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Lip Height Improvement during the First Year of Unilateral Complete Cleft Lip Repair Using Cutting Extended Mohler Technique.

Raposo-Amaral CE, Giancolli AP, Denadai R, Marques FF, Somensi RS, Raposo-Amaral CA, Alonso N - Plast Surg Int (2012)

Bottom Line: Results.Conclusion.Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

View Article: PubMed Central - PubMed

Affiliation: Institute of Plastic and Craniofacial Surgery, SOBRAPAR, Campinas, SP, Brazil.

ABSTRACT
Objective. To compare the cutaneous lip height at early and late postoperative periods and to objectively determine the average amount of lip height improvement during the first year of unilateral complete cleft lip repair using Cutting extended Mohler technique. Methods. In this prospective cohort study, 26 unilateral complete cleft patients and 50 noncleft subjects were included. Photographs were taken between 12 and 16 weeks (T1) and also taken between 12 and 13 months after surgery (T2). The cutaneous lip height distance (photogrammetric lip analysis) obtained in these two periods of time were measured and statistically analyzed. Results. The average lip heights were 24% ± 9% in T1 and 8% ± 6% in T2 (P < 0.01). The average lip height asymmetry in the noncleft individuals was 4.52% ± 1.89%. Conclusion. Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

No MeSH data available.


Related in: MedlinePlus

Boxplot showing the dispersion of the values of index of asymmetry based on objective evaluation. The diamond symbol represents the mean value. The heavy line is the median. The bars represent the data range.
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fig3: Boxplot showing the dispersion of the values of index of asymmetry based on objective evaluation. The diamond symbol represents the mean value. The heavy line is the median. The bars represent the data range.

Mentions: The average lip heights (index of asymmetry of the cutaneous lip height) in the cleft patients were 24% ± 9% in T1 and 8% ± 6% in T2. The comparison between the two postoperative periods of time showed statistically significant difference (P < 0.01). The average improvement of the lip height during the first year after surgery was 16%. Seven patients (26.92%) presented asymmetry of less or equal than 4%, 11 (42.31%) patients presented asymmetry from 5% to 10%, 6 (23.08%) patients from 11% to 20%, and 1 patient (3.85%) more than 20% (Figures 2, 3, and 4; Table 1).


Lip Height Improvement during the First Year of Unilateral Complete Cleft Lip Repair Using Cutting Extended Mohler Technique.

Raposo-Amaral CE, Giancolli AP, Denadai R, Marques FF, Somensi RS, Raposo-Amaral CA, Alonso N - Plast Surg Int (2012)

Boxplot showing the dispersion of the values of index of asymmetry based on objective evaluation. The diamond symbol represents the mean value. The heavy line is the median. The bars represent the data range.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539341&req=5

fig3: Boxplot showing the dispersion of the values of index of asymmetry based on objective evaluation. The diamond symbol represents the mean value. The heavy line is the median. The bars represent the data range.
Mentions: The average lip heights (index of asymmetry of the cutaneous lip height) in the cleft patients were 24% ± 9% in T1 and 8% ± 6% in T2. The comparison between the two postoperative periods of time showed statistically significant difference (P < 0.01). The average improvement of the lip height during the first year after surgery was 16%. Seven patients (26.92%) presented asymmetry of less or equal than 4%, 11 (42.31%) patients presented asymmetry from 5% to 10%, 6 (23.08%) patients from 11% to 20%, and 1 patient (3.85%) more than 20% (Figures 2, 3, and 4; Table 1).

Bottom Line: Results.Conclusion.Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

View Article: PubMed Central - PubMed

Affiliation: Institute of Plastic and Craniofacial Surgery, SOBRAPAR, Campinas, SP, Brazil.

ABSTRACT
Objective. To compare the cutaneous lip height at early and late postoperative periods and to objectively determine the average amount of lip height improvement during the first year of unilateral complete cleft lip repair using Cutting extended Mohler technique. Methods. In this prospective cohort study, 26 unilateral complete cleft patients and 50 noncleft subjects were included. Photographs were taken between 12 and 16 weeks (T1) and also taken between 12 and 13 months after surgery (T2). The cutaneous lip height distance (photogrammetric lip analysis) obtained in these two periods of time were measured and statistically analyzed. Results. The average lip heights were 24% ± 9% in T1 and 8% ± 6% in T2 (P < 0.01). The average lip height asymmetry in the noncleft individuals was 4.52% ± 1.89%. Conclusion. Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

No MeSH data available.


Related in: MedlinePlus