Nostril Morphometry Evaluation before and after Cleft Lip Surgical Correction: Clinical Evidence

Feijo, Mario Jorge Frassy; Brandão, Stella Ramos; Pereira, Rui; Santos, Mariana Batista de Souza; Silva, Hilton Justino da

doi:10.1055/s-0033-1352506

Cited by 10 publications

(6 citation statements)

References 29 publications

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“…Most of the instruments used to assess nasal outcomes are subjective and use categorical variables, with outcomes ranging from mild to severe. 12 We did not observe differences in aesthetic outcomes between the 2 studied groups; therefore, we conclude that the use of postoperative nasal conformers does not provide superior aesthetic outcomes when used in combination with primary rhinoplasty. This finding is consistent with those of other authors.…”

Section: Discussionmentioning

confidence: 52%

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Postoperative Nasal Conformers in Cleft Rhinoplasty: Are They Efficacious?

Rossell-Perry

Romero-Narvaez

Gavino-Gutierrez

et al. 2023

Journal of Craniofacial Surgery

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Background: Lip and nose symmetry the goal of repair of unilateral cleft lip and different preoperative and postoperative treatments have been developed with this purpose. The objective of this study was to compare 2 techniques used for primary cleft lip nose repair. Materials and Methods: This is an retrospective study between 2 groups of patients with unilateral cleft lip and palate who underwent primary nasolabial repair either with or without postoperative nasal conformers. Data collection was accomplished by evaluation of nasal symmetry through anthropometric measurements under general anesthesia during primary cleft palate repair. Results: Our comparative study did not find a statistically significant difference regarding percentile indexes of nasal asymmetry between the 2 groups. Major revision requirement ( > 3 mm of asymmetry in any of the nose measurements) was observed in 3.84% of nasal conformer group and 4.65% of the group without nasal conformers. Conclusions:The results obtained from this study provides showed that placement of postoperative nasal conformers did not improve nasal symmetry in patients with unilateral cleft lip and palate. Based on these findings and available scientific evidence, definitive conclusions about the effectiveness of these devices on nasal symmetry after unilateral cleft lip nose repair cannot be drawn.

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Section: Discussionmentioning

confidence: 52%

“…Patient outcomes are difficult to compare between studies because of the differences in nasal outcome measurements. Most of the instruments used to assess nasal outcomes are subjective and use categorical variables, with outcomes ranging from mild to severe 12 …”

Section: Discussionmentioning

confidence: 99%

Postoperative Nasal Conformers in Cleft Rhinoplasty: Are They Efficacious?

Rossell-Perry

Romero-Narvaez

Gavino-Gutierrez

et al. 2023

Journal of Craniofacial Surgery

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“…Three years after operation, the alar bases on the cleft side and the non-cleft side remained basically symmetrical, both drifting laterally and posteriorly but maintaining the vertical position ( 21 ). Even so, the nostril width (sbal–sbal’) on both sides was significantly lower than that preoperatively ( 31 ) ( Table 1 ). In the following age of 8–10 years, the width between the alare (al–al’), the width between the subalare (sbal–sbal’), and the ratio of the width of the subalare to the labial width (Sbal–Sbal’/Cphi–Ch) were significantly higher than those in the non-cleft population ( 20 , 24 ).…”

Section: Nosementioning

confidence: 80%

“…Nostril height and nostril width were the most common parameters used to evaluate the changes in nostril morphology. The asymmetry of the nose improved immediately postoperatively, and there was a reduction of the total nostril width postoperatively compared with the preoperative period ( 31 ). The nostril height ratio significantly increased 4 years after McComb primary rhinoplasty (0.89 vs. 0.58), while there was no significant increase in nostril width ( 34 ).…”

Section: Nosementioning

confidence: 99%

Growth patterns of the nasolabial region following unilateral cleft lip primary repair

Zeng

et al. 2023

Front. Pediatr.

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Surgical correction is the optimal way of repairing a congenital cleft lip. Patients with this condition often undergo initial surgical treatment at an early age and achieve an acceptable outcome. However, their levels of satisfaction will decrease in later stages of life as facial growth and development will inevitably cause changes in long-term outcomes, especially in the nasolabial region. Therefore, it is important for surgeons to understand nasolabial development after primary treatment and tailor their surgical techniques appropriately. This review focuses on the growth patterns of the nasolabial region after primary repair, so as to provide references for operative strategy.

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“…Secondary facial deformities after CLP include nasal and labial deformities. Although clefts and deformities are revised in the first stage of surgery, differences in growth rates still exist in bilateral tissues during the growth period ( 5 , 6 ). The existence of scars and the asymmetry of the lip and nose can distress patients when interacting with other people ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study

Wei

Wan

et al. 2023

Front. Pediatr.

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BackgroundCleft lip and/or palate (CLP) can lead to severe nasolabial deformities that significantly affect the appearance of the patient. Among all types of nasolabial deformities, narrow nostril deformities are the most troublesome, causing poor and unstable surgical outcomes. The purpose of this study was to develop an algorithm for surgical method selection for revision of narrow nostril deformities secondary to CLP based on retrospective clinical data.Materials and methodsPatients with narrow nostril deformities secondary to CLP were enrolled in the study. Before surgery, patients' clinical data were collected and the width of the nasal floor and the length of the alar rim were measured. Surgical methods were determined according to the measurements. After surgery, a nostril retainer was applied for 6 months to consolidate and maintain the nostril shape. The surgical method and postsurgical changes were recorded for the final summary of the algorithm to select surgical methods for narrow nostril deformities.ResultsThe data from 9 patients were analyzed. According to the width of the nasal floor and the length of the alar rim, correct surgical methods were determined. Four patients received nasolabial skin flaps to widen the soft tissue of the nasal floor. Three patients received upper lip scar tissue flaps to treat the narrow nasal floor. For the short alar rim, free alar composite tissue flap or narrowing of the nostril of the noncleft side was recommended.ConclusionThe width of the nasal floor and the length of the alar rim are critical elements to consider when selecting the correct surgical method for revising narrow nostril deformities secondary to CLP. The proposed algorithm provides a reference for selecting surgical methods in future clinical practice.

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Nostril Morphometry Evaluation before and after Cleft Lip Surgical Correction: Clinical Evidence

Cited by 10 publications

References 29 publications

Postoperative Nasal Conformers in Cleft Rhinoplasty: Are They Efficacious?

Postoperative Nasal Conformers in Cleft Rhinoplasty: Are They Efficacious?

Growth patterns of the nasolabial region following unilateral cleft lip primary repair

Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study

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