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Objective: To quantitatively assess three-dimensional (3D) soft tissue facial asymmetry in patients with unilateral cleft lip and palate (UCLP) who have undergone primary lip repair. Design: Clinical, retrospective, comparative, methodological study. Patients/Participants: Twenty patients with UCLP were selected after a review of the records. Inclusion Criteria: Complete UCLP; surgically treated without secondary repair. An age-matched and sex-matched Control group was employed. Main Outcome Measures: A 3D facial symmetry plane (FSP) was obtained by superimposing the point clouds of the original 3D facial image excluding the surgical site and including lip and nose areas and those of a mirrored facial image using the iterative closest point (ICP) adjustment method. The discrepancies in the depth and angle of the normal vector of the facial surface of each point cloud between right and left sides (cleft and non-cleft sides in the UCLP group, respectively) based on FSP were calculated. Results: Facial asymmetry in the UCLP group was significantly greater than in the Control group regarding both the discrepancies in the depth (1.34 ± 0.62, 0.73 ± 0.32 pixels, respectively) (P =.0004) and surface angle (18.0 ± 5.88, 12.8 ± 4.0°, respectively) (P =.0024). Biaxial assessment of the discrepancies in the depth and surface angle allowed us to visually extract UCLP patients with greater facial asymmetry. Conclusions: Facial asymmetry analysis based on 3D FSP effectively facilitates the facial asymmetry quantification and soft tissue surgical outcome evaluation in patients with UCLP. [ABSTRACT FROM AUTHOR]

Aim: Although ameloblastoma is a benign tumor, its local invasiveness and recurrence rate are both high. Thus, the regulation of the invasiveness of ameloblastoma cells into the surrounding tissue is required to understand its pathogenesis. Ameloblastoma cells secrete several matrix metalloproteinases (MMPs); however, the factors inducing their secretion remain unclear. We previously suggested that interleukin (IL)‐1α derived from ameloblastoma cells triggers the production of inflammatory cytokines by stromal fibroblasts. In this study, we estimated whether IL‐1α affects the behavior of ameloblastoma cells. Methods: The gene expression of MMP‐9 was assessed by real‐time reverse transcription–polymerase chain reaction (RT‐PCR). The secretion of MMP‐9 was assessed by enzyme‐linked immunosorbent assay (ELISA). The motility of AM‐3 ameloblastoma and Raw264.7 （macrophage derived cells） cells and the invasiveness of AM‐3 cells were calculated using the Boyden chamber. The invasiveness of AM‐3 cells toward human foreskin fibroblast (HFF)‐2 fibroblasts were assessed using modified double‐layered collagen gel hemisphere (DL‐CGH). Results: The mRNA expression and secretion of MMP‐9 by AM‐3 ameloblastoma cells were significantly increased by IL‐1α stimulation. The motilities of AM‐3 and RAW264.7 macrophage derived cells and the invasiveness of AM‐3 cells were significantly enhanced by IL‐1α and suppressed by an IL‐1 receptor antagonist (IL‐1Ra). The invasiveness of AM‐3 cells towards HFF‐2 fibroblasts in a DL‐CGH model was suppressed by a treatment with IL‐1Ra or an anti‐IL‐1α neutralizing antibody. Conclusion: IL‐1α itself or the IL‐1α‐dependent production of unidentified chemo attractants by stromal cells may be important for the local invasiveness of ameloblastoma cells, and IL‐1α might be a therapeutic target of the ameloblastoma. [ABSTRACT FROM AUTHOR]

Objective: To quantitatively assess three-dimensional (3D) soft tissue facial asymmetry in patients with unilateral cleft lip and palate (UCLP) who have undergone primary lip repair., Design: Clinical, retrospective, comparative, methodological study., Patients/participants: Twenty patients with UCLP were selected after a review of the records., Inclusion Criteria: Complete UCLP; surgically treated without secondary repair. An age-matched and sex-matched Control group was employed., Main Outcome Measures: A 3D facial symmetry plane (FSP) was obtained by superimposing the point clouds of the original 3D facial image excluding the surgical site and including lip and nose areas and those of a mirrored facial image using the iterative closest point (ICP) adjustment method. The discrepancies in the depth and angle of the normal vector of the facial surface of each point cloud between right and left sides (cleft and non-cleft sides in the UCLP group, respectively) based on FSP were calculated., Results: Facial asymmetry in the UCLP group was significantly greater than in the Control group regarding both the discrepancies in the depth (1.34 ± 0.62, 0.73 ± 0.32 pixels, respectively) ( P  = .0004) and surface angle (18.0 ± 5.88, 12.8 ± 4.0°, respectively) ( P  = .0024). Biaxial assessment of the discrepancies in the depth and surface angle allowed us to visually extract UCLP patients with greater facial asymmetry., Conclusions: Facial asymmetry analysis based on 3D FSP effectively facilitates the facial asymmetry quantification and soft tissue surgical outcome evaluation in patients with UCLP., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.