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Cartilaginous septum deviation in children with cleft lip, alveolus and palate--an MRI analysis

Thomas Bayerlein1, Peter Proff, Thomas Koppe

  • 1Department of Orthodontics, Preventive and Pediatric Dentistry, Ernst Moritz Arndt University, Greifswald, Germany. kieferorthopaedie@uni-greifswald.de

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|October 31, 2006
PubMed

Insights

Nasal septum deviation in infants with cleft lip and palate is linked to cleft size. Deviation occurs only in unilateral cases, worsening as the cleft grows, impacting facial development.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Radiology
  • Medical Imaging

Background:

  • Cleft lip, alveolus, and palate (CLAP) are common congenital conditions.
  • Nasal septum deviation is a frequent complication in CLAP patients.
  • Understanding the relationship between cleft size and septal deviation is crucial for surgical planning.

Purpose of the Study:

  • To assess the correlation between cleft size and the degree of cartilaginous nasal septum deviation in infants with CLAP.
  • To determine if septal deviation differs between unilateral and bilateral clefts.

Main Methods:

  • MRI examinations were performed on six neonates (5-20 days old) with CLAP using a 1.0 Tesla scanner.
  • Maximal cleft size (mm) and nasal septum deviation angle (degrees) were quantified.
  • Correlation analysis was performed between cleft size and septal deviation.

Main Results:

  • No nasal septum deviation was observed in two infants with bilateral clefts.
  • Three infants with unilateral left-sided clefts showed rightward deviation.
  • One infant with a unilateral right-sided cleft exhibited leftward deviation; deviation increased with cleft size in all unilateral cases.

Conclusions:

  • Cartilaginous nasal septum deviation is present in unilateral CLAP cases.
  • The degree of deviation is more pronounced with larger cleft sizes.
  • Findings suggest a direct relationship between unilateral cleft severity and septal malalignment.
Abstract

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