Document Detail

Facial Soft Tissue Dynamics Before and After Primary Lip Repair.
MedLine Citation:
PMID:  23050657     Owner:  NLM     Status:  Publisher    
Objectives :  (1) To collect three-dimensional, dynamic facial images from two groups of infants: one group born with cleft lip and palate slated to have a primary lip repair and a second, age-matched, noncleft control group. (2) To develop analyses to determine differences in facial movement between infants with cleft lip and/or palate and noncleft control infants and to determine changes in facial movement before and after primary lip repair. Design :  Longitudinal, prospective case-control study. Setting :  Facial Animation Laboratory at the University of North Carolina School of Dentistry. Participants :  Two groups of infants: one group with unrepaired cleft lip and/or palate slated to have primary lip repair (n = 15) and a second group of age-matched, noncleft controls (n = 15). Interventions :  Movement testing before and 4 months after primary lip repair in infants with cleft lip and/or palate and at similar time points in noncleft infants. Main Outcome Measures :  Seven measures of facial movement. Results :  The range of facial movements increased by 17% for all infants during the 4-month period. Compared with the noncleft group (1) infants with unilateral cleft lip and/or palate had 50% less nasolabial movement, and this difference did not change due to the lip repair; and (2) infants with unilateral or bilateral cleft lip and/or palate had 58% and 118% greater lateral upper lip movement, respectively, and 3.67 and 3.56 times greater asymmetry of movement, respectively, before lip repair. The procedure almost entirely removed these problems. Conclusions :  Primary surgical lip repair decreased hypermobility and improved asymmetry of upper lip movement.
Carroll-Ann E Trotman; Julian Faraway; Renate Soltmann; Terry Hartman; John van Aalst
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-10
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 Oct 
Date Detail:
Created Date:  2012-10-11     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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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