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Preschool Age Anthropometric Evaluation of the Nose After Bilateral Complete Cleft Lip Repair

Kengkart Winaikosol1, Jirapat Patthanapalakornskul2, Kamonwan Jenwitheesuk1

  • 1Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen.

The Journal of Craniofacial Surgery
|July 14, 2019
PubMed

Insights

Surgery for bilateral cleft lip in children achieved good nasal tip height, columella height, and dome height. However, nasal width and cleft lip angle require further surgical refinement for optimal aesthetic outcomes.

Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Bilateral complete cleft lip presents significant aesthetic challenges, particularly affecting nasal symmetry and appearance.
  • Preschool-aged children with bilateral cleft lip require surgical interventions to address these aesthetic concerns.

Purpose of the Study:

  • To quantitatively assess the aesthetic outcomes of primary cheiloplasty in preschool-aged children with bilateral complete cleft lip.
  • To compare key nasal aesthetic parameters between operated cleft lip patients and a control group of healthy children.

Main Methods:

  • Three-dimensional (3D) photographs were used to analyze nasal aesthetic parameters in 26 preschool-aged patients with bilateral complete cleft lip and 30 controls.
  • Key parameters evaluated included nasal tip height (NTH), columella height (CH), dome height (DH), nasal width (NW), and cleft lip angle (CLA).

Main Results:

  • Patients with bilateral cleft lip showed comparable NTH, CH, and DH to controls.
  • Significantly greater NW (P < 0.001) and altered CLA (P < 0.001) were observed in the cleft group.
  • The ratio of NTH to NW also differed significantly between groups (P < 0.001).

Conclusions:

  • The surgical protocol effectively addressed NTH, CH, DH, and certain width/height ratios in bilateral cleft lip repair.
  • Further surgical optimization is recommended for nasal width and cleft lip angle to achieve more complete aesthetic symmetry.
Abstract

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