Long-Term results in pre-adolescent patients having U-clap. The Baltic Cleft Network study

Jan-Hendrik Lenz, Ilze Akota, Linas Zaleckas, Marianne Soots, Ieva Bāgante, Bernhard Frerich, Karsten Gundlach

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Abstract

Aim

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.

Material and Methods

Patients with unilateral clefts of lip, alveolus, and palate who had undergone cleft lip and nose repair (from 2001 to 2018) 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.

Results

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.

Conclusions

Apparently better noses are to be found following either NAM or primary anterior rhinoplasty plus postoperative nasal stents. The latter seems to be particularly favorable and reduces the number of secondary interventions. Different techniques result in minor lip differences.
Original languageEnglish
Pages7
Number of pages1
Publication statusPublished - 3 Jun 2022
Event10th Congress of Baltic Association for Maxillofacial and Plastic Surgery and 16th Joint Symposium Riga-Rostock: Emerging Technologies in Oral and Maxillofacial Surgery - Krogus iela 1, Zemgales priekšpilsēta, Rīga, LV-1048, Rīga, Latvia
Duration: 3 Jun 20224 Jun 2022
Conference number: 10
https://meetinghand.com/e/bamps2022

Congress

Congress10th Congress of Baltic Association for Maxillofacial and Plastic Surgery and 16th Joint Symposium Riga-Rostock
Abbreviated titleBAMPS 2022
Country/TerritoryLatvia
CityRīga
Period3/06/224/06/22
Other10th BAMPS Congress and16th Joint Symposium Riga-Rostock
Internet address

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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