Assessment of the Facial Soft Tissue Thickness of the Patients Affected by Unilateral Cleft Lip and Palate Using Cone Beam Computed Tomography

Abstract

Aim: The aim of the study was to evaluate the soft tissue thickness of the patients affected by unilateral cleft lip and palate (UCLP) and to compare the findings with a matched control group without cleft using cone beam computed tomography (CBCT).

Methods: The study sample consisted of 66 patients (31 women and 35 men) divided into 2 groups as UCLP group (34 patients; 23 men and 11 women; 9 right sided and 25 left sided; mean age: 14.11 +/- 3.48 years) and control group (32 patients; 12 men and 20 women; mean age: 15.10 +/- 3.13 years) without any cleft. Angular angle between Nasion-A line and Nasion-B line (ANB), angle between Sella-Nasion line and Gonion-Menton line (SN-MP) and linear (glabella, nasion, rhinion, subnasale, labrale superius, stomion, labrale inferius, labiomentale, pogonion, and gnathion) measurements were done using CBCT. Student t test was performed to compare the variables between the groups.

Results: Soft tissue thickness values for men were higher in both groups, except for rhinion and glabella. Subnasale for women (P = 0.000), men (P = 0.006), and total samples (P = 0.000) and the variable of the labrale superius for men (P = 0.047) and total samples (P = 0.040) were found to be statistically significantly thinner in the UCLP group. SN-MP had significant affect on subnasale thickness (R-2 = 15.8; Beta = -0.397; P = 0.001).

Conclusion: Thickness of the subnasale and the labrale superius were found to be statistically significantly thinner in the UCLP group compared with the controls.