scholarly journals Cleft Lip/Nasal Deformities After Plastic Surgery for Unilateral Cleft Lip/Palate: A Prospective Study at a Large Hospital in Vietnam

2021 ◽  
Vol Volume 13 ◽  
pp. 305-314
Author(s):  
Hong Loi Nguyen ◽  
Van Minh Nguyen ◽  
Xuan Phu Tran
2016 ◽  
Vol 49 (01) ◽  
pp. 42-52 ◽  
Author(s):  
Mohammed Zuhaib ◽  
Krishnamurthy Bonanthaya ◽  
Renu Parmar ◽  
Pritham N. Shetty ◽  
Pradeep Sharma

ABSTRACT Context: Presurgical nasoalveolar moulding (PNAM) is a non-surgical method of reshaping the cleft lip, alveolus, palate and the nose to minimize the severity of the cleft deformity, before primary cheiloplastyand palatoplasty. In this context, PNAM proves to be an invaluable asset in the management of unilateral cleft lip and palate. Aims: The study was conducted to evaluate the effi cacy of PNAM in the management of unilateral cleft lip and palate with the following objectives: (1) To assess and compare the degree of reduction in the size of cleft palate and alveolus (pre-PNAM and post-PNAM). (2) To evaluate and compare the improvement in columellar length and correction of columellar deviation (pre-PNAM and post-PNAM). (3) To assess the changes in the position of the alar base and the alar cartilages. Settings and Design: Prospective study. Subjects and Methods: A prospective study consisting of, which included 20 patients with complete unilateral cleft lip and palate was conducted. The age at the start of PNAM treatment of the infants ranged from 2 to 44 days of age reporting to our institute between December 2011 and August 2013. All the patients underwent PNAM therapy before primary cheiloplasty at 6 months of age; clinical parameters were assessed pre- and post-therapy using photographs and dental study models of the maxilla. Statistical Analysis Used: Student's t-test for paired comparisons. Results: Results of the study showed a promising reduction in the cleft size before the surgery, signifi cant improvement in nasal symmetry, including the columellar length on the cleft side. Conclusions: PNAM is a valuable adjunct to our surgical armamentarium in dealing with the challenges of primary closure of unilateral cleft lip and palate thereby enhancing the overall surgical outcome. The advantages of this method include the simplicity of the procedure and improving the quality of surgical repair, particularly in obtaining tension free muscle closure in unilateral clefts.


2007 ◽  
Vol 60 (8) ◽  
pp. 915-921 ◽  
Author(s):  
N.A. Papadopulos ◽  
L. Kovacs ◽  
S. Krammer ◽  
P. Herschbach ◽  
G. Henrich ◽  
...  

2018 ◽  
Vol 12 (04) ◽  
pp. 516-522 ◽  
Author(s):  
Adekunle Moses Adetayo ◽  
Modupe Olusola Adetayo ◽  
Oguntade Funmi A ◽  
Mayowa Solomon Somoye ◽  
Michael O Adeyemi ◽  
...  

ABSTRACT Objectives: The objective is to know the extent of agreement of clinicians' perception of nasolabial esthetic compared to that of laypeople (parents). Materials and Methods: This was a prospective study of comparison of clinician's perception of nasolabial esthetics with that of laypeople following surgical repair of UCL. Participants were recruited from the Cleft Clinic of the Lagos University Teaching Hospital, and surgical repair of the cleft was performed under general anesthesia. Surgical evaluation was done through direct clinical evaluation using the modified form of the Christofides' criteria by laypeople and professionals. Results: A total of 48 cleft participants were enrolled in the study. The evaluation of the lip by both the laypeople and professionals was similar, and there was no difference (0.588) in their rating. However, there was a significant disagreement (P = 0.001) between them in the nose assessment. Conclusion: Neither the solitary opinion of the professionals nor that of the laypeople is satisfactory in the evaluation of facial esthetics; both are equally important, especially in the assessment of nasal esthetics. However, opinion of either the laypeople or the professional might be enough in the evaluation of the lip esthetics.


2017 ◽  
Vol 44 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Hyeonjung Yeo ◽  
Wonwoo Kim ◽  
Hyochun Park ◽  
Hoonnam Kim

2012 ◽  
Vol 65 (5) ◽  
pp. 601-609 ◽  
Author(s):  
Francesca Toia ◽  
Salvatore D’Arpa ◽  
Maria Fatima Massenti ◽  
Emanuele Amodio ◽  
Roberto Pirrello ◽  
...  

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