Craniomaxillofacial deformities/sleep disorders/cosmetic surgeryThe Microsurgical Approach in Primary Cleft Rhinoplasty—An Anthropometric Analysis
Section snippets
Study Design
Fifty-nine patients with a unilateral cleft were treated with early microsurgical primary rhinoplasty from 2007 through 2015 at the Helios Kliniken Schwerin (Schwerin, Germany). Measurements at each time point were obtained for 27 of them, and they were included in this study. All newborns were Northern European Caucasians. Twelve were born with a unilateral cleft lip (UCL) and 15 were born with a UCL and palate (UCLP). At specific time points, indirect anthropometric measurements were obtained
Results
To assess the esthetic outcome of the treatment, the children's faces were examined for symmetry and normal nasal morphology. Symmetry was evaluated in 2 ways: by columellar deviation and by comparison of the nostrils. The mean preoperative columellar deviation was 48.5° for female patients and 32.8° for male patients with large standard deviations (Fig 5). As a marker for cleft severity, a large preoperative standard deviation indicates that the study sample contained a large variation in
Discussion
The authors present a primary microsurgical cleft lip and nose repair within the first weeks of life. This procedure allows the patient to grow up without the “cleft nose deformity.” Modern rhinoplasty techniques claim that growth is not disturbed through early correction of the deformity.4, 5, 30, 31 Kim et al6 argued that an early nose repair is less difficult and more successful than a later repair. Nonetheless, results of a survey in the United States indicated that only approximately half
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Conflict of Interest Disclosures: None of the authors have any relevant financial relationship(s) with a commercial interest.