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Publication year
2011Source
Plastic and Reconstructive Surgery, 127, 2, (2011), pp. 761-7ISSN
Publication type
Article / Letter to editor

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Organization
Oral and Maxillofacial Surgery
Dentistry
Journal title
Plastic and Reconstructive Surgery
Volume
vol. 127
Issue
iss. 2
Page start
p. 761
Page end
p. 7
Subject
NCEBP 2: Evaluation of complex medical interventions; NCEBP 2: Evaluation of complex medical interventions ONCOL 3: Translational research; NCEBP 7: Effective primary care and public healthAbstract
BACKGROUND: The purpose of this study was to assess and compare nasal symmetry in patients who underwent correction of a complete unilateral cleft lip using the Afroze incision without and with primary septoplasty using a standardized two-dimensional photographic analysis. METHODS: A prospective cohort study of 190 consecutive patients with complete unilateral cleft lip and alveolus with cleft palate treated with or without septoplasty using the Afroze incision technique was conducted at a high-volume center. Eighty-two patients operated on without primary septoplasty and 76 patients operated on with primary septoplasty were evaluated. Nasal symmetry was compared between patients using two-dimensional photographic analysis. Ratios between the cleft side and the non-cleft side for five parameters were used to assess symmetry: alar base-to-interpupillary line distance, columella-to-Cupid's bow distance, nostril gap area, nostril width, and nostril height. The Mann-Whitney U test was used to calculate differences between the two groups. RESULTS: Patients operated on with primary septoplasty showed more nasal symmetry compared with patients operated on without septoplasty. This difference was statistically significant for columella-to-Cupid's bow distance, nostril gap area, and nostril height (p = 0.008, p < 0.001, and p < 0.001, respectively) and for the distance between alar base and the alar base-to-interpupillary line distance (p = 0.145) the difference was present but not statistically significant. For nostril width, no difference was found (p = 0.850). CONCLUSION: Patients treated with primary septoplasty showed better results in terms of nasal symmetry when analyzed using two-dimensional photographic analyses.
This item appears in the following Collection(s)
- Academic publications [227904]
- Electronic publications [107411]
- Faculty of Medical Sciences [86236]
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