Nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate

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Title:	Nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate
Author(s):	Fudalej, P.S.; Katsaros, C. ; Hozyasz, K.; Borstlap, W.A. ; Kuijpers-Jagtman, A.M.
Publication year:	2012
Source:	British Journal of Oral and Maxillofacial Surgery, vol. 50, iss. 7, (2012), pp. 621-625
ISSN:	0266-4356
DOI:	http://dx.doi.org/10.1016/j.bjoms.2011.11.019
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/108804
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Subject:	NCEBP 2: Evaluation of complex medical interventions
Organization:	Dentistry Oral and Maxillofacial Surgery
Journal title:	British Journal of Oral and Maxillofacial Surgery
Volume:	vol. 50
Issue:	iss. 7
Page start:	p. 621
Page end:	p. 625
Abstract:	The objective of this study was to evaluate the association between nasolabial symmetry and aesthetics in children with complete unilateral cleft lip and palate (CUCLP). Frontal and basal photographs of 60 consecutively treated children with CUCLP (cleft group: 41 boys and 19 girls, mean (SD) age 11 (2) years) and 44 children without clefts (control group: 16 boys and 28 girls, mean (SD) age 11(2) years), were used for evaluation of nasolabial symmetry and aesthetics. Nasal and labial measurements were made to calculate the coefficient of asymmetry (CA). The 5-grade aesthetic index described by Asher-McDade et al. was used to evaluate nasolabial appearance. Correlation and regression analysis were used to identify an association between aesthetics and CA, sex, and the presence of CUCLP. Ten measurements in the cleft, and 2 in the control, group differed significantly between the cleft and non-cleft (or right and left) sides, respectively. The significantly higher values of 9 of 11 CA in the children with CUCLP indicated that they had more asymmetrical nasolabial areas than children without clefts. However, the regression analyses showed that only a few CA were associated with nasolabial aesthetics. In conclusion, nasolabial aesthetics and nasolabial symmetry seem to be only weakly associated in patients with CUCLP.