Postoperative lip and nose forms following primary bilateral cleft lip repair selecting one/two stage surgery in comparison to those of healthy children

Abstract

a b s t r a c tPurpose: To analyze the short-term outcomes for the lip and nasal forms after primary treatment following our surgical strategy for bilateral cleft lip with/without palate (BCL ± P) repair selecting one-or two-stage surgery at Kagoshima University Hospital. Patients and methods: Twenty-one patients with BCL ± P were treated and followed up over 1 year (1-6 years). Patients underwent primary lip repair by one-or two-stage surgery depending on the prolabium height, medial-upward advancement of nasolabial components, and vestibular expansion using two cleft margin flaps. The postoperative lip and nasal forms were longitudinally measured using serial color photographs and were compared to those of 18 age-and sex-matched healthy Japanese children. Results: Postoperative lip form showed the upper lip height and vermilion mucosal height were significantly increased compared with the preoperative values. The vermilion/cutaneous lip height ratio was improved to the same level as that of controls at 3 years of age. Symmetry of lip and nasal forms was successfully achieved postoperatively, but the nasal height was still smaller than that of controls. Conclusions: Our surgical management strategy for BCL ± P will provide well-balanced and symmetrical lip and nasal forms, except for the nasal height, without damaging an infant's prolabium.

Quantitative Measurement Of Bilateral Cheilorrhaphy: A Retrospective Study

“…The photos taken were before surgery, one-year post surgery, and at 3 years old for lip and nose shape analysis, then compared with healthy Japanese children according to age and gender. Prior to measuring the shape of the lips and nose, all pictures were standardized with a personal computer (PC) so that the distance between the two bilateral medial eye angles was 100.0 mm, using 3D Rugle V software (Medic Engineering Co., Kyoto, Japan) 10 .…”

“…However, the results of one-year post surgery needed further observation. According to Matsumoto et al (2013), surgeons should take into account changes that might happen during the growth and development of the patient after the surgery. It would take a long time to prove whether the level of symmetries produced during the postoperative year is the same as that of the adolescent age 10 .…”

“…According to Matsumoto et al (2013), surgeons should take into account changes that might happen during the growth and development of the patient after the surgery. It would take a long time to prove whether the level of symmetries produced during the postoperative year is the same as that of the adolescent age 10 . In a journal written by Thomas et al, (2012), it was mentioned that Farkas et al found that at one year old, the width of nose and the height of the upper lip reached about 80 percent of its each potential growth, with nasal tip protrusion only reaching 50 percent of its maximum growth.…”

Evaluation of Nostril Symmetry Post-Cronin Labioplasty and Tajima Rhinoplasty in Unilateral Cleft Lip and Palate Cases

“…With this technique, the cartilage can be opened and the chondromycocutaneous flap lifted from the cleft side of the nostril [1]. Then, the alar cartilage is sewn onto the contralateral side and the lateral cartilage from both sides so that the reverse-U flap is medially rotated [5]. Anthropometry can also be used to measure the height, quarter-medial height, and width of the nostril.…”