Summary
Introduction
Alveolar bone grafting is known to reduce nasal asymmetry by supporting a defective
alar base and a sunken nostril. However, there are no studies which include details
of changes to the upper lip with appropriate measurements. The purpose of this study
was to measure the change in the upper lip height and nostril sill after alveolar
bone grafting, using photogrammetry.
Materials and methods
The study included 18 unilateral cleft lip alveolus (UCLA) patients who were diagnosed
with unilateral cleft lip and palate (mean age, 9.87 years). The patients underwent
alveolar bone grafting with iliac bone between June 2007 and June 2008. The average
follow-up period was 16.6 months. The average bone graft volume was 2.39 cm3.
We obtained photographs of the frontal, lateral and basal views using standardised
photographic techniques. We defined 14 landmarks and measured the distance of 11 points
(distance items) for the determination of upper lip height, upper lip projection and
nostril sill elevation. We defined the proportion index as the ratio of the cleft
side to non-cleft side or reference line (R). We compared the preoperative proportion
index with the postoperative proportion index for each distance items.
Results
The height of the upper lip increased significantly in four of five distance items.
The projection of the upper lip was more prominent, but it was not statistically significant.
The nostril sill was significantly elevated in all four distance items.
Conclusion
The height of the upper lip was elongated and the nostril sill was elevated after
alveolar bone grafting in UCLA patients.
Keywords
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Article info
Publication history
Published online: December 23, 2011
Accepted:
November 21,
2011
Received:
June 15,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
