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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Rhinoplasty and nasal function in patients with cleft lips
Jorma Rautio1, Seija Vento, Henrik Malmberg
1Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland. jorma.rautio@huch.fi
Summary
Harvesting septal grafts during cleft rhinoplasty does not improve nasal function. This procedure neither benefits nor harms nasal airflow in patients with unilateral or bilateral cleft lip and palate.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Craniofacial Surgery
Background:
- Cleft lip and palate (CLP) patients often require rhinoplasty to correct external nasal deformities.
- Septal cartilage is frequently harvested as a graft material for these reconstructive procedures.
- The impact of simultaneous septoplasty on nasal function in CLP patients undergoing rhinoplasty is not well understood.
Purpose of the Study:
- To evaluate the effect of harvesting septal grafts and performing a simultaneous septoplasty on nasal function in patients with cleft lip and palate undergoing rhinoplasty.
Main Methods:
- A cohort of 14 patients with unilateral cleft lip and palate (UCLP) and 4 with bilateral cleft lip and palate (BCLP) were studied.
- Nasal airflow resistance was objectively measured using active rhinomanometry before and after the surgical procedure.
- Patient subjective complaints regarding nasal airflow were also recorded.
Main Results:
- Preoperative and postoperative nasal resistance was normal or near-normal in most UCLP and all BCLP patients.
- Five UCLP patients experienced significantly increased nasal resistance on the cleft side post-surgery.
- While three of these five showed some improvement, their nasal resistance remained abnormal.
Conclusions:
- Harvesting septal grafts and performing a simultaneous septoplasty during rhinoplasty in cleft patients does not improve nasal function.
- The procedure does not appear to have a deleterious effect on nasal airflow.
- Patients primarily seek rhinoplasty for aesthetic improvement of the nasal deformity associated with cleft lip and palate.
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