Primary correction of nasal deformity in unilateral incomplete cleft lip

A comparative study between three techniques

Ting Chen Lu, Wee Leon Lam, Chun Shin Chang, Philip Kuo-Ting Chen

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Introduction: Nasal deformities secondary to incomplete cleft lip are often underestimated in terms of their severity with resultant sub-optimal treatment. Constant refinements have led to the evolution of different surgical techniques in our institution for the treatment of these deformities. This study compared three different techniques in achieving nasal asymmetry for patients with unilateral incomplete cleft lip. Methods: Sixty-six patients who had primary correction of incomplete cleft lip nasal deformities at the age of 3 months were reviewed later at the age of 5 or 6. The patients were divided into three groups as according to the surgical treatment received: Group I (n = 21) underwent a closed rhinoplasty with cartilage dissection and repositioning through lip incisions; Group II (n = 25) underwent a semi-open rhinoplasty technique with cartilage dissection through bilateral rim incisions; and Group III (n = 20) received a semi-open rhinoplasty technique through a Tajima incision on the cleft side and a rim incision on the contralateral side. Using photo-analysis, a total of seven measurements were obtained comparing the cleft side with the non-cleft sides, including bilateral nostril height, nostril width, height-to-width ratio, medial dome height, nasal sill height, nostril area, nasolabial angle and nostril axis. Results: All the patients benefitted from primary correction of their incomplete cleft lip and nasal deformities. In addition, Group III patients achieved superior results over Groups I and II in terms of nostril height ratio and nostril axis (p < 0.005). Conclusion: Primary correction of the nasal deformity is an important component of surgery at the time of lip correction. Our results indicated that a semi-open rhinoplasty technique accompanied by the Tajima incision provides the best overall nasal symmetry.

Original languageEnglish
Pages (from-to)456-463
Number of pages8
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume65
Issue number4
DOIs
Publication statusPublished - Apr 1 2012
Externally publishedYes

Fingerprint

Cleft Lip
Nose
Rhinoplasty
Lip
Cartilage
Dissection
Therapeutics

Keywords

  • Cleft lip nose
  • Incomplete cleft lip
  • Tajima incision

ASJC Scopus subject areas

  • Surgery

Cite this

Primary correction of nasal deformity in unilateral incomplete cleft lip : A comparative study between three techniques. / Lu, Ting Chen; Lam, Wee Leon; Chang, Chun Shin; Kuo-Ting Chen, Philip.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 65, No. 4, 01.04.2012, p. 456-463.

Research output: Contribution to journalReview article

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abstract = "Introduction: Nasal deformities secondary to incomplete cleft lip are often underestimated in terms of their severity with resultant sub-optimal treatment. Constant refinements have led to the evolution of different surgical techniques in our institution for the treatment of these deformities. This study compared three different techniques in achieving nasal asymmetry for patients with unilateral incomplete cleft lip. Methods: Sixty-six patients who had primary correction of incomplete cleft lip nasal deformities at the age of 3 months were reviewed later at the age of 5 or 6. The patients were divided into three groups as according to the surgical treatment received: Group I (n = 21) underwent a closed rhinoplasty with cartilage dissection and repositioning through lip incisions; Group II (n = 25) underwent a semi-open rhinoplasty technique with cartilage dissection through bilateral rim incisions; and Group III (n = 20) received a semi-open rhinoplasty technique through a Tajima incision on the cleft side and a rim incision on the contralateral side. Using photo-analysis, a total of seven measurements were obtained comparing the cleft side with the non-cleft sides, including bilateral nostril height, nostril width, height-to-width ratio, medial dome height, nasal sill height, nostril area, nasolabial angle and nostril axis. Results: All the patients benefitted from primary correction of their incomplete cleft lip and nasal deformities. In addition, Group III patients achieved superior results over Groups I and II in terms of nostril height ratio and nostril axis (p < 0.005). Conclusion: Primary correction of the nasal deformity is an important component of surgery at the time of lip correction. Our results indicated that a semi-open rhinoplasty technique accompanied by the Tajima incision provides the best overall nasal symmetry.",
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AU - Lu, Ting Chen

AU - Lam, Wee Leon

AU - Chang, Chun Shin

AU - Kuo-Ting Chen, Philip

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N2 - Introduction: Nasal deformities secondary to incomplete cleft lip are often underestimated in terms of their severity with resultant sub-optimal treatment. Constant refinements have led to the evolution of different surgical techniques in our institution for the treatment of these deformities. This study compared three different techniques in achieving nasal asymmetry for patients with unilateral incomplete cleft lip. Methods: Sixty-six patients who had primary correction of incomplete cleft lip nasal deformities at the age of 3 months were reviewed later at the age of 5 or 6. The patients were divided into three groups as according to the surgical treatment received: Group I (n = 21) underwent a closed rhinoplasty with cartilage dissection and repositioning through lip incisions; Group II (n = 25) underwent a semi-open rhinoplasty technique with cartilage dissection through bilateral rim incisions; and Group III (n = 20) received a semi-open rhinoplasty technique through a Tajima incision on the cleft side and a rim incision on the contralateral side. Using photo-analysis, a total of seven measurements were obtained comparing the cleft side with the non-cleft sides, including bilateral nostril height, nostril width, height-to-width ratio, medial dome height, nasal sill height, nostril area, nasolabial angle and nostril axis. Results: All the patients benefitted from primary correction of their incomplete cleft lip and nasal deformities. In addition, Group III patients achieved superior results over Groups I and II in terms of nostril height ratio and nostril axis (p < 0.005). Conclusion: Primary correction of the nasal deformity is an important component of surgery at the time of lip correction. Our results indicated that a semi-open rhinoplasty technique accompanied by the Tajima incision provides the best overall nasal symmetry.

AB - Introduction: Nasal deformities secondary to incomplete cleft lip are often underestimated in terms of their severity with resultant sub-optimal treatment. Constant refinements have led to the evolution of different surgical techniques in our institution for the treatment of these deformities. This study compared three different techniques in achieving nasal asymmetry for patients with unilateral incomplete cleft lip. Methods: Sixty-six patients who had primary correction of incomplete cleft lip nasal deformities at the age of 3 months were reviewed later at the age of 5 or 6. The patients were divided into three groups as according to the surgical treatment received: Group I (n = 21) underwent a closed rhinoplasty with cartilage dissection and repositioning through lip incisions; Group II (n = 25) underwent a semi-open rhinoplasty technique with cartilage dissection through bilateral rim incisions; and Group III (n = 20) received a semi-open rhinoplasty technique through a Tajima incision on the cleft side and a rim incision on the contralateral side. Using photo-analysis, a total of seven measurements were obtained comparing the cleft side with the non-cleft sides, including bilateral nostril height, nostril width, height-to-width ratio, medial dome height, nasal sill height, nostril area, nasolabial angle and nostril axis. Results: All the patients benefitted from primary correction of their incomplete cleft lip and nasal deformities. In addition, Group III patients achieved superior results over Groups I and II in terms of nostril height ratio and nostril axis (p < 0.005). Conclusion: Primary correction of the nasal deformity is an important component of surgery at the time of lip correction. Our results indicated that a semi-open rhinoplasty technique accompanied by the Tajima incision provides the best overall nasal symmetry.

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