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Abstract
A computer-based system of assessing asymmetry was used to compare standardised photographs of primarily corrected cleft noses, uncorrected cleft noses and control (normal) noses. A significant difference was found between control and cleft groups for both upper nasal perimeter (p < 0.001) and nostril outline (p = 0.001), and between uncorrected and corrected noses for upper nasal perimeter (p = 0.03) but not for nostril outline (p = 0.99).
Comparing the results achieved by panel assessment (Cussonset al., 1992) with this of the same patients revealed some discordance related to the influence of extraneous factors on panel decisions.
Panel assessment is needed in the evaluation of overall appearance, whilst the computer method is able to assess the results of different techniques, and from different centres, on specific features where symmetry is a major objective of surgical technique.
Reference
- Simultaneous repair of lip and nose in the unilateral cleft.in: Jackson I.T. Sommerlad B.C. Recent Advances in Plastic Surgery. Churchill Livingstone, Edinburgh1985
- A computer-based method of measuring facial asymmetry. Results from an assessment of the repair of cleft lip deformities.British Journal of Plastic Surgery. 1987; 40: 371
- A computer aided method of measuring nasal asymmetry in the cleft lip nose.British Journal of Plastic Surgery. 1993; 46: 13-17
- A panel based assessment of early versus no nasal correction of the cleft lip nose.British Journal of Plastic Surgery. 1993; 46: 7-12
- Size and shape of the nominal distal femur: Fourier Analysis.American Journal of Physical Anthropometry. 1977; 46: 281
- Treatment of the unilateral cleft lip nose.Plastic and Reconstructive Surgery. 1975; 55: 596
- Primary correction of unilateral cleft lip nasal deformity: a 10 year review.Plastic and Reconstructive Surgery. 1985; 75: 791
- ‘Alar leapfrog’: a technique for repositioning the total alar cartilage at primary cleft lip repair.Clinics in Plastic Surgery. 1985; 12: 643
- Aesthetic considerations related to repair of the bilateral cleft lip nasal deformity.British Journal of Plastic Surgery. 1988; 41: 593
- A morbidity review of children with complete unilateral cleft lip nose at ten plus or minus one year of age.British Journal of Plastic Surgery. 1993; 46: 1-6
Article info
Publication history
Accepted:
January 13,
1992
Received:
October 15,
1991
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.