[Correction of the secondary nasal deformities of the unilateral cleft lip and palate].
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To develop a new method to correct secondary nasanl deformities of cleft lip and palate.Establishing the balance of maxilla on both sides, followed by varied procedures to correct anormaly of osseous-cartilagious framework of nose, and taking some of nasal-labial muscle to restore the continuity and balance of anterior facial expressive muscles.78 cases were treated by this way and the result was satisfying.Imbalance of maxilla and anterior facial expressive muscle and anormaly of nasal framework should be repaired for correcting the nasal deformity of cleft lip and palate effectively.Keywords:
Facial muscles
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To develop a new method to correct secondary nasanl deformities of cleft lip and palate.Establishing the balance of maxilla on both sides, followed by varied procedures to correct anormaly of osseous-cartilagious framework of nose, and taking some of nasal-labial muscle to restore the continuity and balance of anterior facial expressive muscles.78 cases were treated by this way and the result was satisfying.Imbalance of maxilla and anterior facial expressive muscle and anormaly of nasal framework should be repaired for correcting the nasal deformity of cleft lip and palate effectively.
Facial muscles
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Facial deformity
Open bite
Mandible (arthropod mouthpart)
Cephalometric analysis
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Objective:To study the characteristics of the incomplete cleft lip patient's lip and nose with and without alveolar cleft.Methods:Before operation,related parameters were calculated by caliper in 68patients.Modified Mohler's method was applied to simultaneously repair unilateral incomplete cleft lip nasal deformity.Results:Significant differences were observed between the incomplete cleft lip patient with and without alveolar cleft in those parameters corcerning the distance of peak-alar,peak-columella,nostril height,nostril width,and columella height.Conclusion:Through analysing the measuring data,the deformity of the unilateral incomplete cleft lip with the alveolar cleft is more serious.
Columella
Nostril
Calipers
Facial deformity
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Journal Article Four measurements for assessing facial deformity Get access K. B. Fanibunda K. B. Fanibunda Department of Oral Surgery, Dental School, University of Newcastle upon TyneUK Address for correspondence Mr K. B. Fanibunda Department of Oral Surgery The Dental School University of Newcastle upon Tyne Framlington Place Newcastle upon Tyne NE2 4BW, UK. Search for other works by this author on: Oxford Academic PubMed Google Scholar European Journal of Orthodontics, Volume 17, Issue 6, December 1995, Pages 483–490, https://doi.org/10.1093/ejo/17.6.483 Published: 01 December 1995
Newcastle upon tyne
Oral surgery
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Abstract Facial deformity associated with jaw malalignment and malocclusion can be addressed with orthognathic surgery to reposition the maxilla or mandible, or both, in combination with dental alignment with orthodontic treatment. Careful assessment of facial proportion and treatment planning allows precise repositioning of the facial skeleton and teeth to restore appearance and occlusion.
Facial skeleton
Mandible (arthropod mouthpart)
Facial deformity
Dentofacial Deformity
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The cleft lip nose is a complex 3-dimensional (3D) midfacial soft tissue and bony deformity. The contribution of maxillary hypoplasia to the etiology of this deformity has often been implicated for the suboptimal results of surgical treatment. The dimensions of the maxilla in unilateral cleft lip and palate (UCLP) have not been studied especially in relation to the volumetric and other asymmetries on the either side in unilateral clefts. The purpose of this article is to assess the relevant maxillary parameters of length, width, height, depth, and volume in patients with UCLP and compare the parameters of the cleft and noncleft sides.Fifteen patients with UCLP were treated by a standard protocol by a single surgeon and orthodontist. The measurements of maxilla were taken using a combination of axial, coronal, lateral, and 3D reconstructed images. The volume of each maxilla was calculated on 3D reconstructions using the technique of manual segmentation, which allowed complete reconstruction of the right and left maxilla individually.In general, the cleft maxillary length, width, height, depth, and volume have been found to be reduced when compared with the normal sides with significant P values (Wilcoxon signed rank test Z, P < 0.001).The study demonstrates the anatomy of the maxillary asymmetry existing in UCLP and underlines the importance of correcting the bony deficiency by appropriate techniques to harmonize the results of rhinoplasty in unilateral cleft lip nose deformity. Augmentation of the deficient maxilla by specific contoured bone grafts allows restoration of the symmetry of the nasal platform in unilateral cleft lip nose deformity.
Nasal bone
Facial symmetry
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Our experience over the past 25 years leads us to conclude that hemifacial microsomia is a progressive skeletal and soft-tissue deformity with the earliest skeletal manifestations in the mandible. We find that not only does the mandibular asymmetry become worse with time, but as the contralateral side grows, the deformed mandible also increases ipsilateral secondary deformation of the maxilla, nose, and orbit. We also find that there is virtually no "catch up" growth on the affected side of the face and that these patients always become more deformed with age. The psychological problems also increase with time and progression of the facial deformity. Based on our experience with correction of end-stage deformities, we now treat these patients at the earliest possible age, as determined by the patient's skeletal classification. We treat the mandible first in the hope that this repositioning in a more physiologic position will unlock the growth potential of the adjacent structures, minimize secondary deformity, and improve function and appearance to the greater benefit of the skeletal and psychological growth of the patient.
Hemifacial microsomia
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Abstract Objectives: To evaluate the reliability of clinical assessment, two-dimensional color transparencies and three-dimensional imaging for evaluating the residual facial deformity in patients with repaired complete unilateral cleft lip and palate (UCLP) and compare the ratings of facial deformity made by health care professionals with those made by lay assessors. Patients and Participant: Thirty-one randomly selected subjects aged 10 to 30 years with repaired complete UCLP. Five professionals and five laypersons evaluated each subject's residual cleft-related facial deformity using clinical assessment, two-dimensional color transparencies, and three-dimensional images. Main Outcome Measures: The facial deformity of the full face, lip, nose, and midface were scored using a 5-point ordinal scale on two occasions with a 1-month interval. Intra- and interexaminer agreements were calculated from weighted kappa statistics. Bootstrap permutation tests were used to detect any differences in agreement. Result...
Facial deformity
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Malunion of fractures of the middle third of the face results in facial disfigurement and functional disturbance of the masticatory system. In such a case, it is necessary to correct these conditions simultaneously.In this report, the authors present a woman who suffered “dish face” deformity and Angle Class III malocclusion caused by the malunited maxillary fractures, and the surgical exprience of modified Le Fort III (malar maxillary advancement) + Le Fort I osteotomy.
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Facial deformity
Disfigurement
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