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Facial Tissue Depths in Children with Cleft Lip and Palate
Authors:John M. Starbuck Ph.D.  Ahmed Ghoneima Ph.D.  Katherine Kula DMD
Affiliation:Department of Orthodontics and Oral Facial Genetics, School of Dentistry, Indiana University, Indianapolis, IN
Abstract:Cleft lip and palate (CLP) is a craniofacial malformation affecting more than seven million people worldwide that results in defects of the hard palate, teeth, maxilla, nasal spine and floor, and maxillodental asymmetry. CLP facial soft‐tissue depth (FSTD) values have never been published. The purpose of this research is to report CLP FSTD values and compare them to previously published FSTD values for normal children. Thirty‐eight FSTDs were measured on cone beam computed tomography images of CLP children (n = 86; 7–17 years). MANOVA and ANOVA tests determined whether cleft type, age, sex, and bone graft surgical status affect tissue depths. Both cleft type (unilateral/bilateral) and age influence FSTDs. CLP FSTDs exhibit patterns of variation that differ from normal children, particularly around the oronasal regions of the face. These differences should be taken into account when facial reconstructions of children with CLP are created.
Keywords:forensic science  forensic anthropology  facial soft‐tissue depth  forensic facial reconstruction  facial reproduction  facial restoration  cleft lip and cleft palate  cone beam computed tomography
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