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A New Device for Nasal Morphology Correction in Patients With Incomplete Cleft Lip
Shinji Kobayashi1, Madoka Sugiyama
1Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center, Kanagawa, Japan.
Insights
A new nasal correction device effectively improves nasal morphology in infants with incomplete cleft lip. Early application of this simple device can enhance outcomes before surgery.
Area of Science:
- Craniofacial surgery
- Pediatric plastic surgery
- Medical device innovation
Background:
- Infants with incomplete cleft lip often have nasal deformities requiring correction.
- Nasal morphology in these infants can impact surgical outcomes and aesthetics.
Purpose of the Study:
- To introduce and evaluate a novel nasal correction device for infants with incomplete cleft lip.
- To assess the device's efficacy in improving nasal morphology prior to surgical intervention.
Main Methods:
- A case series involving two infants with incomplete cleft lip and alveolar cleft.
- A custom-fitted titanium and stainless steel device applied to lift the drooping nostril margin.
- Nasal morphology was assessed using a noncontact scanner and five key measurements.
Main Results:
- The device demonstrated no adverse effects such as skin or mucosal erosions.
- Significant improvement in nostril height was observed, with the affected side matching the unaffected side.
- The device successfully corrected nasal morphology in the treated infants.
Conclusions:
- The new nasal correction device is effective for improving nasal morphology in infants with incomplete cleft lip.
- The device's simple design allows for easy handling by nonmedical personnel, with early application recommended.
- Potential applications include maintaining postsurgical nostrils and cosmetic medicine, warranting long-term outcome monitoring.
Purpose:
This study aims to introduce and evaluate a new nasal correction device designed to improve nasal morphology in infants with incomplete cleft lip before surgery.
Methods:
This case series included 2 patients with incomplete cleft lip and alveolar cleft (1 boy and 1 girl), aged 45 and 50 days at the time of device application. The device consists of a titanium body with a stainless steel spring exerting a force of ~2.3 N. The device was customized with resin to fit the nasal mucosa and was used to lift the drooping nostril margin. Patients were monitored monthly until surgery, with nasal morphology assessed using a noncontact scanner at 3 time points. Five nasal morphology measurements were taken using the Artec EVA scanner and VX elements software.
Results:
No erosions or ulcers of the skin and mucous membranes around the nose were observed in either patient. Over time, the height of the affected nostril increased, eventually matching the height of the unaffected side.
Conclusions:
The new nasal correction device is effective in improving nasal morphology in infants with incomplete cleft lip before surgery. It offers a simple structure that can be easily handled by nonmedical personnel and is best applied as early as possible to maximize its effectiveness. The device shows potential for maintaining postsurgical nostrils and has possible applications in cosmetic medicine. Long-term outcomes should be monitored over time.
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