Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair
Background: Recently, there has been an increased acceptance of the primary cleft rhinoplasty providing acceptable outcomes. Nose reconstruction, and specifically cleft nose deformity, should be addressed based on this philosophy. The purpose of this study was to evaluate surgical outcomes during th...
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| Formato: | Artículo |
| Lenguaje: | inglés |
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2023
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| Acceso en línea: | Ver en el sistema de origen Enlace permanente (DOI o Handle) Enlace permanente (DOI o Handle) |
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| author | Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes |
| author_browse | Gavino-Gutierrez, Arquimedes Rossell Perry, Percy Eduardo |
| author_facet | Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes |
| author_sort | Rossell Perry, Percy Eduardo |
| collection | Producción científica |
| description | Background: Recently, there has been an increased acceptance of the primary cleft rhinoplasty providing acceptable outcomes. Nose reconstruction, and specifically cleft nose deformity, should be addressed based on this philosophy. The purpose of this study was to evaluate surgical outcomes during the mixed dentition period after primary surgery to address unilateral cleft lip nose deformity based on the proposed technique. Methods: This is a retrospective cohort study. Thirty-two primary complete unilateral cleft lip patients were operated on by a single surgeon using the V-Y-Z cleft rhinoplasty. This method combines a composite V-Y advancement flap with lateral Z-plasty. Data collection was accomplished by evaluation of nasal symmetry through anthropometric measurements performed under general anesthesia during primary cleft palatoplasty and alveolar bone graft. The outcomes were evaluated through anthropometric measurements of the repaired nose during the mixed dentition period of follow-up, and no type of presurgical management was performed for any of the patients. Results: Total nasal symmetry has been observed in 34.37% of patients at 7 years or more and 40.62% at 1-year follow-up. Nonstatistically significant differences were observed during follow-up, and major revision requirement (>3 mm of asymmetry in any of the nose measurements) was observed in 9.37% of patients. Conclusions: The proposed primary cleft rhinoplasty is a good approach to improve nasal appearance in patients with complete unilateral cleft lip and palate. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1272 |
| institution | UPeU |
| language | English |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/12722026-11-02T22:00:04ZMixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity RepairRossell Perry, Percy EduardoGavino-Gutierrez, ArquimedesBackground: Recently, there has been an increased acceptance of the primary cleft rhinoplasty providing acceptable outcomes. Nose reconstruction, and specifically cleft nose deformity, should be addressed based on this philosophy. The purpose of this study was to evaluate surgical outcomes during the mixed dentition period after primary surgery to address unilateral cleft lip nose deformity based on the proposed technique. Methods: This is a retrospective cohort study. Thirty-two primary complete unilateral cleft lip patients were operated on by a single surgeon using the V-Y-Z cleft rhinoplasty. This method combines a composite V-Y advancement flap with lateral Z-plasty. Data collection was accomplished by evaluation of nasal symmetry through anthropometric measurements performed under general anesthesia during primary cleft palatoplasty and alveolar bone graft. The outcomes were evaluated through anthropometric measurements of the repaired nose during the mixed dentition period of follow-up, and no type of presurgical management was performed for any of the patients. Results: Total nasal symmetry has been observed in 34.37% of patients at 7 years or more and 40.62% at 1-year follow-up. Nonstatistically significant differences were observed during follow-up, and major revision requirement (>3 mm of asymmetry in any of the nose measurements) was observed in 9.37% of patients. Conclusions: The proposed primary cleft rhinoplasty is a good approach to improve nasal appearance in patients with complete unilateral cleft lip and palate.Articlehttps://pubmed.ncbi.nlm.nih.gov/37850198https://doi.org/10.1097/gox.0000000000005313PMC1057872510.1097/gox.0000000000005313https://hdl.handle.net/20.500.15037/127237850198W4387676268enPlastic & Reconstructive Surgery Global Open2169-75742023-10-012026-06-13T09:51:59Z2026-06-13T09:51:59Z |
| spellingShingle | Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title | Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title_full | Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title_fullStr | Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title_full_unstemmed | Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title_short | Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair |
| title_sort | mixed dentition period follow up of primary unilateral cleft nose deformity repair |
| url | https://pubmed.ncbi.nlm.nih.gov/37850198 https://doi.org/10.1097/gox.0000000000005313 https://hdl.handle.net/20.500.15037/1272 |
| work_keys_str_mv | AT rossellperrypercyeduardo mixeddentitionperiodfollowupofprimaryunilateralcleftnosedeformityrepair AT gavinogutierrezarquimedes mixeddentitionperiodfollowupofprimaryunilateralcleftnosedeformityrepair |