Assessment of deformities of the lip and nose in cleft lip alveolus and palate patients by a rating scale

Journal of Maxillofacial and Oral Surgery
B R RajanikanthB Rajendra Prasad

Abstract

Labial and nasal deformities have always been a fundamental problem in the treatment of cleft lip, alveolus and palate patients. The primary surgical treatment of nasolabial area is of paramount importance in order to obtain both an esthetical correction of the deformity and a progressive and a balanced development of mid-face. In this study the nasal deformities in patients with cleft lip, alveolus and palate (CLAP) were analyzed and the relevant role of the perinasal, perioral muscular balance and the inborn dislocation of the alar cartilages are presented. 50 CLAP patients were analyzed, 40 UCLP and 10BCLP. The lip repair was done by modification of Millard's technique. The severity of the cleft appearance was evaluated pre and post operatively, according to a pre-agreed visual rating scale. There are 4° of severity of the deformity pre operatively (mild, moderate, severe and very severe) and post operatively 5 categories of outcome (excellent,very good, good, satisfactory and poor), depending on the scores obtained by summing up the points corresponding to different types of deformity. This scale is closely related to the American Cleft Palate classification of clefts. In the 40 UCLP patients, 8 excellent, 10 very good, 16 ...Continue Reading

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Related Concepts

Tooth Socket
Alar Structure
Entire Orbicularis Oris
Orbicularis Oris Muscle Structure
Deformity
Columella genus
Nose Deformities, Acquired
BCL10 gene
Muscle
Cleft Lip

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