The Microsurgical Approach in Primary Cleft Rhinoplasty-An Anthropometric Analysis
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The Microsurgical Approach in Primary Cleft Rhinoplasty-An Anthropometric Analysis. / Bschorer, Frizzi; Schneider, Daniel; Schön, Gerhard; Heiland, Max; Bschorer, Reinhard.
In: J ORAL MAXIL SURG, Vol. 76, No. 10, 10.2018, p. 2183-2191.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The Microsurgical Approach in Primary Cleft Rhinoplasty-An Anthropometric Analysis
AU - Bschorer, Frizzi
AU - Schneider, Daniel
AU - Schön, Gerhard
AU - Heiland, Max
AU - Bschorer, Reinhard
N1 - Copyright © 2018. Published by Elsevier Inc.
PY - 2018/10
Y1 - 2018/10
N2 - PURPOSE: Oral and maxillofacial surgeons use different approaches to repair the nasal deformity of patients with a cleft lip deformity, differing in technique and timing. The aim of this longitudinal study was to analyze a new surgical technique to treat the cleft nasal deformity at 4 to 6 weeks of life using a microscope.MATERIALS AND METHODS: Twenty-seven newborn patients with a cleft lip deformity were treated by primary repair of the nasal deformity using a microscope at 4 to 6 weeks of life. The procedure includes a columellar incision, alar cartilage plication sutures according to Daniel (Plast Reconstr Surg 103:1491, 1999), and trans-columellar sutures. All patients were photographed at specific time points up to 1 year after surgery. Established angles and distances were analyzed and compared with normal values of age-matched children by Farkas (Anthropometry of the Head and Face [ed 2]. New York: Lippincott Williams and Wilkins, 1994).RESULTS: All parameters improved through surgery and showed stable values at follow-up assessments. Almost ideal values concerning symmetry, as indicated by columellar deviation and nostril comparison, were obtained. Measurements of nasal morphology were similar to established norm values.CONCLUSION: The authors recommend the early treatment of cleft nasal deformity using microscopic surgery because it shows stable and symmetrical results at least up to 1 year after surgery. Clinical observations up to adolescence suggest no growth disturbance or deterioration of nasal shape.
AB - PURPOSE: Oral and maxillofacial surgeons use different approaches to repair the nasal deformity of patients with a cleft lip deformity, differing in technique and timing. The aim of this longitudinal study was to analyze a new surgical technique to treat the cleft nasal deformity at 4 to 6 weeks of life using a microscope.MATERIALS AND METHODS: Twenty-seven newborn patients with a cleft lip deformity were treated by primary repair of the nasal deformity using a microscope at 4 to 6 weeks of life. The procedure includes a columellar incision, alar cartilage plication sutures according to Daniel (Plast Reconstr Surg 103:1491, 1999), and trans-columellar sutures. All patients were photographed at specific time points up to 1 year after surgery. Established angles and distances were analyzed and compared with normal values of age-matched children by Farkas (Anthropometry of the Head and Face [ed 2]. New York: Lippincott Williams and Wilkins, 1994).RESULTS: All parameters improved through surgery and showed stable values at follow-up assessments. Almost ideal values concerning symmetry, as indicated by columellar deviation and nostril comparison, were obtained. Measurements of nasal morphology were similar to established norm values.CONCLUSION: The authors recommend the early treatment of cleft nasal deformity using microscopic surgery because it shows stable and symmetrical results at least up to 1 year after surgery. Clinical observations up to adolescence suggest no growth disturbance or deterioration of nasal shape.
KW - Journal Article
U2 - 10.1016/j.joms.2018.03.018
DO - 10.1016/j.joms.2018.03.018
M3 - SCORING: Journal article
C2 - 29673850
VL - 76
SP - 2183
EP - 2191
JO - J ORAL MAXIL SURG
JF - J ORAL MAXIL SURG
SN - 0278-2391
IS - 10
ER -
