In order to better and more objectively assess and compare the aesthetics of the lip, we offer an inovative, digital measurement method. Patients and method: Patients were divided into 2 groups:a) patients with unilateral CLP andb) patients with bilateral CLP.Based on standardised photos from 3 different directions, lip symmetry and aesthetics were assessed. A new digital measurement system was used, which was integrated into a proven clinical programme. Different symmetry indices were compared with a non-cleft control group. In addition, the function was investigated and a standardised questionnaire was used. Results: In total, 92 patients with operated CLP could be recruitetd and showed significant residual asymmetry compared to the control group with 49 patients. The results were more symmetrical in group b) than in group a). In contrast, scar width and scar aesthetics as well as orofacial function were better in group a). The preoperative cleft width showed a positive correlation with the postoperative scar width and scar aesthetics. Socioeconomic factors were not related to surgical outcome. Satisfaction of affected children and parents correlated with objectively assessed scar aesthetics and function. There was no correlation between satisfaction and symmetry or cleft width or scar width. Conclusion: The presented measurement system can be used excellently and effectively in clinical routine, especially for the inexperienced examiner, for fast and yet detailed, objective recording of findings. The measurement results can be analyzed comparatively and interpreted predictively for diagnostics, planning and therapy.http://www.sciencedirect.com/science/article/pii/S2212426823001276Cleft lip and palateLip symmetryNew measurement system |
| spellingShingle | Andrea Grandoch Marie Wegner Teresa Kruse Bert Braumann Martin Dübbers Florian Grill A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) Journal of Oral Biology and Craniofacial Research Cleft lip and palate Lip symmetry New measurement system |
| title | A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) |
| title_full | A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) |
| title_fullStr | A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) |
| title_full_unstemmed | A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) |
| title_short | A new digital measurement system for assessing the lip in patients with cleft lip and palate (CLP) |
| title_sort | new digital measurement system for assessing the lip in patients with cleft lip and palate clp |
| topic | Cleft lip and palate Lip symmetry New measurement system |
| url | http://www.sciencedirect.com/science/article/pii/S2212426823001276 |
| work_keys_str_mv | AT andreagrandoch anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT mariewegner anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT teresakruse anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT bertbraumann anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT martindubbers anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT floriangrill anewdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT andreagrandoch newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT mariewegner newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT teresakruse newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT bertbraumann newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT martindubbers newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp AT floriangrill newdigitalmeasurementsystemforassessingthelipinpatientswithcleftlipandpalateclp |