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Lipofilling in patients with a cleft lip (and palate) : a pilot study assessing functional outcomes and patients’ satisfaction with appearance

Cassandra Alighieri (UGent) , Kim Bettens (UGent) , Nathalie Roche (UGent) , Laura Bruneel (UGent) and Kristiane Van Lierde (UGent)
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Organization
Abstract
Introduction: Lipofilling of the upper lip as secondary treatment in patients with a cleft lip (and palate) (CL +/- P) has been proposed to improve projection and volume especially in profile view. The purpose of the present study was to document differences in functional (i.e. logopaedic) and self-reported aesthetic outcomes by comparing pre- and postoperative results after lipofilling of the upper lip in patients with CL +/- P. Methods: Eight Dutch-speaking youngsters and young adults (three women, five men) with CL +/- P were included. The median age was 19 years (range: 14-24 years). Logopaedic outcomes (i.e. assessment of orofacial myofunctional behavior, articulation and lip strength) and self-reported aesthetic outcome (i.e. patients' satisfaction using the Cleft Evaluation Profile) were determined. Results: Neither for lip strength and orofacial myofunctional behavior nor for articulation statistically significant differences were found when comparing measurements before and after lipofilling. Regarding patients' satisfaction, a statistically significant increased self-evaluation of appearance in profile was found after lipofilling. Conclusion. Regarding functionality, the present study did not find any differences when comparing outcomes before and after lipofilling. Nevertheless, patients were more satisfied with appearance in profile after performance of this technique. As this is a small sample study, further research and long-term follow-up studies are necessary.
Keywords
FACIAL APPEARANCE, WHISTLE DEFORMITY, FAT, SPEECH, GRAFT, REPAIR, NOSE, Cleft lip (and palate), Lipofilling, Functional outcomes, Patients' satisfaction

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MLA
Alighieri, Cassandra, et al. “Lipofilling in Patients with a Cleft Lip (and Palate) : A Pilot Study Assessing Functional Outcomes and Patients’ Satisfaction with Appearance.” INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, vol. 128, 2020.
APA
Alighieri, C., Bettens, K., Roche, N., Bruneel, L., & Van Lierde, K. (2020). Lipofilling in patients with a cleft lip (and palate) : a pilot study assessing functional outcomes and patients’ satisfaction with appearance. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 128.
Chicago author-date
Alighieri, Cassandra, Kim Bettens, Nathalie Roche, Laura Bruneel, and Kristiane Van Lierde. 2020. “Lipofilling in Patients with a Cleft Lip (and Palate) : A Pilot Study Assessing Functional Outcomes and Patients’ Satisfaction with Appearance.” INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY 128.
Chicago author-date (all authors)
Alighieri, Cassandra, Kim Bettens, Nathalie Roche, Laura Bruneel, and Kristiane Van Lierde. 2020. “Lipofilling in Patients with a Cleft Lip (and Palate) : A Pilot Study Assessing Functional Outcomes and Patients’ Satisfaction with Appearance.” INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY 128.
Vancouver
1.
Alighieri C, Bettens K, Roche N, Bruneel L, Van Lierde K. Lipofilling in patients with a cleft lip (and palate) : a pilot study assessing functional outcomes and patients’ satisfaction with appearance. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY. 2020;128.
IEEE
[1]
C. Alighieri, K. Bettens, N. Roche, L. Bruneel, and K. Van Lierde, “Lipofilling in patients with a cleft lip (and palate) : a pilot study assessing functional outcomes and patients’ satisfaction with appearance,” INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, vol. 128, 2020.
@article{8630017,
  abstract     = {Introduction: Lipofilling of the upper lip as secondary treatment in patients with a cleft lip (and palate) (CL +/- P) has been proposed to improve projection and volume especially in profile view. The purpose of the present study was to document differences in functional (i.e. logopaedic) and self-reported aesthetic outcomes by comparing pre- and postoperative results after lipofilling of the upper lip in patients with CL +/- P.

Methods: Eight Dutch-speaking youngsters and young adults (three women, five men) with CL +/- P were included. The median age was 19 years (range: 14-24 years). Logopaedic outcomes (i.e. assessment of orofacial myofunctional behavior, articulation and lip strength) and self-reported aesthetic outcome (i.e. patients' satisfaction using the Cleft Evaluation Profile) were determined.

Results: Neither for lip strength and orofacial myofunctional behavior nor for articulation statistically significant differences were found when comparing measurements before and after lipofilling. Regarding patients' satisfaction, a statistically significant increased self-evaluation of appearance in profile was found after lipofilling.

Conclusion. Regarding functionality, the present study did not find any differences when comparing outcomes before and after lipofilling. Nevertheless, patients were more satisfied with appearance in profile after performance of this technique. As this is a small sample study, further research and long-term follow-up studies are necessary.},
  articleno    = {109692},
  author       = {Alighieri, Cassandra and Bettens, Kim and Roche, Nathalie and Bruneel, Laura and Van Lierde, Kristiane},
  issn         = {0165-5876},
  journal      = {INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY},
  keywords     = {FACIAL APPEARANCE,WHISTLE DEFORMITY,FAT,SPEECH,GRAFT,REPAIR,NOSE,Cleft lip (and palate),Lipofilling,Functional outcomes,Patients' satisfaction},
  language     = {eng},
  pages        = {7},
  title        = {Lipofilling in patients with a cleft lip (and palate) : a pilot study assessing functional outcomes and patients’ satisfaction with appearance},
  url          = {http://dx.doi.org/10.1016/j.ijporl.2019.109692},
  volume       = {128},
  year         = {2020},
}

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