Morphological analysis of the lip and nose following cleft lip repair with simultaneous partial primary rhinoplasty: A prospective study over 4 years. Issue 5 (June 2015)

• Record Type: Journal Article
• Authors: Kluba, Susanne; Bopp, Christoph; Bacher, Margit; Reinert, Siegmar; Krimmel, Michael
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 43:Issue 5(2015:Jul.)
• Page Start: 599
• Page End: 605
• Publication Date: 2015-06
• Subjects: Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2015.02.019
• Languages: English
• ISSNs: 1010-5182

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Introduction</title> <p id="abspara0010">Facial clefts involve complex abnormalities. The therapy is elaborate, and a critical evaluation of therapeutic outcome is required. Our study analyzed the lip and nose deformities associated with unilateral clefts in a prospective longitudinal study.</p> </sec> <sec> <title id="sectitle0020">Material and methods</title> <p id="abspara0015">A total of 33 patients with a cleft lip or cleft lip and alveolus (UCL) and 46 with a cleft lip and palate (UCLP) were treated using a similar concept. Standardized photographs were taken preoperatively (age 0.4–0.52 years) and again aged 4.04–4.59 years. Anthropometric analyses were performed and compared with age-matched normal values.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">Nostril width (UCL = 1.01, UCLP = 1.03) and nostril floor width (UCL = 1.02, UCLP = 1.04) were almost symmetric. Nasal tip angles were normalized by surgery. Upper labial height improved, but remained slightly reduced (−4% to −6%). Upper vermillion length was increased (15–17%), and vermillion width was reduced (−12% to −13%) postoperatively. A significantly flatter nostril axis inclination persisted, especially on the affected side (UCL: 37.5°; UCLP: 38.5°), when compared with normal values (53.8°).</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Most cleft irregularities were almost eliminated by therapy; however, the outcome is still not satisfactory for some parameters. The rehabilitation of patients with clefts remains a considerable surgical challenge. Facial anthropometric assessment must play an important role in order to detect and overcome therapeutic shortcomings.</p> </sec> </abstract>