Electromyographic Evaluation of Superior Orbicularis Oris Muscle Activity in Patients With Complete Cleft Lip and Cleft Palate Before and After Vestibuloplasty Using Carbon Dioxide Laser Therapy Co2 laser therapy on Electromyography after vestibuloplasty in cleft lip patients
Journal of Lasers in Medical Sciences,
Vol. 13 (2022),
10 Dey 2022
,
Page e67
Abstract
Introduction: Cleft lip and cleft palate are the most typical congenital craniofacial anomalies. Postsurgical scars in cleft lip patients can cause shallow upper labial sulcus and reduced upper lip length. The aim of the present study was to evaluate the impact of CO2 laser vestibuloplasty on the electromyographical (EMG) activity of patients’ superior orbicularis oris muscle, depth of labial sulcus, and upper lip length, and their satisfaction with the procedure and its results. The CO2 laser is an effective vestibuloplasty procedure, is safe and highly acceptable for patients, and has little effect on muscle contraction.
Methods: A total of 15 cleft lip and cleft palate patients participated in this study. Vestibuloplasty was performed using carbon dioxide laser therapy in one session in such a way that EMG activity in the upper lip muscle, depth of labial sulcus, and upper lip length were measured two times: before (T0) and twenty days after surgery (T1). Patients’ satisfaction surveys were also recorded using a patient questionnaire at T1.
Results: The mean values for vestibular depth at T0 and T1 were 2.00±1.71 and 4.52±1.43, respectively. The mean values for upper lip length at T0 and T1 were 6.90±2.32 and 8.00±2.40, respectively, suggesting a significant change in vestibular depth and upper lip length. The vestibular depth and upper lip length significantly increased at T1. The EMG recording of the upper lip muscle experienced a moderate decrease after laser treatment, both at rest and at maximum lip protrusion. Moreover, patient’s satisfaction with the surgical procedure was 82% positive.
Conclusion: Using the CO2 laser increased the vestibular depth and upper lip length successfully and made small changes in the EMG activity of the superior orbicularis oris.
- Cleft lip; Cleft palate; Electromyography; CO2 laser; Vestibuloplasty
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References
2. Gorlin RJ, Cohen Jr MM, Hennekam RC. Syndromes of the head and neck: Oxford university press; 2001.
3. Rajabian MH, Sherkat M. An epidemiologic study of oral clefts in Iran: analysis of 1669 cases. The Cleft palate-craniofacial journal. 2000;37(2):191-6.
4. Taher AA. Cleft lip and palate in Tehran. The Cleft Palate-Craniofacial Journal. 1992;29(1):15-6.
5. Shaw WC, Semb G, Nelson P, Brattström V, Mølsted K, Prahl-Andersen B, et al. The Eurocleft project 1996–2000: overview. Journal of Cranio-Maxillofacial Surgery. 2001;29(3):131-40.
6. Shaw WC, Brattström V, Mølsted K, Prahl-Andersen B, Roberts CT, Semb G. The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 5: discussion and conclusions. The Cleft palate-craniofacial journal. 2005;42(1):93-8.
7. Lisson JA, Weyrich C. Extent of maxillary deficiency in patients with complete UCLP and BCLP. Head & face medicine. 2014;10(1):1-7.
8. Josip B, Proff P, Bayerlein T, Weingaertner J, Fanghaenel J, Reuther J. Treatment of patients with cleft lip, alveolus and palate–a short outline of history and current interdisciplinary treatment approaches. Journal of Cranio-maxillofacial Surgery. 2006;34:17-21.
9. Kernahan DA, Bauer BS. Functional cleft lip repair: a sequential, layered closure with orbicularis muscle realignment. Plastic and reconstructive surgery. 1983;72(4):459-67.
10. Göz G, Joos U, Schilli W. The influence of lip function on the sagittal and transversal development of the maxilla in cleft patients. Scandinavian Journal of Plastic and Reconstructive Surgery. 1987;21(1):31-4.
11. Aydin Y, Yücel A, Yildirim MA, Güzel MZ. Reconstruction of shallow upper buccal sulcus deformity secondary to cleft lip and palate repair. Journal of Craniofacial Surgery. 2001;12(5):490-4.
12. de Almeida ALPF, Pedro PF, Kogawa EM, Pereira T, de Barros Carrilho GP, Aiello CA, et al. Comparative evaluation of two different vestibuloplasty surgical procedures in cleft patients: a pilot study. SAGE Publications Sage CA: Los Angeles, CA; 2005.
13. Yassaei S, Aghili H, Azam AN, Moghadam MG, Safari I. Effect of carbon dioxide laser on increasing vestibular depth in cleft lip and palate patients. Photomedicine and laser surgery. 2017;35(9):492-7.
14. Hillerup S. Preprosthetic mandibular vestibuloplasty with split-skin graft. A 2-year follow-up study. International journal of oral and maxillofacial surgery. 1987;16(3):270-8.
15. Kovacevska G, Tomov G, Baychev P, Kovacevski A, Andreevska V. Er: YAG laser assisted vestibuloplasty: A case report. J Surg. 2013;1:59-62.
16. Levine R, Vitruk P. The Use of a 10,600-nm CO2 Laser Mandibular Vestibular Extension in a Patient with a Chromosomal Disorder. Compend Contin Educ Dent. 2016;37(9):527-33.
17. Moyers R. Early treatment. Handbook of orthodontics. 1988.
18. WoŸniak K, Piątkowska D, Lipski M, Mehr K. Surface electromyography in orthodontics–a literature review. Medical science monitor: international medical journal of experimental and clinical research. 2013;19:416.
19. Woźniak K, Piątkowska D, Szyszka-Sommerfeld L, Buczkowska-Radlińska J. Impact of functional appliances on muscle activity: a surface electromyography study in children. Medical science monitor: international medical journal of experimental and clinical research. 2015;21:246.
20. Kaplan M, Vitruk P. Soft tissue 10,600 nm CO2 laser orthodontic procedures. Orthodontic Practice US. 2015;6(6):59-64.
21. Zaffe D, Vitale MC, Martignone A, Scarpelli F, Botticelli AR. Morphological, histochemical, and immunocytochemical study of CO2 and Er: YAG laser effect on oral soft tissues. Photomedicine and laser surgery. 2004;22(3):185-9.
22. Lambrecht JT, Stübinger S, Hodel Y. Treatment of intraoral hemangiomas with the CO2 laser. Schweizer Monatsschrift fur Zahnmedizin= Revue Mensuelle Suisse D'odonto-stomatologie= Rivista Mensile Svizzera di Odontologia e Stomatologia. 2004;114(4):348-59.
23. Zeinoun T, Nammour S, Dourov N, Aftimos G, Luomanen M. Myofibroblasts in healing laser excision wounds. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery. 2001;28(1):74-9.
24. Wang X, Ishizaki NT, Matsumoto K. Healing process of skin after CO2 laser ablation at low irradiance: a comparison of continuous-wave and pulsed mode. Photomedicine and Laser Therapy. 2005;23(1):20-6.
25. Grbavac RAO, Veeck EB, Bernard J-P, Ramalho LMP, Pinheiro ALB. Effects of laser therapy in CO2 laser wounds in rats. Photomedicine and Laser Therapy. 2006;24(3):389-96.
26. de Freitas AC, Pinheiro ALB, Gerardt de Oliveira M, Pedreira Ramalho LM. Assessment of the behavior of myofibroblasts on scalpel and CO2 laser wounds: an immunohistochemical study in rats. Journal of clinical laser medicine & surgery. 2002;20(4):221-5.
27. Fisher SE, Frame J, Browne R, Tranter R. A comparative histological study of wound healing following CO2 laser and conventional surgical excision of canine buccal mucosa. Archives of oral Biology. 1983;28(4):287-91.
28. Desmoulière A, Darby IA, Gabbiani G. Normal and pathologic soft tissue remodeling: role of the myofibroblast, with special emphasis on liver and kidney fibrosis. Laboratory investigation. 2003;83(12):1689-707.
29. Szyszka-Sommerfeld L, Woźniak K, Matthews-Brzozowska T, Kawala B, Mikulewicz M. Electromyographic analysis of superior orbicularis oris muscle function in children surgically treated for unilateral complete cleft lip and palate. Journal of Cranio-Maxillofacial Surgery. 2017;45(9):1547-51.
30. Ravera MJ, Miralles R, Santander H, Valenzuela S, Villanueva P, Zúñiga C. Comparative study between children with and without cleft lip and cleft palate, part 2: electromyographic analysis. The Cleft palate-craniofacial journal. 2000;37(3):286-91.
31. Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. Journal of periodontology. 2006;77(11):1815-9.
32. Hanna R, Amaroli A, Signore A, Benedicenti S. Utilization of Carbon Dioxide Laser Therapy in the Management of Denture-Induced Hyperplasia and Vestibuloplasty in a Medically Compromised Patient: A Case Report. International Journal of Prosthodontics. 2019;32(2).
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