Cleft Palate-Craniofacial Journal最新文献

{"title":"Evaluating Geographic Distribution and Potential Environmental Risk Factors of Orofacial Cleft Anomalies Utilizing a Statewide Birth Defects Registry.","authors":"Clark Kennedy, Sean Young, Kyle Davis, Erin Weatherford Creighton, Adam Johnson, Larry Hartzell","doi":"10.1177/10556656251326443","DOIUrl":"https://doi.org/10.1177/10556656251326443","url":null,"abstract":"<p><p>ObjectiveThe reported prevalence of cleft lip and palate within the state of Arkansas (10.63 to 12.22 per 10,000 live births) is much higher than the national average. With greater understanding of at-risk populations and risk factors, we can provide more targeted education to improve patient outcomes and potentially reduce the incidence of orofacial clefts.DesignThis is a database review of cleft lip and/or palate patients using data obtained from the Arkansas Reproductive Health Monitoring System (ARHMS) database, a statewide birth defects registry that collects data from 83 regional hospitals.SettingStatewide database study.PatientsPatients diagnosed with cleft lip and/or palate between the years 1993 and 2015 registered in the ARHMS database.Main Outcome MeasurePrevalence rates of orofacial clefts within each Arkansas county.ResultsA total of 1345 unique patients with a diagnosis of cleft lip and/or palate were identified in the database with an average prevalence of 14.9 per 10,000 live births [95% CI: 14.1-15.7]. Of the 75 counties in Arkansas, 37 counties had prevalence rates higher than the state rate. Three counties had particularly higher prevalence rates of more than 33 per 10,000 live births. On the other hand, 3 counties had very low rates of 5 or less per 10,000 live births.ConclusionsThe rates of orofacial cleft anomalies are not distributed as expected among Arkansas counties. Further exploration is necessary to determine what, if any, environmental factors are at play.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251326443"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous 3-Dimensional Facial and Maxillary Archform Changes After Primary Lip Repair in Complete Unilateral Cleft Lip and Palate.","authors":"Abeera Imran, Nazan Adali, Tariq Ahmad, Dirk Bister, Trevor Coward","doi":"10.1177/10556656251323692","DOIUrl":"https://doi.org/10.1177/10556656251323692","url":null,"abstract":"<p><p>ObjectivesAssessment of simultaneous 3-dimensional facial and maxillary archform changes after primary lip repair in cUCLP.DesignRetrospective longitudinal case series.SettingsKing's College London, United Kingdom.PatientsConsecutive facial plaster cast sets of 18 infants with cUCLP, pre lip (3 months), and pre palate repair (6 months).InterventionsSingle Consultant Cleft Plastic Surgeon in single cleft area operated on all cases and created all casts once anesthetized. One operator scanned all casts, exporting .stl files for analysis.Main outcome measuresTwenty-six facial and maxillary arch landmarks were defined. From these, 11 variables describing linear and volumetric changes were calculated. Landmark identification precision was assessed through a repeatability study. Color maps for visualization of changes after lip repair were created by superimposition. Parametric 1- and 2- sample <i>t</i> tests were used to compare changes between lip and palate repairs. The study had sufficient power (0.80). Clinically significant changes were defined ≥2 mm for nose and ≥4 mm for cleft widths, and ≥5 mm3 for nose and ≥2 mm³ for maxillary archform volumes.ResultsGood precision of landmark identification was confirmed. The main study showed a statistically and clinically significant decrease in overall nasal width (3.24 mm, 95%CI [1.76, 4.71], <i>P</i> = .04) and decrease in average cleft width volume (4.62 mm³, 95% CI [2.58, 6.66], <i>P</i> < .01) after lip repair. Color maps showed concordance with numerical findings.ConclusionsAfter lip repair, there was simultaneous nose width reduction, better nasal symmetry, changes in overall palatal alveolar ridges volume, and decrease in volume of alveolar cleft and anterior ridge of palate.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251323692"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Determinants of Health and No-Show Clinic Appointments in Children with 22q11.2-Related Disorders.","authors":"Adrian Williamson, Antonio A Bon Nieves, Meghan Tracy, Nikita Raje, Jill M Arganbright","doi":"10.1177/10556656251327819","DOIUrl":"https://doi.org/10.1177/10556656251327819","url":null,"abstract":"<p><p>ObjectiveChildren with 22q11.2 deletion syndrome (22q11.2DS) present with complex medical challenges and often are followed by multiple specialists. Healthcare for these patients may be influenced by demographic and socioeconomic factors. This study's aim is to identify factors correlated with no-show clinic visits for these children.DesignRetrospective cohort studySettingTertiary care hospitalParticipantsPediatric patients with a diagnosis of 22q11.2DS. Patients without appointment attendance or socioeconomic data were excluded.InterventionsNoneMain Outcomes and MeasuresTo identify potential healthcare disparities, the patient's home address was cross-referenced with the GeoMarker database to define socioeconomic variables. We analyzed the rate of no-show clinic appointments to identify associations with socioeconomic, racial, or ethnic factors.ResultsOf the 198 patients with 22q11.2DS were included in this study. These patients were scheduled for 2049 visits with the 22q11.2 multidisciplinary clinic (22qMDC) and 8708 additional clinic visits within the institution. The median 22qMDC no-show rate was 0% [interquartile range-IQR: 0, 9.78] and 4.35% [IQR: 0, 15.00] for other clinic appointments. Socioeconomic factors associated with clinic no-show included Hispanic or Latino ethnicity, lower median household income, lower fraction of population with high school diploma, higher fraction of population below the poverty line, and higher fraction of population that required assisted income.ConclusionsThese findings highlight potential influences of socioeconomic factors on no-show clinic appointments in children with 22q11.2DS. These factors can be used to develop targeted interventions aimed at improving clinic attendance and ultimately elevating patient outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251327819"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morphological Changes in Maxillary Arch Post-Cheiloplasty in Cleft Lip and Palate Infants: A Case Series.","authors":"Truong Duc Ky Tran, Lam Hoai Phuong, Ho Nguyen Thanh Chon","doi":"10.1177/10556656251325343","DOIUrl":"https://doi.org/10.1177/10556656251325343","url":null,"abstract":"<p><p>ObjectiveThis study evaluated the effectiveness of cleft lip repair in modifying maxillary arch morphology in infants with complete unilateral cleft lip and palate (cUCLP) over a 6-month period.DesignProspective case series.SettingMy Thien Hospital of Odonto-Stomatology, Ho Chi Minh City, Vietnam.ParticipantsFifteen infants with cUCLP, average age 5.07 months.InterventionAll infants underwent unilateral cleft lip repair using Fisher's technique. Maxillary arch impressions were taken before surgery and 6 months postoperatively and converted into 3D models.Main Outcome MeasuresAnalysis focused on maxillary arch dimensions in anteroposterior and transverse directions, changes in cleft width, curvature of the larger segment, and position of the proximal edge.ResultsAlveolar cleft width (GL) and anterior curvature angle (∠GIC) showed significant reductions (<i>P</i> < .05). Additionally, posterior arch width (TT'), maxillary arch depth (I-TT'), and anterior arch depth (I-CC') showed significant increases (<i>P</i> < .05), while anterior arch width (CC') remained unchanged (<i>P</i> = .87). Measurements demonstrated high reliability with ICC > 0.75 for all parameters.ConclusionUnilateral cleft lip repair in cUCLP infants significantly narrowed the alveolar cleft width and reduced the anterior curvature angle. Increases in posterior arch width and maxillary arch depth were also observed. These morphological changes are crucial for planning future surgical interventions to optimize outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251325343"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior Craniofacial Changes Following Occipital Switch Cranioplasty in Unilateral Lambdoid Craniosynostosis.","authors":"Lucas M Harrison, Kayla Prezelski, Rami R Hallac, Mario S Blondin, Lisa R David, Christopher M Runyan, Alex A Kane","doi":"10.1177/10556656251326351","DOIUrl":"https://doi.org/10.1177/10556656251326351","url":null,"abstract":"<p><p>ObjectiveAnterior craniofacial changes in unilateral lambdoid craniosynostosis include forehead bossing, increased orbital heights, and asymmetry of the midface and mandible, creating a facial twist. The purpose of this study is to comprehensively analyze the post-operative anterior craniofacial changes in patients with unilateral lambdoid craniosynostosis following occipital switch cranioplasty.DesignRetrospective review of three-dimensional images collected pre-operatively and post-operatively around 2 years.SettingTertiary care pediatric institution.ParticipantsEighteen patients with unilateral lambdoid craniosynostosis.InterventionsCranial vault remodeling with occipital switch cranioplasty.Main Outcome MeasuresFrontal, occipital, height, midface, ear, and orbital asymmetry. Nasal and chin deviation.ResultsFrontal and occipital asymmetry significantly improved post-operatively (<i>P</i> = .03; <i>P</i> < .01). Cranial height asymmetry and midface projection asymmetry did not significantly improve (<i>P</i> = .24; <i>P</i> = .59). The nasal deviation was, on average, 3.58 ± 1.69° prior to surgery and significantly improved with a residual deviation of 2.18 ± 1.35° (<i>P</i> = .01). The chin deviation significantly improved post-operatively from an average of 2.21 ± 1.52° to a residual deviation of 1.07 ± 1.12° (<i>P</i> = .04). Ear asymmetry, orbital width, and orbital height asymmetry did not significantly change with surgery.ConclusionsTwo years after occipital switch cranioplasty, patients with unilateral lambdoid craniosynostosis had significant improvements in frontal asymmetry, nasal deviation, and chin deviation. However, nasal and chin deviation remained residually asymmetric. Midface projection contralateral deficiency did not significantly change post-operatively over the study period. The release of the affected suture with occipital switch cranioplasty allowed for remodeling and growth to improve anterior craniofacial symmetry.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251326351"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Nationwide Analysis of the Impact of Craniofacial Syndromes on Mandibular Distraction Osteogenesis Outcomes.","authors":"Raina Kushal Patel, Eloise W Stanton, Melanie Bakovic, Valeria Mejia, Asli Pekcan, Cuauhtemoc Ayala-Chavez, Pasha Shakoori, Mark M Urata, Jeffrey A Hammoudeh","doi":"10.1177/10556656251325125","DOIUrl":"https://doi.org/10.1177/10556656251325125","url":null,"abstract":"<p><strong>Objective: </strong>To investigate how craniofacial syndromes influence surgical outcomes of mandibular distraction osteogenesis (MDO), in order to optimize perioperative care.</p><p><strong>Design: </strong>Retrospective cohort.</p><p><strong>Setting: </strong>Single-center.</p><p><strong>Patients/participants: </strong>The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) database was queried for relevant Current Procedural Terminology (CPT) codes from 2012 to 2022. Patients with craniofacial syndromes were identified using ICD-9 and ICD-10 codes.</p><p><strong>Intervention: </strong>Mandibular distraction osteogenesis.</p><p><strong>Main outcome measures: </strong>30-day perioperative adverse events including reoperation, readmission, and complications such as infection, dehiscence, pneumonia, sepsis, stroke, intracranial hemorrhage, nerve injury, and death.</p><p><strong>Results: </strong>A total of 209 patients were identified, with 77 (36.8%) having a craniofacial syndrome. The average age at MDO was significantly younger for patients with craniofacial syndromes (99 days) versus the nonsyndromic group (389 days). Patients with craniofacial syndromes had a higher likelihood of undergoing reoperation within 30 days postoperatively (<i>P</i> = .003) and experienced a 1.5 times longer average length of stay (LOS) (<i>P</i> = .039). Additionally, these patients were less likely to achieve same-day discharge (<i>P</i> = .033). Although the overall complication rate was slightly higher in patients with craniofacial syndromes, these differences were not statistically significant.</p><p><strong>Conclusions: </strong>This nationwide analysis indicates that while overall complication rates for MDO are similar, those with craniofacial syndromes face greater challenges, including higher reoperation rates, longer LOS, and lower same-day discharge rates, compared to patients without craniofacial syndromes. These results underscore the need for tailored postoperative care strategies to improve outcomes for this unique patient population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251325125"},"PeriodicalIF":1.1,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Future of Cleft Care Financially Sustainable? An Economic Analysis of Inflation-Adjusted Reimbursements.","authors":"Jasmine M Chaij, Jacob B Hammond, Skyler K Palmer, Anna D Lee, Diego A Gomez, Brooke M French, Phuong D Nguyen, David W Mathes, David Y Khechoyan","doi":"10.1177/10556656251322608","DOIUrl":"https://doi.org/10.1177/10556656251322608","url":null,"abstract":"<p><strong>Objective: </strong>As Medicaid continues to expand, it remains unclear if reimbursement rates for cleft care are keeping up with the national economy. The purpose of this study is to determine how financial trends in cleft lip and palate repair reimbursements compare to annual changes in the U.S. economy.</p><p><strong>Design: </strong>Current Procedural Terminology (CPT) codes for cleft lip and palate repair were retrospectively reviewed between 2018 and 2023. Reimbursements were adjusted for inflation to 2023 U.S. dollars using Medicaid physician fee schedules. Annual percentage changes in inflation-adjusted reimbursements, and reimbursement Compounded Annual Growth Rate (CAGR) were compared to the annual change in the U.S. Consumer Price Index (CPI).</p><p><strong>Setting: </strong>Multi-state, Medicaid.</p><p><strong>Participants: </strong>Medicaid reimbursements of 6 U.S. states, 5 with highest birthrates: California, Texas, Florida, New York, and Pennsylvania. Colorado, the study institution, was evaluated.</p><p><strong>Main outcome(s): </strong>Primary outcomes included annual changes in overall and inflation-adjusted reimbursement rates for cleft lip and palate surgical procedures as compared to annual changes in CPI.</p><p><strong>Results: </strong>The U.S. CPI increased by 20.9% from 2018 to 2023, while the overall total percentage change in reimbursement rates for all cleft lip and palate procedures increased by 7.23%. The inflation-adjusted overall percent change in reimbursements for all procedures decreased by -12.81%. For all procedures, the average CAGR was -2.66%.</p><p><strong>Conclusions: </strong>Inflation-adjusted reimbursement rates for cleft lip and palate repair have significantly decreased in contrast to the annual growth in U.S. CPI. These findings show a potential lack of financial sustainability for surgical cleft care, indicating the need for healthcare policy reform.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251322608"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting the Feasibility of Local Tissues in Recurrent Palate Fistula Repair: A New Scoring System.","authors":"Seyda Guray, Uğur Kaan Kalem","doi":"10.1177/10556656251323043","DOIUrl":"https://doi.org/10.1177/10556656251323043","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the impact of structural changes from repeated failed surgeries on outcomes and develop a scoring system to evaluate local palatal tissue usability in recurrent fistula repairs.</p><p><strong>Design: </strong>A retrospective study of 51 patients with prior failed fistula surgeries using a novel scoring system for palatal tissue evaluation.</p><p><strong>Setting: </strong>The study was conducted at a tertiary care center for craniofacial surgery.</p><p><strong>Patients, participants: </strong>51 patients with recurrent palatal fistulas and at least 1prior failed surgery were included. Standardized preoperative photographs were taken.</p><p><strong>Interventions: </strong>Patients underwent palatal fistula repair. Outcomes were assessed 12 months postoperatively, and patients were grouped by success. Two surgeons applied the scoring system to assess scar condition (evaluated by color), rugae presence, remnant flap (RF), and number of failed surgeries (NFSs).</p><p><strong>Main outcome measure(s): </strong>The primary measure was the correlation between scoring system criteria and surgical outcomes, with statistical analysis determining predictive value.</p><p><strong>Results: </strong>All criteria correlated with NFS and recurrence (<i>P</i> < 0.001), but only rugae, RF, and NFS showed strong associations with recurrence. Scar condition evaluated by color had lower correlations with rugae (<i>r</i> = 0.461), RF (<i>r</i> = 0.458), and NFS (<i>r</i> = 0.239). The final scoring system was simplified to 3 variables: rugae, RF, and NFS.</p><p><strong>Conclusions: </strong>The revised scoring system effectively predicts success in recurrent palatal fistula repairs. Scores above 2 indicate a high risk of recurrence, suggesting alternative approaches when using local tissues.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251323043"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Core Outcome Set for the Audit of Cleft Care in Malaysia.","authors":"Al Imran Shahrul, Nik Mukhriz Nik Mustapha, Mas Suryalis Ahmad, O P Kharbanda, Aida Nur Ashikin Abd Rahman","doi":"10.1177/10556656241285808","DOIUrl":"https://doi.org/10.1177/10556656241285808","url":null,"abstract":"<p><strong>Objective: </strong>To develop a core outcome set for the audit of cleft care in Malaysia.</p><p><strong>Design: </strong>To generate a core outcome set for patients dealing with cleft lip and/or palate within Malaysia, a combination of scholarly research reviews and consensus-driven methodologies, such as questionnaires and collaborative discussions, were utilized to guide the development process.</p><p><strong>Setting: </strong>Multicenter study. Feedback obtains via face-to-face and online interaction.</p><p><strong>Participants: </strong>Cleft Clinicians, Cleft Lip and Palate Association of Malaysia members, hospitals, and government bodies personal.</p><p><strong>Main outcome measure: </strong>Participants provide their feedback and suggestions of each outcome measure.</p><p><strong>Results: </strong>Through a deliberative process, agreement was established on a uniform set of outcome measures selected from an initial list of 108 potential outcomes. These agreed-upon measures were classified into 12 primary domains: demographic, cleft detail, pregnancy, general pediatric, otolaryngology/audiology, speech, surgical, orthodontics, pediatric dentistry, radiology, photographs, and study models.</p><p><strong>Conclusion: </strong>A specialized core outcome set has been successfully developed for patients with cleft lip and/or palate, aiming to facilitate its implementation within the Malaysian healthcare system.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241285808"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anthropometric Difference of Unilateral Microtia Reconstructed Auricle.","authors":"Aqilah Mumtazah, Rizka Uswatun Hasanah, Faizal Rezky Dhafin, Imaniar Fitri Aisyah, Rosa Falerina, Muhtarum Yusuf, Indri Lakhsmi Putri","doi":"10.1177/10556656251320757","DOIUrl":"https://doi.org/10.1177/10556656251320757","url":null,"abstract":"<p><p>This study aimed to evaluate the surgical outcomes of auricular reconstruction by comparing the anthropometric differences between the reconstructed and normal auricles.</p><p><p>Cross-sectional study.</p><p><p>All microtia patients who underwent surgery at Airlangga University Hospital, Indonesia.</p><p><p>Patients with unilateral microtia who had completed auricular reconstruction using autologous costal cartilage at Airlangga University Hospital, with a more than 3 months follow-up between 2019 and 2022.</p><p><p>Primary data were obtained through auricle photographs, and a medical engineer performed anthropometric measurements. The data were analyzed using a paired <i>t</i> test.</p><p><p>The primary parameters measured were the ratios of auricle width to lobular width and auricle height to lobular height for each subject's right and left auricles. The differences between the reconstructed auricle and the normal contralateral side were assessed.</p><p><p>In a sample of 20 patients, no significant difference was observed in the ratio of auricle width to lobular width (<i>P</i> > .05). However, a significant difference was found in the ratio of auricle height to lobular height between the reconstructed auricle and the normal contralateral side (<i>P</i> < .05).</p><p><p>Future studies should consider utilizing the ratio of auricle width to lobular width as an objective indicator of success in microtia reconstruction.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251320757"},"PeriodicalIF":1.1,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}