Document Detail


Fifteen-Year Follow-Up Results of Presurgical Orthopedics Followed by Primary Correction for Unilateral Cleft Lip Nose in Program SEHATI Indonesia.
MedLine Citation:
PMID:  22385034     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: To assess long-term effects of nasal correction in infancy on nasal form and growth in patients with unilateral cleft lip and palate (UCLP). Design: Retrospective longitudinal study. Patients: Seventeen patients with complete UCLP treated in Program SEHATI in Harapan Kita Children and Maternity Hospital, Indonesia and followed for approximately 15 years were enrolled. Interventions: Subjects received presurgical orthopedics using a Hotz's plate and simultaneous primary lip and nose repair in which the lower lateral cartilage was repositioned through a reverse-U incision. Main Outcome Measures: Pre- and postoperative nasal forms including the nostril height and width ratio, the ratio of the height of the top of the alar groove, and the ratio of nostril surface areas were analyzed using color photos taken serially. One-way ANOVA was used for statistical analyses. Results: The nostril height and width ratio and the height of the alar groove were significantly improved postoperatively and maintained for 15 years. The mean ratio of nostril surface areas was 1.01±0.12 at 15-year postoperatively, and there was no significant difference from that 1 year postoperatively. The major persistent deformities were septal deviation and a small skin web on the nostril rim. Conclusions: Our primary cleft lip nose correction has provided an acceptable nose form and absence of disturbance of the nasal growth in patients with UCLP. However, the repositioning of the nasal cartilage at infancy might not eliminate the need of secondary correction after puberty. Key Words: cleft lip and palate, lip and nose repair, nasal correction.
Authors:
Farida Kamil Sulaiman; Inge Gustiningsih Haryanto; Muhammad Syafrudin Hak; Norifumi Nakamura; Masaaki Sasaguri; Masamichi Ohishi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-3
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  -     ISSN:  1545-1569     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
a the Cleft Center in Harapan Kita Children and Maternity Hospital, Jakarta, Indonesia.
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