The Differences between Facial Aesthetics Improvements of Patients with Unilateral Cleft Lip & Palate with Bilateral CLP
Published: 2023-11-15
Page: 315-319
Issue: 2023 - Volume 6 [Issue 2]
Somar Hassan Ali *
AL Dhannah Hospital, UAE.
*Author to whom correspondence should be addressed.
Abstract
This literature review summarizes a series of studies on facial aesthetics improvements in individuals with unilateral and bilateral cleft lip and palate conditions. These studies assess surgical techniques, patient satisfaction, and treatment outcomes. Notably, a 2-stage palatoplasty technique with a vomer flap is found to yield favorable results for unilateral cleft lip and palate patients, underlining its reliability. Additionally, patient satisfaction is explored, revealing variations between self-assessment and clinical evaluations. The aesthetics of the nasolabial region have improved over several decades for individuals with bilateral cleft lip palate, with notable differences based on gender and professional background. The effectiveness of the computer-aided design and nasoalveolar molding for people with bilateral cleft lip/palate is also investigated, showing promising results for both modalities. Finally, the impact of the Latham-Millard protocol on dental occlusion is examined, revealing a higher prevalence of crossbites, particularly anterior crossbites, compared to conservative treatments, with statistical significance in most cases. These studies provide valuable insights into the aesthetics and treatment outcomes for individuals with cleft lip and palate conditions.
Keywords: Facial Aesthetics, cleft lip, cleft palate, cleft lip and palate
How to Cite
References
Paradowska-Stolarz A, Mikulewicz M, Duś-Ilnicka I. Current concepts and challenges in the treatment of cleft lip and palate patients—a comprehensive review. Journal of Personalized Medicine. 2022;12(12) :2089.
Salari N, Darvishi N, Heydari M, Bokaee S, Darvishi F, Mohammadi M. Global prevalence of cleft palate, cleft lip and cleft palate and lip: A comprehensive systematic review and meta-analysis. Journal of stomatology, oral and maxillofacial surgery. 2022;123(2):110-20.
Yılmaz HN, Özbilen EÖ, Üstün T. The prevalence of cleft lip and palate patients: a single-center experience for 17 years. Turkish journal of orthodontics. 2019; 32(3):139.
McKay A. Retrospective analysis of facial aesthetics in young adults with bilateral cleft lip palate over the last 5 Decades. 1951-‐2001.
Roberts-Thomson K. Epidemiology of cleft lip and palate. Oral Epidemiology: A Textbook on Oral Health Conditions, Research Topics and Methods. 2021:159-67.
Geneser MK, Allareddy V. Cleft lip and palate. Pediatric dentistry: Elsevier; 2019; 77-87.e2.
Howaldt H-P, Schmelzeisen R. Einführung in die Mund-, Kiefer-, Gesichtschirurgie: Urban & Fischer; 2002.
Normande Neto HdV, Oliveira-Neto OB, Ribeiro ILH, Andrade CSd, Sales PHdH, Lima FJCd. What is the effectiveness of premaxilla surgical repositioning and its stabilization methods in mixed dentition patients with bilateral cleft lip and palate? The Cleft Palate-Craniofacial Journal. 2023;60(10):1211-9.
Valls-Ontanon A, Fernandes-Ciaccia L, Haas-Junior O, Hernandez-Alfaro F. Relapse-related factors of Le Fort I osteotomy in cleft lip and palate patients: A systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery. 2021;49(10):879-90.
Viñas MJ, Galiotto-Barba F, Cortez-Lede MG, Rodríguez-González MÁ, Moral I, Delso E, et al. Craniofacial and three-dimensional palatal analysis in cleft lip and palate patients treated in Spain. Scientific Reports. 2022;12(1):18837.
Hlongwa P, Levin J, Rispel LC. Epidemiology and clinical profile of individuals with cleft lip and palate utilizing specialized academic treatment centers in South Africa. PloS one. 2019;14(5): e0215931.
Alonso RRH, Brigetty GPS. Analysis of the prevalence and incidence of cleft lip and palate in Colombia. The Cleft Palate-Craniofacial Journal. 2020;57(5): 552-9.
Feitosa LB. Aesthetic outcome of the face after 2-stage palate repair for complete unilateral cleft lip and palate: Universidade de São Paulo; 2022.
Thittiwong R, Manosudprasit M, Wangsrimongkol T, Kongsomboon S, Pitiphat W, Chowchuen B, et al. Evaluation of Facial Appearance among Patients With Repaired Unilateral Cleft Lip and Palate: Comparison of Patient- and Clinician-Ratings of Satisfaction. J Med Assoc Thai. 2015;98 Suppl 7:S68-76.
El-Ashmawi NA, Fayed MMS, El-Beialy A, Fares AE, Attia KH. Evaluation of Facial Esthetics Following NAM Versus CAD/NAM in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial. Cleft Palate Craniofac J. 2023;60(9):1078-89.
Berkowitz S, Mejia M, Bystrik A. A comparison of the effects of the Latham-Millard procedure with those of a conservative treatment approach for dental occlusion and facial aesthetics in unilateral and bilateral complete cleft lip and palate: part I. Dental occlusion. Plast Reconstr Surg. 2004;113(1):1-18.