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A 12-year anthropometric evaluation of the nose in bilateral cleft lip-cleft palate patients following nasoalveolar molding and cutting bilateral cleft lip and nose reconstruction.
Plast Reconstr Surg 2011; 127(4):1659-67PR

Abstract

BACKGROUND

Patients with bilateral cleft lip-cleft palate have nasal deformities including reduced nasal tip projection, widened ala base, and a deficient or absent columella. The authors compare the nasal morphology of patients treated with presurgical nasoalveolar molding followed by primary lip/nasal reconstruction with age-matched noncleft controls.

METHODS

A longitudinal, retrospective review of 77 nonsyndromic patients with bilateral cleft lip-cleft palate was performed. Nasal tip protrusion, alar base width, alar width, columella length, and columella width were measured at five time points spanning 12.5 years. A one-sample t test was used for statistical comparison to an age-matched noncleft population published by Farkas.

RESULTS

All five measurements demonstrated parallel, proportional growth in the treatment group relative to the noncleft group. The nasal tip protrusion, alar base width, alar width, columella length, and columella width were not statistically different from those of the noncleft, age-matched control group at age 12.5 years. The nasal tip protrusion also showed no difference in length at 7 and 12.5 years. The alar width and alar base width were significantly wider at the first four time points.

CONCLUSIONS

This is the first study to describe nasal morphology following nasoalveolar molding and primary surgical repair in patients with bilateral cleft lip-cleft palate through the age of 12.5 years. In this investigation, the authors have shown that patients with bilateral cleft lip-cleft palate treated at their institution with nasoalveolar molding and primary nasal reconstruction, performed at the time of their lip repair, attained nearly normal nasal morphology through 12.5 years of age.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, Department of Orthodontics, Oregon Health and Science University, Portland, Ore, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21460673

Citation

Garfinkle, Judah S., et al. "A 12-year Anthropometric Evaluation of the Nose in Bilateral Cleft Lip-cleft Palate Patients Following Nasoalveolar Molding and Cutting Bilateral Cleft Lip and Nose Reconstruction." Plastic and Reconstructive Surgery, vol. 127, no. 4, 2011, pp. 1659-67.
Garfinkle JS, King TW, Grayson BH, et al. A 12-year anthropometric evaluation of the nose in bilateral cleft lip-cleft palate patients following nasoalveolar molding and cutting bilateral cleft lip and nose reconstruction. Plast Reconstr Surg. 2011;127(4):1659-67.
Garfinkle, J. S., King, T. W., Grayson, B. H., Brecht, L. E., & Cutting, C. B. (2011). A 12-year anthropometric evaluation of the nose in bilateral cleft lip-cleft palate patients following nasoalveolar molding and cutting bilateral cleft lip and nose reconstruction. Plastic and Reconstructive Surgery, 127(4), pp. 1659-67. doi:10.1097/PRS.0b013e31820a64d7.
Garfinkle JS, et al. A 12-year Anthropometric Evaluation of the Nose in Bilateral Cleft Lip-cleft Palate Patients Following Nasoalveolar Molding and Cutting Bilateral Cleft Lip and Nose Reconstruction. Plast Reconstr Surg. 2011;127(4):1659-67. PubMed PMID: 21460673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A 12-year anthropometric evaluation of the nose in bilateral cleft lip-cleft palate patients following nasoalveolar molding and cutting bilateral cleft lip and nose reconstruction. AU - Garfinkle,Judah S, AU - King,Timothy W, AU - Grayson,Barry H, AU - Brecht,Lawrence E, AU - Cutting,Court B, PY - 2011/4/5/entrez PY - 2011/4/5/pubmed PY - 2011/5/27/medline SP - 1659 EP - 67 JF - Plastic and reconstructive surgery JO - Plast. Reconstr. Surg. VL - 127 IS - 4 N2 - BACKGROUND: Patients with bilateral cleft lip-cleft palate have nasal deformities including reduced nasal tip projection, widened ala base, and a deficient or absent columella. The authors compare the nasal morphology of patients treated with presurgical nasoalveolar molding followed by primary lip/nasal reconstruction with age-matched noncleft controls. METHODS: A longitudinal, retrospective review of 77 nonsyndromic patients with bilateral cleft lip-cleft palate was performed. Nasal tip protrusion, alar base width, alar width, columella length, and columella width were measured at five time points spanning 12.5 years. A one-sample t test was used for statistical comparison to an age-matched noncleft population published by Farkas. RESULTS: All five measurements demonstrated parallel, proportional growth in the treatment group relative to the noncleft group. The nasal tip protrusion, alar base width, alar width, columella length, and columella width were not statistically different from those of the noncleft, age-matched control group at age 12.5 years. The nasal tip protrusion also showed no difference in length at 7 and 12.5 years. The alar width and alar base width were significantly wider at the first four time points. CONCLUSIONS: This is the first study to describe nasal morphology following nasoalveolar molding and primary surgical repair in patients with bilateral cleft lip-cleft palate through the age of 12.5 years. In this investigation, the authors have shown that patients with bilateral cleft lip-cleft palate treated at their institution with nasoalveolar molding and primary nasal reconstruction, performed at the time of their lip repair, attained nearly normal nasal morphology through 12.5 years of age. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/21460673/A_12_year_anthropometric_evaluation_of_the_nose_in_bilateral_cleft_lip_cleft_palate_patients_following_nasoalveolar_molding_and_cutting_bilateral_cleft_lip_and_nose_reconstruction_ L2 - http://Insights.ovid.com/pubmed?pmid=21460673 DB - PRIME DP - Unbound Medicine ER -