Unilateral cleft nose deformities at adulthood

Secondary rhinoplasty is a challenging procedure, requiring a precise preoperative diagnosis of nasal deformities before correcting them. As there is currently no accepted outcome measurement tool available to assess unilateral cleft lip and palate (UCLP) nose sequelae before secondary rhinoplasty....

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Bibliographic Details
Published in:Annales de chirurgie plastique et esthétique 2023-04, Vol.68 (2), p.131-138
Main Authors: Assouline-Vitale, S.L., Ruffenach, L., Bodin, F., Zink, S., Romary, B., Bruant-Rodier, C., Dissaux, C.
Format: Article
Language:English
Subjects:
Adult
Cleft Lip - surgery
Cleft Palate - surgery
Cleft sequelae
Déformation nasale
Fente labio-palatine unilatérale
Humans
Nose - abnormalities
Nose - surgery
Nose deformities
Nose Diseases - surgery
Reproducibility of Results
Retrospective Studies
Rhinoplastie secondaire
Rhinoplasty - methods
Secondary rhinoplasty
Séquelles de fente
Treatment Outcome
Unilateral cleft lip and palate (UCLP)
Young Adult
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Summary:Secondary rhinoplasty is a challenging procedure, requiring a precise preoperative diagnosis of nasal deformities before correcting them. As there is currently no accepted outcome measurement tool available to assess unilateral cleft lip and palate (UCLP) nose sequelae before secondary rhinoplasty. The goal of this retrospective study is to identify the nose deformities and rate them in an evaluation scale that allows collecting and analyzing cleft nose data. Our retrospective cohort is composed of 29 patients with UCLP, who underwent secondary rhinoplasty between 2010 and 2021 in a cleft center, with a mean age of 23years old. Evaluation of deformities is made from preoperative two-dimensional photography. The assessment photographic tool is a custom-designed scale of 16 items. A binary scoring system is used by two experts to assess nasolabial deformities. The most encountered sequelaes are the alar foot displacement (93%), the enlarged tip (90%) and the nostril horizontalization (86%). The inter-examiner ICC for total rating was calculated at 0.911 and indicated a strong level of reliability that was highly significant (P
ISSN:0294-1260
1768-319X
DOI:10.1016/j.anplas.2022.06.003