Abstract
Despite advances in cleft lip treatment, various levels of residual deformity remain
after primary repair of cleft lip and palate. The aim of the current study was to
compare the stability of short- and long-term postoperative nasal symmetry. This retrospective
study included 100 consecutive non-syndromic patients with unilateral complete cleft
lip who underwent primary cleft lip repair with follow-up of 5 years. Measurements
taken from basal and frontal standard photograph views, obtained preoperatively (T1)
and immediately (T2), 1 year (T3), and 5 years postoperative (T4), were analysed.
Paired and independent t-tests were applied to assess the significance of differences and relationships, while
the inter-class correlation coefficient was used to assess reliability; P < 0.05 was considered significant. The male to female ratio was 1:1; mean age at
the time of surgery was 0.43 ± 0.25 years. All patients showed significant improvements
following unilateral complete cleft lip repair. All variables measured at T3 revealed
a significant relapse when compared to T2, except alar base position, which showed
a constant mean across all postoperative follow-ups. Late relapse (T3–T4) was not
significant for alar collapse, alar base position, or columellar angle (all P > 0.05). On the other hand, columellar height (P = 0.003), and nostril height (P = 0.038) and width (P = 0.007) showed significant improvements during the late relapse period. In conclusion,
the majority of the relapse and changes following the nasal cleft repair occurred
within the first postoperative year. However, nasal asymmetries tended to remain stable
or reduced during the first 5 postoperative years.
Keywords
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Article info
Publication history
Published online: August 13, 2022
Accepted:
July 26,
2022
Identification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
