Document Detail


A quantitative three-dimensional assessment of soft tissue facial asymmetry of cleft lip and palate adult patients.
MedLine Citation:
PMID:  14501340     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The three-dimensional coordinates of 23 selected soft-tissue facial landmarks were digitized on 18 cleft lip and palate (CLP) white patients (11 male and 7 female patients aged 19-27 years) and 161 healthy controls (73 female and 89 male subjects aged 18-30 years) by an electromagnetic instrument. Facial asymmetry was quantified by detecting a plane of symmetry and the centers of gravity (CG) of the right and left hemifaces and by calculating the distance between the two CG (distance from symmetry [DFS]). Both absolute (millimeters) and percentage (of the nasion center of gravity distance) DFS was obtained. The asymmetry of single landmarks was also quantified. Overall, asymmetry in operated CLP patients appeared only moderately larger than that measured in the healthy reference population, with the largest value being only 5% larger than the maximum normal asymmetry. Female patients had a somewhat larger lateral asymmetry than male patients, and unilateral CLP patients (particularly the men) were more asymmetrical than bilateral CLP patients. Pronasale and subnasale landmarks were asymmetrical in 8 patients, whereas endocanthion, zygion, cheilion, and gonion landmarks were symmetrical in all patients. In conclusion, the facial soft-tissue structures of CLP patients operated on as adults were only moderately more asymmetrical than those measured in a reference group of the same age, sex, and ethnicity.
Authors:
Virgilio F Ferrario; Chiarella Sforza; Claudia Dellavia; Gianluca M Tartaglia; Anna Colombo; Armando Carù
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  14     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-22     Completed Date:  2003-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  739-46     Citation Subset:  D    
Affiliation:
Dipartimento di Anatomia Umana, Facoltà di Medicina e Chirurgia and Facoltà di Scienze Motorie, Università degli Studi di Milano, Milano, Italy. farc@unimi.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Cephalometry
Cleft Lip / complications*
Cleft Palate / complications*
Facial Asymmetry / etiology*
Female
Humans
Imaging, Three-Dimensional
Male
Reference Values

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