TY - JOUR T1 - Midface asymmetry in non-syndromic unilateral cleft lip-palate: A retrospective cbct analysis TT - Non-Sendromik Unilateral Dudak-Damak Yarığında Orta Yüz Asimetrisi: Retrospektif Bir KIBT Analizi AU - Tumani Üstdal, Berkhas AU - Evlice, Burcu AU - Duyan Yüksel, Hazal PY - 2024 DA - May DO - 10.26650/eor.20241169632 JF - European Oral Research JO - EOR PB - Istanbul University WT - DergiPark SN - 2630-6158 SP - 83 EP - 87 VL - 58 IS - 2 LA - en AB - Purpose: The aim of this study was to determine the relationship between the zygomaticomaxillary complex (ZMC) and infraorbital foramen region (IFR) with facial symmetry in patients with unilateral cleft lip and palate (UCLP) using cone beam computed tomography (CBCT).Materials and Methods: In this retrospective study, CBCT images of 30 non-syndromic UCLP patients were included, along with 30 age- and sex-matched control individuals. ZMC symmetry was evaluated in the axial section by comparing the right and left sides. Similarly, symmetry in the IFR was assessed in the coronal section. The significance level was set at p<0.05 for statistical analysis.Results: The study group comprised 12 female and 18 male patients, with ages ranging from 10 to 18 years (mean age 14.1 years). Both ZMC and IFR measurements were significantly lower on the cleft sides of the study group compared to both the noncleft sides of UCLP patients and the control group (p<0.001, p=0.022, and p=0.036, respectively). Furthermore, IFR measurements were significantly lower in the control group compared to the non-cleft sides of the study group (p=0.04).Conclusion: This study demonstrated that individuals with UCLP exhibit asymmetry in both the ZMC and the IFR. These findings suggest a negative impact on facial aesthetics. KW - Facial asymmetry KW - cleft lip-palate KW - midface symmetry KW - esthetics KW - cone beam N2 - Amaç: Bu çalışmanın amacı, unilateral dudak damak yarığı (UDDY) olan hastalarda konik ışınlı bilgisayarlı tomografi (KIBT) kullanarak zigomatikomaksiller kompleks (ZMK) ve infraorbital foramen bölgesinin (IFB) yüz simetrisi ile ilişkisini belirlemektir.Gereç ve Yöntem: Bu retrospektif çalışmaya yaş ve cinsiyet açısından uyumlu 30 non-sendromik UDDY’li ve 30 sağlıklı bireyin KIBT görüntüleri dahil edildi. ZMK simetrisi aksiyal kesitte sağ-sol taraflardan değerlendirildi. IFB’deki simetriyi belirlemek için ölçümler koronal kesitte sağ-sol taraflardan yapıldı. İstatistiksel analizde anlamlılık düzeyi p<0,05 olarak belirlendi. Bulgular: Çalışma grupları 12 kadın ve 18 erkek hastadan (yaş aralığı:10-18, ortalama yaş:14.1) oluşmaktadır. ZMK ve IFB ölçümleri çalışma grubunun yarık olan tarafında, hem UDDY’nin yarık olmayan tarafına kıyasla hem de kontrol grubuna kıyasla anlamlı derecede düşüktü [sırasıyla (p<0.001), (p=0.022) ve (p=0.036)]. Ayrıca kontrol grubunun IFB ölçümleri çalışma grubunun yarık olmayan tarafına kıyasla anlamlı derecede düşüktü (p=0,04).Sonuç: Bu çalışma, UDDY’li bireylerin hem ZMK’te hem de IFB’de asimetriye sahip olduğunu göstermektedir. Bu durum yüz estetiği açısından olumsuz bir etki yaratır. CR - 1. Cheong YW, Lo LJ. Facial asymmetry: etiology, evaluation, and management. Chang Gung Med J 2011;34:341-51. google scholar CR - 2. Molsted K, Dahl E. Asymmetry of the maxilla in children with complete unilateral cleft lip and palate. Cleft Palate J 1990;27:184-92. [CrossRef] google scholar CR - 3. Shackelford TK, Larsen RJ. Facial asymmetry as an indicator of psychological, emotional, and physiological distress. J Pers Soc Psychol 1997;72:456-66. [CrossRef] google scholar CR - 4. 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