3D Stereophotogrammetric assessment of pre- and postoperative volumetric changes in the cleft lip and palate nose

van Loon, B.; Maal, T.J.; Plooij, J.M.; Ingels, K.J.; Borstlap, W.A.; Kuijpers-Jagtman, A.M.; Spauwen, P.H.; Bergé, S.J.

doi:10.1016/j.ijom.2010.03.022

« Previous Next »International Journal of Oral & Maxillofacial Surgery
Volume 39, Issue 6 , Pages 534-540, June 2010

3D Stereophotogrammetric assessment of pre- and postoperative volumetric changes in the cleft lip and palate nose

B. van Loon
- Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
T.J. Maal
- Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
J.M. Plooij
- Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
K.J. Ingels
- Department of Otorhinolaryngology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
W.A. Borstlap
- Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
A.M. Kuijpers-Jagtman
- Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
P.H. Spauwen
- Department of Plastic and Reconstructive Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
S.J. Bergé
- Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- 3D - Facial Imaging Research Group, Nijmegen – Bruges, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- Address: Stefaan Bergé, Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, Postal Number 590, The Netherlands. Tel.: +31 24 361 45 50; fax: +31 24 354 11 65.

Accepted 23 March 2010. published online 28 April 2010.

Abstract

In cleft lip and palate patients the shape of the nose invariably changes in three dimensions (3D) due to rhinoplastic surgery. The purpose of this study was to evaluate stereophotogrammetry as a 3D method to document volumetric changes of the nose in patients with a cleft lip (CL) or cleft lip and palate (CLP) after secondary open rhinoplasty. 12 patients with unilateral CL or CLP were enrolled in the study prospectively. 3D facial images were acquired using 3D stereophotogrammetry preoperatively and 3 months postoperatively. A 3D cephalometric analysis of the nose was performed and volumetric data were acquired. The reliability of the method was tested by performing an intra- and inter-observer analysis. Left, right and total nasal volumes and symmetry were compared. No statistically significant differences (p<0.05) were found within and between observers for the measured volumes and symmetry. Postoperatively, the total volume of the nose increased significantly, especially the volume at the cleft side. No significant volume difference pre- and postoperatively was found for the non-cleft side. The symmetry of the nose improved significantly. 3D stereophotogrammetry is a sensitive, quick, non-invasive method for evaluating volumetric changes of the nose in patients with cleft lip or cleft lip and palate.