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Nostril suspension and lip adhesion improve nasal symmetry in patients with complete unilateral cleft lip and palate.
J Plast Reconstr Aesthet Surg. 2011 Feb; 64(2):201-8.JP

Abstract

BACKGROUND

There is a difference between complete and incomplete cleft lip with regard to the nasal shape. Severe nasal deformity is found in almost all cases of complete cleft lip. This problem has been approached by preoperative nasoalveolar moulding, primary nasal correction and the use of a nostril retainer. We corrected the nasal deformity associated with complete cleft lip by using the combination of a nostril suspender and lip adhesion before cleft lip repair. The present article outlines this treatment strategy and assesses the effects of our treatment on nasal deformity.

METHODS

Fourteen patients with complete cleft lip and palate were assigned to two groups for retrospective analysis: group A comprised seven patients, who underwent cleft lip repair after a combination of nostril suspension and lip adhesion, while group B had seven patients, who received cleft lip repair alone. In group A, a nostril suspender was fabricated and fitted to each patient at the initial visit, while lip adhesion was done at 1 month of life. At 1 year postoperatively, four parameters (nostril symmetry, alar cartilage slump, alar base level and columellar tilt) were scored on a scale of 1-4 to compare nasal shape between the two groups.

RESULTS

With respect to nostril symmetry, alar cartilage slump and columellar tilt, group A showed less deformity compared with group B and the difference between the two groups was statistically significant.

CONCLUSIONS

The use of a nostril suspender and lip adhesion can achieve dynamic correction of the nasal deformity associated with complete cleft lip.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Osaka City University, Graduate School of Medicine, Asahi 1-4-3, Abeno, Osaka 545-8585, Japan. wakami@med.osaka-cu.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20570229

Citation

Wakami, S, et al. "Nostril Suspension and Lip Adhesion Improve Nasal Symmetry in Patients With Complete Unilateral Cleft Lip and Palate." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 64, no. 2, 2011, pp. 201-8.
Wakami S, Fujikawa H, Ozawa T, et al. Nostril suspension and lip adhesion improve nasal symmetry in patients with complete unilateral cleft lip and palate. J Plast Reconstr Aesthet Surg. 2011;64(2):201-8.
Wakami, S., Fujikawa, H., Ozawa, T., Harada, T., & Ishii, M. (2011). Nostril suspension and lip adhesion improve nasal symmetry in patients with complete unilateral cleft lip and palate. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 64(2), 201-8. https://doi.org/10.1016/j.bjps.2010.04.010
Wakami S, et al. Nostril Suspension and Lip Adhesion Improve Nasal Symmetry in Patients With Complete Unilateral Cleft Lip and Palate. J Plast Reconstr Aesthet Surg. 2011;64(2):201-8. PubMed PMID: 20570229.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nostril suspension and lip adhesion improve nasal symmetry in patients with complete unilateral cleft lip and palate. AU - Wakami,S, AU - Fujikawa,H, AU - Ozawa,T, AU - Harada,T, AU - Ishii,M, Y1 - 2010/05/31/ PY - 2010/01/28/received PY - 2010/03/22/revised PY - 2010/04/11/accepted PY - 2010/6/24/entrez PY - 2010/6/24/pubmed PY - 2011/2/9/medline SP - 201 EP - 8 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 64 IS - 2 N2 - BACKGROUND: There is a difference between complete and incomplete cleft lip with regard to the nasal shape. Severe nasal deformity is found in almost all cases of complete cleft lip. This problem has been approached by preoperative nasoalveolar moulding, primary nasal correction and the use of a nostril retainer. We corrected the nasal deformity associated with complete cleft lip by using the combination of a nostril suspender and lip adhesion before cleft lip repair. The present article outlines this treatment strategy and assesses the effects of our treatment on nasal deformity. METHODS: Fourteen patients with complete cleft lip and palate were assigned to two groups for retrospective analysis: group A comprised seven patients, who underwent cleft lip repair after a combination of nostril suspension and lip adhesion, while group B had seven patients, who received cleft lip repair alone. In group A, a nostril suspender was fabricated and fitted to each patient at the initial visit, while lip adhesion was done at 1 month of life. At 1 year postoperatively, four parameters (nostril symmetry, alar cartilage slump, alar base level and columellar tilt) were scored on a scale of 1-4 to compare nasal shape between the two groups. RESULTS: With respect to nostril symmetry, alar cartilage slump and columellar tilt, group A showed less deformity compared with group B and the difference between the two groups was statistically significant. CONCLUSIONS: The use of a nostril suspender and lip adhesion can achieve dynamic correction of the nasal deformity associated with complete cleft lip. SN - 1878-0539 UR - https://www.unboundmedicine.com/medline/citation/20570229/Nostril_suspension_and_lip_adhesion_improve_nasal_symmetry_in_patients_with_complete_unilateral_cleft_lip_and_palate_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(10)00229-9 DB - PRIME DP - Unbound Medicine ER -