Lips and noses in 10-year old patients with repaired complete unilateral clefts of lip, alveolus, and palate. A prospective three-centre study of the Baltic Cleft Network

Jan-Hendrik Lenz (Coresponding Author), Ilze Akota, Linas Zaleckas, Marianne Soots, Ieva Bāgante, Irēna Rogovska, Bernhard Frerich, Karsten K. H. Gundlach

Research output: Contribution to journalArticlepeer-review

Abstract

This multicenter study aimed at comparing different techniques of lip and nose repair with or without NAM and primary anterior rhinoplasty in pre-adolescent children. Patients with unilateral clefts of lip, alveolus, and palate who had undergone cleft lip and nose repair were evaluated in a prospective three-centre study using standardized monochromatic, cropped photographs. Four cleft surgeons evaluated the aesthetics of the central part of the face when the patients had reached age ten years. Seventy-six sets of photographs out of 87 patients were evaluated. The overall ratings of lips and noses did not differ much between centres. However, noses of centres 1 (mean 0.74; SD 0.57) and 2 (mean 0.76; SD 0.60) had been rated better than centre 3 (mean 1.32; SD 0.78; p = 0.0078), especially "Deformation of upper part of nostril rim or poor position of alar cartilage". Centre 3 had produced better looking scars (mean 0.33; SD 0.48); p = 0.0036. Within the limitations of the study it seems that NAM and primary anterior rhinoplasty including postoperative nasal stents should be performed whenever possible in order to achieve a favorable shape of the nose and to reduce the need for secondary corrective surgery.

Original languageEnglish
Pages (from-to)246-253
Number of pages8
JournalJournal of Cranio-Maxillo-Facial Surgery
Volume50
Issue number3
DOIs
Publication statusPublished - 2022

Keywords*

  • cleft lip
  • alveolus
  • palate
  • presurgical orthopaedics
  • nasoalveolar moulding
  • nasolabial appearance
  • primary anterior rhinoplasty

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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