Assessment of nostril symmetry after primary cleft rhinoplasty in patients with complete unilateral cleft lip and palate

Reddy, Srinivas Gosla; Devarakonda, Visalakshi; Reddy, Rajgopal R.

doi:10.1016/j.jcms.2012.07.001

Cited by 18 publications

(7 citation statements)

References 33 publications

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“…30 All anatomical landmarks, reference lines, and measurements were standardized based on previous nasal photogrammetric studies. 21,31,32 [ See Figure, Supplemental Digital Content 1 , which shows photogrammetric nose parameters on the cleft and noncleft sides. ( Left ) Nostril height ( NH ) (the maximum vertical distance of a nostril aperture) and nostril width ( NW ) (the widest horizontal distance of a nostril aperture).…”

Section: Methodsmentioning

confidence: 99%

“…A ratio of 1 indicated perfect symmetry, whereas any deviation from a ratio of 1 denoted nasal asymmetry. 21,29,32 All nasal measurements were performed by a single investigator who was blinded for group allocation. Ten percent of images were randomly selected for reliability test, and all measurements were made in duplicate for these images.…”

Section: Methodsmentioning

confidence: 99%

“…30 All anatomical landmarks, reference lines, and measurements were standardized based on previous nasal photogrammetric studies. 21,31,32 These photogrammetric parameters were calculated on both the cleft and noncleft sides, and the data were presented as a ratio. For patients with cleft, the ratio was calculated by dividing the values obtained on the cleft side by the noncleft side, and for healthy patients, by dividing the values obtained on the left side by the right side.…”

Section: Outcome Assessmentmentioning

confidence: 99%

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Long-term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip Nose Deformity: Avoiding Intermediate Rhinoplastyrinisha

Murali

Denadai

Sato

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: No consensus exists regarding the timing or technique of rhinoplasty for correction of the unilateral cleft lip nose deformity, with few studies examining the long-term effects of a single technique. This study appraised the long-term outcomes of primary rhinoplasty using the Tajima technique for overcorrection in a cohort of patients with unilateral cleft lip nose deformity after attaining skeletal maturity. Methods: Consecutive nonsyndromic patients with unilateral cleft lip nose deformity (n = 103) who underwent primary rhinoplasty with overcorrection by a single surgeon between 2000 and 2005 were reviewed. Patients with unilateral cleft lip and nasal deformity who underwent primary rhinoplasty (but with no overcorrection) (n = 30) and noncleft individuals (n = 27) were recruited for comparison. Outcomes were assessed through FACE-Q scales evaluating satisfaction with appearance of nose and nostrils (two scales) and computer-based objective photogrammetric analysis of nasal symmetry (nostril height, nostril width, nostril area, alar height, and alar width parameters). Results: Significant differences (all P < 0.001) were observed between the Tajima and non-Tajima groups for all but one photogrammetric nasal parameter (nostril area), with the Tajima group demonstrating closer mean values to the noncleft group. The Tajima and noncleft groups demonstrated no significant difference (all P > 0.05) for scores of FACE-Q nose and nostrils scales. Conclusion: This study indicated that the patients who underwent primary rhinoplasty with overcorrection had improved results with no necessity for intermediate rhinoplasty, emphasizing that the procedure is an effective approach to correct the unilateral cleft nose deformity. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Outcome Assessmentmentioning

confidence: 99%

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Long-term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip Nose Deformity: Avoiding Intermediate Rhinoplastyrinisha

Murali

Denadai

Sato

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…It is central to many aspects of social interaction and the visual perception of the face is influenced by a complex combination of various factors such as appearance, expression, and symmetry. Earlier reports [2, 3] have shown that there is a proportional relationship between symmetry and attractiveness, and symmetrical faces are generally perceived as more attractive. …”

Section: Introductionmentioning

confidence: 99%

“…The shape of the nostril is a signature indicating the ethnicity, race, age, and sex [9]. Given its importance and ability to change the appearance of the face, asymmetry of the nostrils will affect overall facial appearance [2, 10]. It is, however, also well recognized that disfigurements of the philtral columns and nostrils from congenital and acquired deformities causes significant emotional distress.…”

Section: Introductionmentioning

confidence: 99%

Philtral Columns and Nostril Shapes in Nigerian Children: A Morphometric and Aesthetic Analysis

Ibrahim

Eneye

2013

Plastic Surgery International

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Background. The upper lip-nose complex contributes significantly to the concept of symmetry and proportion of the face. A study of the morphology and aesthetic preferences of the lip-nose complex will provide a database that will serve as a guide for reconstruction. Subjects and Methods. Hundred Nigerian children participated in this study. Demographic data and standard photographs of the philtral column and nostrils were obtained. Sixty volunteers were recruited to evaluate the photographs. Each volunteer was asked to rank the photographs based on their aesthetic preference. Results. The morphology of the philtral columns was classified into four groups: (1) triangular, (2) concave, (3) flat, and (4) parallel. The nostril shape was also classified into four groups: (1) triangular, (2) round, (3) teardrop, and (4) rectangular. In both genders, the triangular shape of philtral column was the most common. There are significant age differences in the aesthetic rankings of philtral columns and nostril shapes. Conclusion. Our study establishes the basal values for the morphometric and aesthetic parameters of the lip-nose complex of 5- and 6-year-old children in Nigeria. We hope our results and reconstructive surgery will intersect at a point to treat disfigurements of the philtrum and nostrils successfully.

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Current State of the Art in Unilateral Cleft Lip Repair with Primary Nasal Overcorrection: Lo’s Modified Noordhoff’s Procedure

Denadai¹,

2022

Current Concept in Cleft Surgery

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Assessment of nostril symmetry after primary cleft rhinoplasty in patients with complete unilateral cleft lip and palate

Cited by 18 publications

References 33 publications

Long-term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip Nose Deformity: Avoiding Intermediate Rhinoplastyrinisha

Long-term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip Nose Deformity: Avoiding Intermediate Rhinoplastyrinisha

Philtral Columns and Nostril Shapes in Nigerian Children: A Morphometric and Aesthetic Analysis

Current State of the Art in Unilateral Cleft Lip Repair with Primary Nasal Overcorrection: Lo’s Modified Noordhoff’s Procedure

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