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Published on: June 20, 2018
Retrospective study on primary rhinoplasty for unilateral complete cleft lip nasal deformity
Sisi Bi1,2,3, Zhanping Ren1,2,3, Jinfeng Li1,2,3
1Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China.
Insights
Primary rhinoplasty significantly improves nasal symmetry in infants with unilateral complete cleft lip nasal deformity. The positive results are maintained one year post-surgery, offering a satisfactory aesthetic outcome.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Unilateral complete cleft lip nasal deformity presents significant aesthetic and functional challenges.
- Primary rhinoplasty aims to correct these deformities during the initial surgical repair.
Purpose of the Study:
- To evaluate the effectiveness of primary rhinoplasty in improving nasal morphology in infants with unilateral complete cleft lip nasal deformity.
Main Methods:
- A retrospective study analyzing infants who underwent cheiloplasty and primary rhinoplasty.
- Nasal morphology was assessed before surgery, 1 week post-surgery, and 1 year post-surgery.
- Key symmetry ratios including nasal base width, nostril height, alar angle, and columella deviation were measured.
Main Results:
- Significant improvements in nasal symmetry ratios (nasal base width, nostril height, alar angle, columella deviation) were observed post-operation (P<0.05).
- Symmetry ratios for nostril height and columella deviation showed significant differences between 1 week and 1 year post-surgery (P<0.05).
Conclusions:
- Primary rhinoplasty is an effective procedure for achieving satisfactory nasal morphology in infants with unilateral complete cleft lip nasal deformity.
- While minor recurrences can occur, the nasal form is generally well-improved and maintained long-term.
Objectives:
A retrospective study was conducted on the effect of primary rhinoplasty on infants with unilateral complete cleft lip nasal deformity.
Methods:
Infants with unilateral complete cleft lip in the Department of Cleft Lip and Palate Surgery, College of Stomatology, Xi'an Jiaotong University were selected. All infants underwent cheiloplasty and primary rhinoplasty. We reconstructed the nasal base and corrected the nasal septum and alar deformity at the same time. The nasal splint was worn 1 week after the surgery. The nasal morphology before surgery as well as 1 week and 1 year after surgery were analyzed.
Results:
Significant differences were found on symmetry ratios including nasal base width, nostril height, alar angle and columella deviation angle between before and after operation (P<0.05). There were statistically significant differences in the symmetry ratio of nostril height and columella deviation angle between 1 year after surgery and 1 week after surgery (P<0.05).
Conclusions:
Infants with unilateral complete cleft lip nasal deformity can achieve satisfactory nasal morphology by primary rhinoplasty. Despite few cases of recurrence of nasal deformity, the nasal morphology can be well improved and maintained.
