Liliana Szyszka-Sommerfeld1, Krzysztof Woźniak2, Teresa Matthews-Brzozowska3, Beata Kawala4, Marcin Mikulewicz5. 1. Department of Orthodontics (Head: Prof: Krzysztof Woźniak), Pomeranian Medical University, Al. Powst. Wlkp. 72, 70-111 Szczecin, Poland. Electronic address: liliana.szyszka@gmail.com. 2. Department of Orthodontics (Head: Prof: Krzysztof Woźniak), Pomeranian Medical University, Al. Powst. Wlkp. 72, 70-111 Szczecin, Poland. Electronic address: krzysztof.wozniak@pum.edu.pl. 3. Department and Clinic of Maxillofacial Orthopaedics and Orthodontics (Head: Prof: Teresa Matthews-Brzozowska), Poznan University of Medical Sciences, 70 Bukowska Street, 60-812 Poznań, Poland. Electronic address: tmatbrzo@gmail.com. 4. Department of Maxillofacial Orthopaedics and Orthodontics (Head: Prof: Beata Kawala), Wroclaw Medical University, 26 Krakowska Street, 50-425 Wrocław, Poland. Electronic address: ortodoncja@umed.wroc.pl. 5. Department of Maxillofacial Orthopaedics and Orthodontics, Division of Facial Abnormalities (Head of Division: Associate Prof: Marcin Mikulewicz), Wroclaw Medical University, 26 Krakowska Street, 50-425 Wrocław, Poland. Electronic address: mikulewicz.marcin@gmail.com.
Abstract
PURPOSE: The aim of this study was to assess the electrical activity of the superior orbicularis oris muscle in children surgically treated for unilateral complete cleft lip and palate (UCCLP). MATERIAL AND METHODS: The sample comprised 45 patients 6.38-12.68 years of age with UCCLP and 40 subjects 6.61-11.71 years of age with no clefts. Electromyographical (EMG) recordings were taken with a DAB-Bluetooth Instrument (Zebris Medical GmbH, Germany) in the rest position and during saliva swallowing, lip protrusion and reciprocal compression of the lips, as well as while producing the phonemes /p/, /b/, and /m/ combined with the vowel /a/. RESULTS: The electrical activity of the upper lip during saliva swallowing and lip compression was significantly greater in the cleft group. Similar resting level activity was observed in both groups. During the production of the /p/, /b/, and /m/ phonemes combined with the vowel /a/ the results showed no significant differences in the EMG activity between children with UCCLP and noncleft subjects. CONCLUSION: Patients with UCCLP have abnormal upper lip function characterized by increased activity of the superior orbicularis oris muscle during saliva swallowing and lip compression, and this may affect facial morphology.
PURPOSE: The aim of this study was to assess the electrical activity of the superior orbicularis oris muscle in children surgically treated for unilateral complete cleft lip and palate (UCCLP). MATERIAL AND METHODS: The sample comprised 45 patients 6.38-12.68 years of age with UCCLP and 40 subjects 6.61-11.71 years of age with no clefts. Electromyographical (EMG) recordings were taken with a DAB-Bluetooth Instrument (Zebris Medical GmbH, Germany) in the rest position and during saliva swallowing, lip protrusion and reciprocal compression of the lips, as well as while producing the phonemes /p/, /b/, and /m/ combined with the vowel /a/. RESULTS: The electrical activity of the upper lip during saliva swallowing and lip compression was significantly greater in the cleft group. Similar resting level activity was observed in both groups. During the production of the /p/, /b/, and /m/ phonemes combined with the vowel /a/ the results showed no significant differences in the EMG activity between children with UCCLP and noncleft subjects. CONCLUSION:Patients with UCCLP have abnormal upper lip function characterized by increased activity of the superior orbicularis oris muscle during saliva swallowing and lip compression, and this may affect facial morphology.