Midface asymmetry in non-syndromic unilateral cleft lip-palate: A retrospective cbct analysis

Year 2024, Volume: 58 Issue: 2, 83 - 87, 08.05.2024

Berkhas Tumani Üstdal Burcu Evlice Hazal Duyan Yüksel

https://doi.org/10.26650/eor.20241169632

Abstract

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.

Keywords

Facial asymmetry, cleft lip-palate, midface symmetry, esthetics, cone beam

Non-Sendromik Unilateral Dudak-Damak Yarığında Orta Yüz Asimetrisi: Retrospektif Bir KIBT Analizi

Abstract

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.

Keywords

Yüz asimetrisi, Dudak damak yarığı, Orta yüz simetrisi, estetik, konik ışın

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