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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

Upper lip philtrum relaxed
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Figure 3: Upper lip philtrum relaxed

Mentions: In our study, the mean value of muscle thickness of midpoint of philtrum in relaxed and contracted position increased from 1-month to 6 months and the values when compared to normal patients are either same or more, which is indicative of proper reconstruction of muscle. This can be correlated with the study conducted by van Hess et al., where there was an increase in muscle thickness in contracted position (mean difference = 1.5) [Figures 3 and 4].


Quantitative assessment of healthy and reconstructed cleft lip using ultrasonography.

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

Upper lip philtrum relaxed
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Upper lip philtrum relaxed
Mentions: In our study, the mean value of muscle thickness of midpoint of philtrum in relaxed and contracted position increased from 1-month to 6 months and the values when compared to normal patients are either same or more, which is indicative of proper reconstruction of muscle. This can be correlated with the study conducted by van Hess et al., where there was an increase in muscle thickness in contracted position (mean difference = 1.5) [Figures 3 and 4].

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