scholarly journals Nasal Airway Dimensions of Children with Repaired Unilateral Cleft Lip and Palate

2015 ◽  
Vol 52 (5) ◽  
pp. 512-516 ◽  
Author(s):  
Inge Elly Kiemle Trindade ◽  
Adriana De Oliveira Camargo Gomes ◽  
Marilyse De Bragança Lopes Fernandes ◽  
Sergio Henrique Kiemle Trindade ◽  
Omar Gabriel Da Silva Filho
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Nasal Airway ◽  
Airway Dimensions

Nasal Airway Dimensions of Adults with Cleft Lip and Palate: Differences among Cleft Types

2005 ◽  
Vol 42 (4) ◽  
pp. 396-402 ◽  
Author(s):  
Ana Paula Fukushiro ◽  
Inge Elly Kiemle Trindade
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Mean Value ◽  
Nasal Airway ◽  
Cross Sectional ◽  
Different Types ◽  
The Mean ◽  
Level Of Significance ◽  
Isolated Cleft Palate ◽  
Airway Dimensions

Objective To determine the nasal airway dimensions in adults with repaired cleft lip and palate by rhinomanometry and to analyze the reduction associated with different types of clefts. Model A prospective analysis comparing three types of previously repaired clefts: bilateral cleft lip and palate (BCLP), unilateral cleft lip and palate (UCLP), and isolated cleft palate (CP) at the 5% level of significance. Setting Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil. Participants Fifty-three subjects aged 18 to 35 years (17 BCLP, 16 UCLP, 20 CP) and a group of 20 individuals without cleft (N). Variables Minimum cross-sectional nasal area assessed by posterior (PR) and anterior (AR) rhinomanometry and nasopharyngeal area assessed by modified AR. Results Mean (± 1 SD) nasal areas obtained by PR were: 0.47 ± 0.16 cm2 (BCLP), 0.57 ± 0.19 cm2 (UCLP), 0.61 ± 0.13 cm2 (CP), and 0.60 ± 0.10 cm2 (N). The mean value for the BCLP group was significantly smaller than that for the N and CP groups. The remaining values did not differ from one another. The proportion of subjects with subnormal areas obtained by PR was 41%, 19%, and 0% for groups BCLP, UCLP, and CP, respectively. Similar results were obtained by AR. All subjects presented a nasopharyngeal area larger than 0.80 cm2, denoting absence of obstruction in the nasopharynx. Conclusions In adulthood BCLP is the type of cleft associated with a greater reduction of nasal airway, compared with UCLP and CP, suggesting that adults with BCLP are at a greater risk for nasal obstruction.

Objective Assessment of the Nasal Airway in Unilateral Cleft Lip and Palate - a Long-term Study

2009 ◽  
pp. 091202121239062
Author(s):  
Maria Mani ◽  
Staffan Morén ◽  
Ornolfur Thorvardsson ◽  
Olafur Jakobsson ◽  
Valdemar Skoog ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Objective Assessment ◽  
Nasal Airway ◽  
Term Study ◽  
Long Term Study

Objective Assessment of the Nasal Airway in Unilateral Cleft Lip and Palate—A Long-Term Study

2010 ◽  
Vol 47 (3) ◽  
pp. 217-224 ◽  
Author(s):  
Maria Mani ◽  
Staffan Morén ◽  
Ornolfur Thorvardsson ◽  
Olafur Jakobsson ◽  
Valdemar Skoog ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Objective Assessment ◽  
Nasal Airway ◽  
Term Study ◽  
Long Term Study

scholarly journals Nasal airway and septal variation in unilateral and bilateral cleft lip and palate

2014 ◽  
Vol 27 (7) ◽  
pp. 999-1008 ◽  
Author(s):  
John M. Starbuck ◽  
Michael T. Friel ◽  
Ahmed Ghoneima ◽  
Roberto L. Flores ◽  
Sunil Tholpady ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Nasal Airway ◽  
Bilateral Cleft Lip

scholarly journals Evaluation of Nasal Airway Volume of Operated Unilateral Cleft Lip and Palate Patients Compared With Skeletal Class III Individuals

2018 ◽  
Vol 56 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Ümit Ertaş ◽  
Mert Ataol
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Control Group ◽  
Nasal Passage ◽  
Study Group ◽  
Nasal Airway ◽  
Class Iii ◽  
Skeletal Class ◽  
Alar Base ◽  
Nasal Function

Cleft lip and palate (CLP) patients have various problems with nasal anatomy beyond just oronasal separation. The alar base, concha, and septum are over impressed in these individuals. Additionally, skeletal class III deformity is seen. These conditions may limit nasal function. In our study, 15 unilateral patients with CLP older than 15 years (10 females, 5 males; mean age: 19.13) who had received surgery were included as the study group, and 15 participants with noncleft skeletal class III deformities were included as the control group (10 females, 5 males; mean age: 19.20). The individuals’ nasal airway volumes (total/cleft side/noncleft side/control/ nasal passages) were examined and compared statistically. The results showed that the study group had significantly higher values in terms of total airway volume ( P < .05). Additionally, there were significant differences between the cleft side and noncleft side volumes, between the cleft side volumes and the volumes of the control group participants, and between the noncleft side volumes and the volumes of the control group participants ( P < .05). There was no difference between the groups in terms of nasopharyngeal ( P = .39) and nasal passage volumes ( P = .73). The results show there are some problems regarding nasal airway volume in patients with CLP, even when lip, palate, and alveolar cleft operations have been performed. The aim of this study was to evaluate differentiation of nasal airway volumes between unilateral patients with CLP and individuals with noncleft skeletal class III serving as the control group.

Nasal Airway in Breathing and Speech

1992 ◽  
Vol 29 (6) ◽  
pp. 511-519 ◽  
Author(s):  
Donald W. Warren ◽  
Amelia F. Drake ◽  
Jefferson U. Davis
Keyword(s):  
Energy Source ◽  
Respiratory Tract ◽  
Respiratory System ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Correction ◽  
Nasal Airway ◽  
Airway Compromise ◽  
Pharyngeal Flap ◽  
Velopharyngeal Function

Clefts of the lip and palate frequently produce nasal deformities that tend to reduce the size of the nasal airway. Approximately 70% of the cleft population have nasal airway impairment and about 80% “mouth-breathe” to some extent. Surgical correction of nasal, palatal, and pharyngeal structures may further compromise breathing. Type of cleft appears to affect airway size, with unilateral clefts demonstrating the smallest airway. Although a pharyngeal flap may further decrease airway size, some individuals do not notice a postoperative change because of airway compromise prior to flap placement. Speech is a modified breathing behavior that uses the respiratory system to provide an energy source and involves structures within the respiratory tract to modulate this energy into meaningful sounds. The oral, nasal, and pharyngeal structures that are affected by cleft lip and palate during breathing are often compromised for speech as well. The nasal airway plays an important role in controlling speech pressures when velopharyngeal function is impaired. A “good” nose for breathing is often a “bad” nose for speech under such circumstances.

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