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Quantitative assessment of healthy and reconstructed cleft lip using ultrasonography.

Devadiga S, Desai AK, Joshi S, Gopalakrishnan K - Indian J Dent (2016 Jan-Mar)

Bottom Line: The thickness of the mucosa, submucosa, muscle and full thickness of the upper lip were measured with the transversal images using ultrasonography at midpoint of philtrum, right and left side philtral ridges and vermillion border, at 1, 3, 6 months interval.There was an increase in muscle thickness at the vermillion border (mean = 6.9 mm) and philtral ridge (5.9 mm).Equal muscle thickness were found between the normal and test group at 6 months follow-up in a relaxed position, which was statistically significant (P = 0.0404).

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Surgery, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.

ABSTRACT

Purpose: This study is conducted to investigate the feasibility of echographic imaging of tissue thickness of healthy and reconstructed cleft lip.

Design: Prospective study.

Materials and methods: The study was conducted in SDM Craniofacial Unit, Dharwad and was approved by Local Institutional Review Board. A total of 30 patients, age group ranging from 4 to 25 years, of which 15 postoperative unilateral cleft lip constituted the test group. The remaining 15 with no cleft deformities, no gross facial asymmetry, constituted the control group. The thickness of the mucosa, submucosa, muscle and full thickness of the upper lip were measured with the transversal images using ultrasonography at midpoint of philtrum, right and left side philtral ridges and vermillion border, at 1, 3, 6 months interval.

Results: There was an increase in muscle thickness at the vermillion border (mean = 6.9 mm) and philtral ridge (5.9 mm). Equal muscle thickness were found between the normal and test group at 6 months follow-up in a relaxed position, which was statistically significant (P = 0.0404).

Conclusion: Quantitative assessment of thickness and echo levels of various lip tissues are done with proper echographic calibration. Diagnostic potentials of this method for noninvasive evaluation of cleft lip reconstructions were achieved by this study.

No MeSH data available.


Related in: MedlinePlus

Positioning of ultrasound transducer
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Figure 2: Positioning of ultrasound transducer

Mentions: Millard's rotation advancement technique was employed for surgical correction in all patients. Ultrasound evaluation of the lip was performed with patients in supine position and neck hyper extended. All examinations were performed by a single radiologist with a medical ultrasound system SONOS 7500 (Philips Medical Systems, Andover, MA, USA) HD 11 high frequency (7–12 MHz) linear transducer. The processed ultrasound pulse bandwidth was set at 12 MHz. Axial sections were obtained by angling the transducer or moving it to different locations on the lip [Figure 2]. Measurements taken in the study were subjected to statistical analysis by using standard paired t-test.


Quantitative assessment of healthy and reconstructed cleft lip using ultrasonography.

Devadiga S, Desai AK, Joshi S, Gopalakrishnan K - Indian J Dent (2016 Jan-Mar)

Positioning of ultrasound transducer
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836101&req=5

Figure 2: Positioning of ultrasound transducer
Mentions: Millard's rotation advancement technique was employed for surgical correction in all patients. Ultrasound evaluation of the lip was performed with patients in supine position and neck hyper extended. All examinations were performed by a single radiologist with a medical ultrasound system SONOS 7500 (Philips Medical Systems, Andover, MA, USA) HD 11 high frequency (7–12 MHz) linear transducer. The processed ultrasound pulse bandwidth was set at 12 MHz. Axial sections were obtained by angling the transducer or moving it to different locations on the lip [Figure 2]. Measurements taken in the study were subjected to statistical analysis by using standard paired t-test.

Bottom Line: The thickness of the mucosa, submucosa, muscle and full thickness of the upper lip were measured with the transversal images using ultrasonography at midpoint of philtrum, right and left side philtral ridges and vermillion border, at 1, 3, 6 months interval.There was an increase in muscle thickness at the vermillion border (mean = 6.9 mm) and philtral ridge (5.9 mm).Equal muscle thickness were found between the normal and test group at 6 months follow-up in a relaxed position, which was statistically significant (P = 0.0404).

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Surgery, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.

ABSTRACT

Purpose: This study is conducted to investigate the feasibility of echographic imaging of tissue thickness of healthy and reconstructed cleft lip.

Design: Prospective study.

Materials and methods: The study was conducted in SDM Craniofacial Unit, Dharwad and was approved by Local Institutional Review Board. A total of 30 patients, age group ranging from 4 to 25 years, of which 15 postoperative unilateral cleft lip constituted the test group. The remaining 15 with no cleft deformities, no gross facial asymmetry, constituted the control group. The thickness of the mucosa, submucosa, muscle and full thickness of the upper lip were measured with the transversal images using ultrasonography at midpoint of philtrum, right and left side philtral ridges and vermillion border, at 1, 3, 6 months interval.

Results: There was an increase in muscle thickness at the vermillion border (mean = 6.9 mm) and philtral ridge (5.9 mm). Equal muscle thickness were found between the normal and test group at 6 months follow-up in a relaxed position, which was statistically significant (P = 0.0404).

Conclusion: Quantitative assessment of thickness and echo levels of various lip tissues are done with proper echographic calibration. Diagnostic potentials of this method for noninvasive evaluation of cleft lip reconstructions were achieved by this study.

No MeSH data available.


Related in: MedlinePlus