Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip

Objective: To examine morphological changes of the lip and nose during resting and lip protrusion in patients with unilateral cleft lip. Methods: A total of 41 patients with unilateral cleft lip who underwent primary lip repair were included in the study population. The distortion of the lip and nos...

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Main Authors: Hiromu Masuoka, Michika Fukui, Natsuko Kakudo, Kenji Kusumoto
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2024-01-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/3/1/3_2023-0013/_pdf/-char/en
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author Hiromu Masuoka
Michika Fukui
Natsuko Kakudo
Kenji Kusumoto
author_facet Hiromu Masuoka
Michika Fukui
Natsuko Kakudo
Kenji Kusumoto
author_sort Hiromu Masuoka
collection DOAJ
description Objective: To examine morphological changes of the lip and nose during resting and lip protrusion in patients with unilateral cleft lip. Methods: A total of 41 patients with unilateral cleft lip who underwent primary lip repair were included in the study population. The distortion of the lip and nose was measured and evaluated using photographs of the preoperative and postoperative resting lips and the postoperative protruding lips. Results: The position of the labial commissure on the affected side was cranially deviated before lip repair, and the deviation remained after surgery. The degree of cranial deviation was increased by lip protrusion. The position of the alar base on the affected side was caudally deviated before lip repair and improved after surgery; however, it was displaced cranially by lip protrusion. Horizontal displacement of the lip and nose was improved after surgery, and there was no change during lip protrusion. Conclusions: The characteristic facial distortion in patients with unilateral cleft lip were confirmed. Patients with cleft lip had distortions in the labial commissure and the nose. One of the important future challenges in cleft lip treatment is to focus on changes caused by muscle movement and provide natural and symmetrical facial expressions.
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spelling doaj.art-2e1ad7d1345e4593b5823dff998fb3ac2024-02-01T00:39:27ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2024-01-0131192023-0013Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft LipHiromu Masuoka0Michika Fukui1Natsuko Kakudo2Kenji Kusumoto3Department of Plastic and Reconstructive Surgery, Kansai Medical UniversityDepartment of Plastic and Reconstructive Surgery, Kansai Medical UniversityDepartment of Plastic and Reconstructive Surgery, Kansai Medical UniversityKusumoto ClinicObjective: To examine morphological changes of the lip and nose during resting and lip protrusion in patients with unilateral cleft lip. Methods: A total of 41 patients with unilateral cleft lip who underwent primary lip repair were included in the study population. The distortion of the lip and nose was measured and evaluated using photographs of the preoperative and postoperative resting lips and the postoperative protruding lips. Results: The position of the labial commissure on the affected side was cranially deviated before lip repair, and the deviation remained after surgery. The degree of cranial deviation was increased by lip protrusion. The position of the alar base on the affected side was caudally deviated before lip repair and improved after surgery; however, it was displaced cranially by lip protrusion. Horizontal displacement of the lip and nose was improved after surgery, and there was no change during lip protrusion. Conclusions: The characteristic facial distortion in patients with unilateral cleft lip were confirmed. Patients with cleft lip had distortions in the labial commissure and the nose. One of the important future challenges in cleft lip treatment is to focus on changes caused by muscle movement and provide natural and symmetrical facial expressions.https://www.jstage.jst.go.jp/article/jprs/3/1/3_2023-0013/_pdf/-char/enfacial distortioninclination of the lip and noselip protrusioncleft liporbicularis oris muscle
spellingShingle Hiromu Masuoka
Michika Fukui
Natsuko Kakudo
Kenji Kusumoto
Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
Journal of Plastic and Reconstructive Surgery
facial distortion
inclination of the lip and nose
lip protrusion
cleft lip
orbicularis oris muscle
title Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
title_full Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
title_fullStr Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
title_full_unstemmed Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
title_short Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip
title_sort inclination of the lip and nose during resting and lip protrusion in children with unilateral cleft lip
topic facial distortion
inclination of the lip and nose
lip protrusion
cleft lip
orbicularis oris muscle
url https://www.jstage.jst.go.jp/article/jprs/3/1/3_2023-0013/_pdf/-char/en
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AT michikafukui inclinationofthelipandnoseduringrestingandlipprotrusioninchildrenwithunilateralcleftlip
AT natsukokakudo inclinationofthelipandnoseduringrestingandlipprotrusioninchildrenwithunilateralcleftlip
AT kenjikusumoto inclinationofthelipandnoseduringrestingandlipprotrusioninchildrenwithunilateralcleftlip