{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:35:00Z","timestamp":1781242500464,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T00:00:00Z","timestamp":1389571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Structured Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Facial appearance is important for normal psychosocial development in children with cleft lip and palate (<jats:styled-content style=\"fixed-case\">CLP<\/jats:styled-content>). There is conflicting evidence on how deficient maxillary growth may affect nasolabial esthetics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively investigated nasolabial appearance in two groups, the <jats:italic><jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>angenback<\/jats:italic> (35 children; mean age 11.1\u00a0years; range: 7.9\u201313.6) and <jats:italic><jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>omerplasty<\/jats:italic> (58 children; mean age 10.8\u00a0years; range: 7.8\u201314), who received unilateral <jats:styled-content style=\"fixed-case\">CLP<\/jats:styled-content> surgery by the same surgeon. The hard palate repair technique differed between the two groups. In the <jats:italic><jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>angenback<\/jats:italic> group, palatal bone on the non\u2010cleft side only was left denuded, inducing scar formation and inhibiting maxillary growth. In the <jats:italic><jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>omerplasty<\/jats:italic> group, a vomerplasty with tight closure of the soft tissues on the palate was applied. Thirteen lay judges rated nasolabial esthetics on photographs using a modified Asher\u2010McDade's index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nasolabial esthetics in both groups was comparable (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a00.1 for each nasolabial component). Inferior view was judged as the least esthetic component and demonstrated mean scores 3.18 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a00.63) and 3.13 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a00.47) in the <jats:italic><jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>angenback<\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>omerplasty<\/jats:italic> groups, respectively. Mean scores for other components were from 2.52 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a00.63) to 2.81 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0=\u00a00.62). Regression analysis showed that vomerplasty is related with slight improvement in the nasal profile only (coefficient B\u00a0=\u00a0\u22120.287; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.043; <jats:italic>R<\/jats:italic><jats:sup>2\u00a0<\/jats:sup>=\u00a00.096).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that the use of vomerplasty instead of the <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>angenbeck technique is weakly associated with the nasolabial appearance among pre\u2010adolescent patients with <jats:styled-content style=\"fixed-case\">UCLP<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12039","type":"journal-article","created":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T05:44:58Z","timestamp":1389591898000},"page":"124-131","source":"Crossref","is-referenced-by-count":3,"title":["Nasolabial appearance after two palatoplasty types in cleft lip and palate"],"prefix":"10.1111","volume":"17","author":[{"given":"A.","family":"Brudnicki","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Institute of Mother and Child Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. M.","family":"Bronkhorst","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dentistry Radboud University Medical Centre Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Nada","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Craniofacial Biology Radboud University Medical Centre Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Dudkiewicz","sequence":"additional","affiliation":[{"name":"Private practice Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kaminek","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Palacky University Olomouc Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Katsaros","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. S.","family":"Fudalej","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Palacky University Olomouc Czech Republic"},{"name":"Department of Orthodontics and Dentofacial Orthopedics University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,13]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Social and Applied Aspects of Perceiving Faces","author":"Alley TR","year":"1988"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.126.3.390"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/scan\/nsq025"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2007.07.008"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1597\/11-035"},{"key":"e_1_2_6_7_1","unstructured":"Scandcleft Project1999.A randomized control trial of primary surgery in UCLP. 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