Document Detail


Effects of Lip Revision Surgery on Long-Term Orosensory Function in Patients with Cleft Lip/Palate.
MedLine Citation:
PMID:  22906391     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective : To determine whether secondary lip revision surgery impacts sensitivity of the upper lip. Design : A three-group, parallel, prospective, nonrandomized clinical trial. Setting : University of North Carolina School of Dentistry. Patients, Participants : Three groups: (1) patients with repaired cleft lip/palate who were scheduled for lip revision (revision; n = 20); (2) patients with repaired cleft lip/palate who did not receive a lip revision (non-revision; N = 13); and (3) non-cleft control subjects (non-cleft; N = 22). Interventions : Lip revision surgery. Main Outcome Measures : Measures of (1) two-point perception threshold, (2) warmth detection threshold (warm), and (3) cool detection threshold (cool) were obtained from two sites on the upper lip vermilion. The revision participants were tested approximately 1 week before surgery and then approximately 3 and 12 months after surgery. The non-revision and non-cleft participants were tested at similar times. Results : There were no significant differences among the three groups at baseline for two-point, warm, or cool. The main effects of group, age, sex, and time were not statistically significant for the two-point or warm (P > .05). The mean differences between the 3- and 12-month follow-up visits and baseline for two-point and warm were small for all three groups. For cool, group was statistically significant (P = .04), the difference in the non-revision group between follow-up and baseline was 31% to 34% higher than in the non-cleft group (P = .01). Conclusions : Although at postsurgery revision participants exhibited threshold values comparable to presurgical values, the sensory differences observed among subgroups of participants with cleft lip are complex.
Authors:
Greg Essick; Ceib Phillips; Yunro Chung; Carroll-Ann Trotman
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-20
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  -     ISSN:  1545-1569     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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