Quantitative analysis of aesthetic outcomes of morphofunctional septorhinoplasty for secondary cleft lip nasal deformity |
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| Affiliation: | 1. GSR Hospital, Hyderabad, Telangana, India;2. Department of Otorhinolaryngology, Head & Neck Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands;3. Sri Sai College of Dental Surgery, Department of Oral and Maxillofacial Surgery, Vikarabad, Telangana, India;4. Department of Oral and Maxillofacial Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands;5. Dept. Of Cranio-maxillofacial Surgery, AIIMS, Rishikesh, Uttarakhand, India;1. Department of Oral and Maxillofacial Surgery, Leipzig University, Liebigstraße 12, 04103 Leipzig, Germany;2. Department of Surgical Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait;3. Faculty of Mechanical and Energy Engineering, University of Applied Sciences (HTWK), Karl- Liebknecht Str. 145, 04277 Leipzig, Germany;4. Department of Ophthalmology, Leipzig University, Liebigstraße 12, 04103 Leipzig, Germany;1. Department of Plastic Surgery, St Thomas’ Hospital, London, United Kingdom;2. Department of Oral and Maxillofacial Surgery, The Queen Victoria Hospital, East Grinstead, United Kingdom;3. Foundation Year 1 Doctor, Department of General Surgery, University Hospital of North Tees Newcastle, United Kingdom;4. Honorary Professor of Surgery, Consultant Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth, United Kingdom |
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| Abstract: | The main aim of this study was to assess nasal symmetry after morphofunctional septorhinoplasty, more specifically, symmetry of the alar base and nostrils, and nasal projection, in patients with unilateral and bilateral cleft nasal deformities. Secondary cleft rhinoplasty was performed using morphofunctional septorhinoplasty techniques in 150 patients with unilateral and bilateral cleft lip and nose deformities. Nasal changes were analysed by measuring nasal tip projection, nostril height, nostril width, alar base width, and nasal gap area preoperatively and postoperatively on standard submentovertex view 2-dimensional photographs. In the unilateral cleft group there were statistically significant improvements (p<0.001) in ratios of nasal height and width (p=0.024) and nasal gap area, and in nasal tip projection and alar base width. In the bilateral cleft group there were statistically significant improvements in nasal gap area ratio (p=0.009), nasal tip projection, and alar base width. The morphofunctional septorhinoplasty technique improved aesthetic outcomes. |
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| Keywords: | Morphofunctional septorhinoplasty Cleft lip nasal deformity Secondary cleft rhinoplasty Nasal symmetry |
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