Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (4): 262-266.doi: 10.12016/j.issn.2096-1456.2020.04.011

• Review Articles • Previous Articles     Next Articles

Progress in evaluating the postoperative effect of cleft lip

YU Jianmin1,MA Jian2,QIAO Guangwei2,HUANG Yongqing2()   

  1. 1. School of Stomatology, Ningxia Medical University, Yinchuan 750003, China
    2. Oral and Maxillofacial Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China
  • Received:2018-12-17 Revised:2019-06-26 Online:2020-04-20 Published:2020-03-31
  • Contact: Yongqing HUANG E-mail:yongqinghuang_6510@126.com

Abstract:

The postoperative evaluation of cleft lip is an important means to improve the operation method and the effect of the restoration. In recent years, the methods of cleft lip repair, such as Chinese western rotary propulsion, reconstruction of labial and nasal muscle tension band+trefoil flap, etc., have been developed. However, at present, there are still many secondary deformities, such as obvious scars and alar collapse. In this paper, in a review of the previous literature, the existing methods, advantages and disadvantages, and the application of the evaluation of the postoperative effect of cleft lip were reviewed. To date, there are many methods that can be used to evaluate the effect of cleft lip surgery. These research methods can be divided into subjective evaluation and objective evaluation, such as subjective evaluation, direct measurement, photo measurement, and three-dimensional scanning measurement. Among them, the subjective evaluation is simple, but the reliability is poor, and this method is suitable for all patients with cleft lip. The direct measurement has a low cost and is only suitable for one-dimensional information measurement, but the accuracy is poor, so it is difficult to determine the endpoints. The time of the photo measurement method is short, which can avoid tissue deformation, but it is easy to produce errors; this method is suitable for patients with cleft lip who can cooperate. The three-dimensional scanning measurement has a high accuracy, is time consuming and is a simple method but has a high cost and is suitable for areas with appropriate equipment conditions. Overall, the evaluation of the postoperative effect of cleft lip surgery should combine subjective evaluation with objective evaluation, dynamic evaluation with static evaluation, and utilize long-term follow-up to obtain comprehensive and accurate information and provide a reference for clinicians to carry out cleft lip surgery.

Key words: cleft lip, secondary deformity, postoperative effect, clinical evaluation, subjective evaluation, objective evaluation, postoperative effect evaluation, three-dimensional scanning measurement, photo measurement, direct measurement

CLC Number: 

  • R782
[1] Dai L, Zhu J, Mao M , et al. Time trends in oral clefts in chinese newborns: data from the chinese national birth defects monitoring network[J]. Birth Defects Res A Clin Mol Teratol, 2010,88(1):41-47.
[2] Mosmuller DGM, Bijnen CL, Kramer GJ , et al. The Asher-McDade aesthetic index in comparison with two scoring systems in nonsyndromic complete unilateral cleft lip and palate patients[J]. J Craniofac Surg, 2015,26(4):1242-1245.
[3] Mortier PB, Martinot VL, Anastassov Y , et al. Evaluation of the results of cleft lip and palate surgical treatment: preliminary report[J]. Cleft Palate Craniofac J, 1997,34(3):247-255.
[4] Meng T, Ma L, Wang Z , et al. Comparative assessment of the cleft profile by patients with cleft lip and palate, cleft surgeons, and lay people[J]. Aesthetic Plast Surg, 2015,39(5):757-763.
[5] 陈丽先, 王华君, 龚彩霞 , 等. 化妆技术用于唇裂术后患者唇畸形修饰的效果探讨[J]. 华西口腔医学杂志, 2018,36(1):52-55.
Chen LX, Wang HJ, Gong CX , et al. Cosmetic technique application on the modification of lip deformity after cleft lip surgery[J]. West Chin J Stomatol, 2018,36(1):52-55.
[6] Bella H, Kornmann NS, Hardwicke JT , et al. Facial aesthetic outcome analysis in unilateral cleft lip and palate surgery using web-based extended panel assessment[J]. J Plast Reconstr Aesthet Surg, 2016,69(11):1537-1543.
[7] Farkas LG, Lindsay WK . Morphology of adult face after repair of isolated cleft palate in childhood[J]. Cleft Palate J, 1972,9:132-142.
[8] Adetayo AM, James O . Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment[J]. J Korean Assoc Oral Maxillofac Surg, 2018,44(1):3-11.
[9] Xu Y, Li J, Zhao S , et al. Accuracy of a plastic facial cast fabricated with a custom tray in comparison with cone beam computed tomography[J]. Oral Surg Oral Pathol Oral Radiol, 2014,117(3):238-245.
[10] Li YP, Liu RK, Shi B , et al. An new photogrammetry of nasal morphology for asian patients with unilateral secondary cleft lip nasal deformity[J]. Plast Reconstr Surg, 2019,143(1):244e-245e.
[11] 孙炳丞, 寇雅楠, 吉玲玲 , 等. 单侧完全性唇腭裂患儿鼻牙槽塑形术后3年临床效果分析[J]. 中国实用口腔科杂志, 2016,9(2):93-95.
Sun BC, Cou YN, Ji LL , et al. Analysis of the clinical effect of 3 years after rhinoplasty in children with unilateral complete cleft lip and palate[J]. Chin J Pract Stomatol, 2016,9(2):93-95.
[12] Stebel A, Desmedt D, Bronkhorst E , et al. Rating nasolabial appearance on three-dimensional images in cleft lip and palate: a comparison with standard photographs[J]. Eur J Orthod, 2016,38(2):197-201.
[13] Leonardi DK, Haas L, Porporatti AL , et al. Diagnostic accuracy of cone-beam computed tomography and conventional radiography on apical periodontitis: A systematic review and meta-analysis.[J]. J Endod, 2016,42(3):356-364.
[14] Agarwal R . Anthropometric evaluation of complete unilateral cleft lip nose with cone beam CT in early childhood[J]. J Plast Reconstr Aesthet Surg, 2011,64(7):e181-182.
[15] Ercan E, Celikoglu M, Buyuk SK , et al. Assessment of the alveolar bone support of patients with unilateral cleft lip and palate: a cone-beam computed tomography study[J]. Angle Orthod, 2015,85(6):1003-1008.
[16] Mevlut C, Buyuk SK, Abdullah E , et al. Evaluation of mandibular transverse widths in patients affected by unilateral and bilateral cleft lip and palate using cone beam computed tomography[J]. Angle Orthod, 2015,85(4):611-615.
[17] de Rezende Barbosa GL, Wood JS, Pimenta LA , et al. Comparison of different methods to assess alveolar cleft defects in cone beam CT images[J]. Dentomaxillofac Radiol, 2016,45(2):20150332.
[18] Agarwal A, Marwah N, Marwah N . Assessment of the airway characteristics in children with cleft lip and palate using cone beam computed tomography[J]. Int J Clin Pediatr Dent, 2016,9(1):5-9.
[19] Nord F, Ferjencik R, Seifert B , et al. The 3dMD photogrammetric photo system in cranio-maxillofacial surgery: validation of interexaminer variations and perceptions[J]. J Craniomaxillofac Surg, 2015,43(9):1798-1803.
[20] Meulstee J, Liebregts J, Xi T , et al. A new 3D approach to evaluate facial profi le changes following BSSO[J]. J Craniomaxillofac Surg, 2015,43(10):1994-1999.
[21] Hosseinian B, Rubin MS, Clouston SAP , et al. Comparative analysis of three-dimensional nasal shape of casts from patients with unilateral cleft lip and palate treated at two institutions following rotation advancement only (iowa) or nasoalveolar molding and rotation advancement in conjunction with primary rhinoplasty (New York)[J]. Cleft Palate Craniofac J, 2018,55(10):1350-1357.
[22] Duran GS, Dindaroglu F, Gorgulu S . Three-dimensional evaluation of social smile symmetry[J]. Angle orthod, 2017,87(1):96-103.
[23] Kim J, Heo G, Lagravere MO . Accuracy of laser-scanned models compared to plaster models and cone-beam computed tomography[J]. Angle Orthod, 2014,84(3):443-450.
[24] Weinberg SM, Raffensperger ZD, Kesterke MJ , et al. The 3D facial norms database: part 1. A web-based craniofacial anthropometric and image repository for the clinical and research community[J]. Cleft Palate Craniofac J, 2016,53(6):185-197.
[25] Al-Hiyali A, Ayoub A, Ju X , et al. The impact of orthognathic surgery on facial expressions[J]. J Oral Maxillofac Surg, 2015,73(12):2380-2390.
[26] Brignardellopetersen R . Long-term esthetic outcomes of patients with cleft lip and palate have improved over time[J]. J Am Dent Assoc, 2018,149(4):e76.
[27] Clark SL, Teichgraeber JF, Fleshman RG , et al. Long-term treatment outcome of presurgical nasoalveolar molding in patients with unilateral cleft lip and palate[J]. J Craniofac Surg, 2011,22(1):333-336.
[1] DU Xinya,LI Xiaoyu,XIE Chun,WU Bin,SONG Guangbao,DU Ye. Detection of MSX1 gene mutations in patients with congenital tooth loss in Van der Woude syndrome [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(1): 47-51.
[2] CHEN Shengkai,MAO Bochun,CHEN Yilin,ZHOU Jiaqi,MAO Jingning,SHI Bing,LI Jingtao. Comparison of the accuracy of two-dimensional and three-dimensional photography in the facial measurement of patients with unilateral cleft lip [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(1): 41-46.
[3] Zhongwei CHENG,Qinggao SONG. The effects of the Sp and Wnt genes on abnormalities in embryonic developmental and cleft lip and palate [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(6): 396-399.
[4] Su-song WEI,Ai-lan XIE,Wen-ping CHEN,Xiao-ling WENG,Si-ni QIU,Ni LIU,Zhen-nü ZHANG,Xia-mei SONG. Analysis of nursing effect of different feeding ways in children with congenital cleft lip after surgery [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 55-58.
[5] Na JIN,Cun-hui FAN,Tao XU,Li-xia YANG,Hong-yang WANG,Xue-fang ZHAO. Use cervical vertebra bone age to evaluate the development situation of unilateral complete cleft lip and palate patients [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(7): 416-419.
[6] Bing SHI,Pin HA. The actual state and future of psychological research correlated with cleft lip and/or palate [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(7): 381-385.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[2] Pin ZHOU, Yang-fei LI. MRI study of temporomandibular joint disc position in asymptomatic volunteers[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(4): 239 -244 .
[3] Xinxin XIA, Fang FANG, Lijuan CHENG. Shaping ability of Pathfile and WaveOne in simulated root canals[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 365 -368 .
[4] Yuanhong LI, Xinyi FANG, Yu QIU, Lei CHENG. Experimental study on the effects of green tea on salivary flow rate and pH value[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(9): 560 -564 .
[5] Chengzhang LI. Masticatory muscles in occlusion[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(12): 755 -760 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 1 .
[7] Zhirong WU, Shiguang Huang. Research progress on the etiology, clinical examination and treatment of peri-implantitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 401 -405 .
[8] Xiaowu YAO, Shisheng CHEN, Zizheng LU, Minxiao LIN. Clinical report and literature review on the amyloidosis of salivary glands[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 533 -536 .
[9] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[10] Yu LU, Chengxia LIU, Zhongjun LIU. Role of TRAF6 in inflammatory responses of human osteoblast-like cells with Enterococcusfaecalis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(7): 420 -425 .
This work is licensed under a Creative Commons Attribution 3.0 License.