Defining the Aesthetic Range of Normal Symmetry for Lip and Nose Features in 5-Year-Old Children Using the
Nirvana S S Kornmann1,2, Robin A Tan2, Frans J Mulder2
11 West Midlands Cleft Lip and Palate Service, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, United Kingdom.
Summary
This study establishes normal facial symmetry ranges for children using SymNose software. It introduces a thin lip correction (TLC) feature, improving accuracy for lip symmetry analysis in cleft surgery assessments.
Area of Science:
- Plastic Surgery
- Medical Imaging
- Pediatric Research
Background:
- Assessing facial symmetry post-cleft surgery is crucial for evaluating surgical outcomes.
- Existing methods may not adequately account for variations in lip thickness, potentially skewing symmetry measurements.
Purpose of the Study:
- To establish normative reference ranges for facial symmetry in non-cleft children using the SymNose software.
- To introduce and validate the Thin Lip Correction (TLC) feature within SymNose for improved lip symmetry analysis.
Main Methods:
- Retrospective analysis of facial photographs from 91 healthy five-year-old children.
- Symmetry measurements of nose and lip features were performed using SymNose on anteroposterior (AP) and base view images.
- Three independent investigators traced images twice to ensure reliability.
Main Results:
- Established reference ranges for perimeter mismatch percentages for various facial features (nose, lip, nostrils, width-height ratio).
- The Thin Lip Correction (TLC) feature significantly reduced lip perimeter mismatch compared to analyses without correction (P < .001).
Conclusions:
- Provides essential normative data for assessing symmetry in children after cleft surgery.
- Highlights the importance of accounting for lip volume variations using features like TLC for accurate symmetry assessment.
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