Aesthetic Evaluation by Laypersons of Noordhoff's Technique of Unilateral Cleft Lip Cheiloplasty

Authors

  • Kamonwan Jenwitheesuk Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen 40000, Thailand

Abstract

Background: Successful surgical repair of the unilateral cleft lip is commonly defined as having a normal orbicularis oris function and a near perfect symmetry of the lip and nose. It is important that the aesthetic evaluation should not only be evaluated by the surgical team, as there may be a tendency to give a higher score. It should also be evaluated by members of family and relatives in their community.

In Srinagarind Hospital, we found that Noordhoff's technique cheiloplasty for unilateral cleft lip with particular attention to the primary nasal repair provided the best outcome. However, we did not have accurate parameter to evaluate aesthetic results by general public.

Objective: The aim of this study was to develop an aesthetic index for the evaluation of complete unilateral cleft lip repair by general public.

Materials and Methods: The photographs of the post operative outcome were graded by direct observation and by random from twenty relatives of the patients in the out patient clinic, none of them were related to the surgical department personnel.

Complete unilateral cleft lips were repaired by the author from March 2002 to July 2003. The 1-10 analog scale was evaluated separately from the aesthetic score of nose, lip and general appearance.

Results: Results showed moderate to good outcome score. The mean score of general appearance was in the range of 6.50-8.60, the aesthetic of the mouth was 6.30-8.50 and the nose was 6.15-8.30.

References

1. Clark JM, et al. Repair of the unilateral Cleft lip/nose deformity. Facial Plast Surg 2003; 19: 029-040.

2. Lo LJ, et al. Assessment of bilateral cleft lip nose deformity: a comparison of results as judged by cleft surgeons and laypersons. Plast Reconstr Surg 2002; 110: 733-8.

3. Kityaporn T. Sample size estimation: clinical research. 1st ed. Bangkok: Holistic Publishing Co.; 1995. p. 65-80.

4. Noordhoff MS. The surgical technique for the unilateral cleft lip-nasal deformity, Noordhoff Craniofacial Foundation, Taipei, Taiwan; 1997, p. 6-53.

5. Cutting CB. Lip height and lip width after extended mohler unilateral cleft lip repair. Plast Reconstr Surg 2003;111:17-23.

6. Becker M, Svensson H. Morphometry in digital photographs: a promising technique for assessing patients with cleft lip and palate. Scand J Plast Reconstr Surg Hand Surg 1998;32:295-9.

7. Gundlach K, Schmitz R, Maerker R, Bull H. Late results following different methods of cleft lip repair. Cleft Palate J 1982;19:167.

8. Holtmann B, Wray RC. A randomized comparison of triangular and rotation-advancement unilateral cleft lip repairs. Plast Reconstr Surg 1983; 71: 172.

9. Pool R. The configurations of the unilateral cleft lip, with reference to the rotation advancement repair. Plast Reconstr Surg 1966; 37: 558.

10. Thomson HG, Reinders FX. A long-term appraisal of the unilateral complete cleft lip repair: one surgeon's experience. Plast Reconstr Surg 1995; 96: 549.

11. Ahuja RB. Primary definitive nasal correction in patients presenting for late unilateral cleft lip repair. Plast Reconstr Surg 2002; 110: 17-24.

12. Brusse CA, et al. Symmetry and morbidity assessment of unilateral complete cleft lip nose corrected with or without primary nasal correction. Cleft Palate Craniofac 1999, u 361-6.

13. Yeow VKL. The use of nasal splints in the primary management of unilateral cleft nasal deformity plast. Reconstr Surg 1999; 103: 1347-54.

14. Lee TJ. Upper lip measurements at the time of surgery one follow-up after modified rotation-advancement flap repair in unilateral cleft lip patients. Plast Reconstr Surg 1999: 104:911-5.

15. Brusati R, Mannucci N, Biglioli F, Di Francesco A. Analysis on photographs of the growth of the cleft lip following a rotation-advancement flap repair: preliminary report. J Craniomaxillofac Surg
1996; 24: 140.
16. Boo-Chai K. Primary repair of the unilateral cleft lip nose in the Oriental: a 20-year follow-up. Plast Reconstr Surg 1987 80:185-94.
17. Becker M, Svensson H, McWilliam J, Sarnas K, Jacobson S. Millard repair of unilateral isolated cleft lip: a 25-year follow up. Scand. J Plast Reconstr Hand Surg 1998; 32: 387.
18. Ritter K, Trotman CN, Phillips C. Validity of subjective evaluations for the assessment of lip scarring and impairment. J Cleft Palate-Craniofacial 2002; 39: 587-96.
19. Vegter F, Hage JJ. Standardized facial photography of cleft patients: just fit the grid? Cleft Palate Craniofac J 2000;37:435-40.
20. Tobiasen JM, Hiebert JM. Facial impairment scales for clefts. Plast Reconstr Surg 1994; 93: 31-41.
21. Hurwitz DJ. Computer-assisted anthropometry for outcome assessment of cleft lip. Plast Reconstr Surg 1999; 103: 1608-23.
22. Morrant DG, Shaw WC. Use of standardized video recordings to assess cleft surgery outcome. Cleft Palate Craniofac J 1996; 33: 134-42.

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Published

2004-06-30

How to Cite

1.
Jenwitheesuk K. Aesthetic Evaluation by Laypersons of Noordhoff’s Technique of Unilateral Cleft Lip Cheiloplasty. Thai J Surg [Internet]. 2004 Jun. 30 [cited 2024 May 7];25(2):63-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242828

Issue

Vol. 25 No. 2 (2004): April - June

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.