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Association between subjective and objective measures of lip form and function: an exploratory analysis.

Carroll-Ann Trotman1, Ceib Phillips, Julian J Faraway

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The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
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Summary
This summary is machine-generated.

Objective measures of lip movement in cleft lip and palate patients correlate with subjective assessments. These objective tools can enhance evaluations of lip appearance and function.

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Area of Science:

  • Craniofacial Surgery
  • Biomechanical Analysis
  • Speech Pathology

Background:

  • Assessing lip function in cleft lip and palate (CLP) patients is crucial for surgical outcomes and quality of life.
  • Subjective evaluations of lip appearance and movement are common but can be inconsistent.
  • Objective quantification of lip kinematics is needed to complement clinical judgment.

Purpose of the Study:

  • To develop objective measures for various lip movement attributes in CLP patients.
  • To investigate the relationship between subjective examiner assessments and objective lip movement data.
  • To explore the utility of objective measures in understanding lip function after CLP repair.

Main Methods:

  • Thirteen patients with repaired unilateral CLP underwent imaging (photographs, videotapes) at rest and during smiling.
  • A motion analysis system was employed to capture lip movement data.
  • Examiners rated cleft scar severity and impairment using a 6-point Likert scale.

Main Results:

  • Lip displacement emerged as the most reliable objective measure.
  • Objective analysis of the entire upper lip yielded the most comprehensive data.
  • Decreased objective lip movement correlated with worse subjective perceptions of appearance and impairment, particularly at rest.

Conclusions:

  • Objective lip movement measures offer a promising method for differentiating movement components.
  • These objective data should supplement subjective evaluations of lip appearance and function.
  • Subjective assessments are more reliable when performed with the patient's face at rest.