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Cleft lip re-repair: How does it affect the nasolabial appearance?
Markus Merkl1, Vasco Starke1, Michala Ivanic-Sefcikova1
1Division of Oral and Maxillofacial Surgery, Department of Dental Medicine and Oral Health, Medical University Graz, Auenbruggerplatz 5, 8036, Graz, Austria.
Summary
Cleft lip re-repair significantly improves upper lip symmetry and nasolabial appearance. This study assessed 20 patients, finding objective and subjective improvements in facial balance after revision surgery.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Aesthetic Surgery
Background:
- Cleft lip re-repair is often performed to improve appearance.
- The effectiveness of revision surgery for cleft lip on nasolabial aesthetics is not well-documented.
Purpose of the Study:
- To critically review surgical outcomes of cleft lip re-repair.
- To evaluate the impact of revision surgery on nasolabial appearance using objective and subjective measures.
Main Methods:
- Assessed 20 patients with 6+ months follow-up after cleft lip re-repair.
- Used standardized pre- and postoperative photographs analyzed with SymNose software for objective assessment.
- Conducted subjective evaluation by ten examiners using a Likert scale.
Main Results:
- Objective assessment revealed significant postoperative decreases in labial asymmetry (26.42% to 18.77%) and upper lip asymmetry (26.91% to 18.27%).
- Subjective analysis corroborated objective findings, indicating improved nasolabial harmony.
- Examiner ratings varied based on professional background and expertise.
Conclusions:
- Cleft lip re-repair significantly enhances upper lip symmetry.
- Revision surgery leads to a more harmonious nasolabial appearance.
- Objective and subjective assessments confirm the benefits of cleft lip revision surgery.
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