Abstract
The objective of this study was to evaluate the association between nasolabial symmetry
and aesthetics in children with complete unilateral cleft lip and palate (CUCLP).
Frontal and basal photographs of 60 consecutively treated children with CUCLP (cleft
group: 41 boys and 19 girls, mean (SD) age 11 (2) years) and 44 children without clefts
(control group: 16 boys and 28 girls, mean (SD) age 11(2) years), were used for evaluation
of nasolabial symmetry and aesthetics. Nasal and labial measurements were made to
calculate the coefficient of asymmetry (CA). The 5-grade aesthetic index described
by Asher-McDade et al. was used to evaluate nasolabial appearance. Correlation and
regression analysis were used to identify an association between aesthetics and CA,
sex, and the presence of CUCLP. Ten measurements in the cleft, and 2 in the control,
group differed significantly between the cleft and non-cleft (or right and left) sides,
respectively. The significantly higher values of 9 of 11 CA in the children with CUCLP
indicated that they had more asymmetrical nasolabial areas than children without clefts.
However, the regression analyses showed that only a few CA were associated with nasolabial
aesthetics. In conclusion, nasolabial aesthetics and nasolabial symmetry seem to be
only weakly associated in patients with CUCLP.
Keywords
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Article info
Publication history
Published online: January 16, 2012
Accepted:
November 28,
2011
Identification
Copyright
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
