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[Rhinomanometry of nasal patency in children with complete and secondary cleft palate]
G Namysłowski1, E Bilińska-Pietraszek, A Pisulska-Otremba
1II Katedra i Klinika Laryngologii Slaskiej AM w Zabrzu.
Insights
This study found that children with complete cleft palate experience altered nasal airflow. Active anterior rhinomanometry revealed significant differences in nasal patency related to cleft type and side.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Medical Imaging
Context:
- Cleft palate is a common congenital condition affecting facial development.
- Nasal cavity morphology and airflow are crucial for respiratory function and speech.
- Objective assessment of nasal patency in children with cleft palate is essential for surgical planning and post-operative care.
Purpose:
- To evaluate nasal cavity morphology and nasal patency in children with complete cleft palate using active anterior rhinomanometry.
- To investigate the relationship between the type and side of cleft palate and nasal airflow resistance.
- To compare nasal airflow patterns in children with cleft palate to a population without such defects.
Summary:
- Active anterior rhinomanometry was performed on 94 children with complete cleft palate (mean age 10.2 years).
- Significant relationships were confirmed between nasal patency and complete cleft palate.
- Children with bilateral cleft palate showed high, symmetric nasal airflow resistance.
- Unilateral cleft palate resulted in asymmetric airflow, with higher resistance on the non-cleft side compared to the general population, while the cleft side showed resistance similar to the general population.
Impact:
- Provides objective data on nasal airflow characteristics in pediatric cleft palate patients.
- Informs surgical strategies for optimizing nasal function and aesthetic outcomes.
- Highlights the importance of rhinomanometry in assessing the functional impact of cleft palate on nasal airway.
Abstract:
The authors evaluated the morphology of nasal cavities and nasal patency using active anterior rhinomanometry in 94 children (mean age 10.2 years). Complete bilateral primary and secondary cleft palate was confirmed in 28 children (29.8%), unilateral in 66 children (70.2%), where complete right-side primary and secondary cleft palate was observed in 19 children (28.8%) and complete left side primary and secondary cleft palate in 47 children (71.2%). Measurement methods were used according to Rhinomanometric Standardization Committee. Significant relationship between nasal patency examined using active anterior rhinomanometry and complete cleft palate was confirmed. High, symmetric resistance of nasal airflow was observed in children with complete bilateral primary and secondary cleft palate. Children with complete unilateral primary and secondary cleft palate were found to have asymmetric nasal airflow, higher on the cleft side. In this group mean nasal airflow resistance was higher on non-cleft side than in population without defects, whereas on clefted side it is approximal to population without defects. In children with complete bilateral primary and secondary cleft palate mean resistances distribution was symmetric but higher than in population without defects.