TY - JOUR
T1 - 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
AU - Lenz, Jan-Hendrik
AU - Akota, Ilze
AU - Zaleckas, Linas
AU - Soots, Marianne
AU - Bāgante, Ieva
AU - Rogovska, Irēna
AU - Frerich, Bernhard
AU - Gundlach, Karsten K. H.
N1 - Funding Information:
There is no conflict of interest whatsoever. Some little money, however, was granted from the German Academic Exchange Service in order to ease the financial burden of travelling to one or the other centre for the yearly meetings.
Publisher Copyright:
© 2021 European Association for Cranio-Maxillo-Facial Surgery
PY - 2022/3
Y1 - 2022/3
N2 - 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.
AB - 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.
KW - cleft lip
KW - alveolus
KW - palate
KW - presurgical orthopaedics
KW - nasoalveolar moulding
KW - nasolabial appearance
KW - primary anterior rhinoplasty
UR - http://www.scopus.com/inward/record.url?scp=85121765518&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2021.12.009
DO - 10.1016/j.jcms.2021.12.009
M3 - Article
C2 - 34961665
SN - 1010-5182
VL - 50
SP - 246
EP - 253
JO - Journal of Cranio-Maxillo-Facial Surgery
JF - Journal of Cranio-Maxillo-Facial Surgery
IS - 3
ER -