A Retrospective Study of Impact of Primary Cleft Rhinoplasty on Subsequent Secondary Procedures in Unilateral Cleft Lip and Palate Patients
Authors/Creators
- 1. M.Ch. Student, Department of Plastic Surgery, Patna Medical College & Hospital, Patna, Bihar, India
- 2. Associate Professor, Department of Plastic Surgery, Patna Medical College & Hospital, Patna, Bihar, India
Description
Background: Unilateral cleft lip and palate (UCLP) represent a significant congenital deformity, often requiring multiple surgical interventions. This study focuses on understanding the impact of primary cleft rhinoplasty on the outcomes of secondary rhinoplasty procedures in UCLP patients. Methods: A retrospective cohort study was conducted involving 70 patients with UCLP who underwent primary cleft rhinoplasty followed by secondary rhinoplasty. Data on surgical techniques, operative times, grafting requirements, and patient satisfaction were collected and analyzed. The study also assessed nasal symmetry and functionality post-surgery. Results: The majority of patients who underwent primary rhinoplasty required less extensive secondary procedures, indicated by shorter operative times and reduced grafting needs. Improved nasal tip symmetry was observed in 86% of patient’s post-primary rhinoplasty. Post-secondary rhinoplasty, 93% of patients reported high satisfaction with aesthetic outcomes, and 86% showed improved nasal airway function. Conclusion: Primary cleft rhinoplasty plays a crucial role in reducing the complexity and extent of secondary rhinoplasty in UCLP patients. Early intervention in primary rhinoplasty leads to better long-term outcomes in terms of nasal symmetry, functionality, and patient satisfaction. Recommendations: Early consideration of primary rhinoplasty should be integrated into the treatment plan for UCLP patients. Future research should focus on long-term follow-up and the development of standardized protocols for primary and secondary rhinoplasty in UCLP.
Abstract (English)
Background: Unilateral cleft lip and palate (UCLP) represent a significant congenital deformity, often requiring multiple surgical interventions. This study focuses on understanding the impact of primary cleft rhinoplasty on the outcomes of secondary rhinoplasty procedures in UCLP patients. Methods: A retrospective cohort study was conducted involving 70 patients with UCLP who underwent primary cleft rhinoplasty followed by secondary rhinoplasty. Data on surgical techniques, operative times, grafting requirements, and patient satisfaction were collected and analyzed. The study also assessed nasal symmetry and functionality post-surgery. Results: The majority of patients who underwent primary rhinoplasty required less extensive secondary procedures, indicated by shorter operative times and reduced grafting needs. Improved nasal tip symmetry was observed in 86% of patient’s post-primary rhinoplasty. Post-secondary rhinoplasty, 93% of patients reported high satisfaction with aesthetic outcomes, and 86% showed improved nasal airway function. Conclusion: Primary cleft rhinoplasty plays a crucial role in reducing the complexity and extent of secondary rhinoplasty in UCLP patients. Early intervention in primary rhinoplasty leads to better long-term outcomes in terms of nasal symmetry, functionality, and patient satisfaction. Recommendations: Early consideration of primary rhinoplasty should be integrated into the treatment plan for UCLP patients. Future research should focus on long-term follow-up and the development of standardized protocols for primary and secondary rhinoplasty in UCLP.
Files
IJPCR,Vol15,Issue12,Article325.pdf
Files
(279.6 kB)
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Additional details
Dates
- Accepted
-
2023-12-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article325.pdf
- Development Status
- Active
References
- 1. Romo GW, Quintana S, Behar JM. Primary Lip Repair and Rhinoplasty Technique In Patients With Unilateral Cleft Lip After Maxillary Orthopedics In The First Months Of Life. International Journal of Oral and Maxillofacial Surgery. 2024 Jan 1; 52:54. 2. Di Chiaro B, Santiago G, Santiago C, Zelko I, Choudhary A, Purnell CA. A Systematic Review of Primary Rhinoplasty in Patients with Bilateral Cleft Lip. J Craniofac Surg. 2022 Nov-Dec 01;33(8):2406-2410. 3. Rossell-Perry P. Primary Cleft Rhinoplasty: Surgical Outcomes and Complications Using Three Techniques for Unilateral Cleft Lip Nose Repair. J Craniofac Surg. 2020 Sep; 31(6): 1521-1525. 4. Narayanan PV, Adenwalla HS. Primary rhinoplasty at the time of unilateral cleft lip repair: A review and our protocol. Journal of Cleft Lip Palate and Craniofacial Anomalies. 2015 Jul 1;2(2):92-7. 5. Jayarajan R, Natarajan A, Nagamuttu R. Outcomes of Closed Versus Open Technique of Rhinoplasty During Primary Repair of Unilateral Cleft Lip: A Systematic Review. Cleft Palate Craniofac J. 2019 Jan;56(1):74-83. 6. Termanini KM, Gosain AK. Balancing the Anteroposterior Diameters of the Nostril Lengths in Cleft Rhinoplasty (Discussion). Aesthetic Plast Surg. 2023 Aug;47(4):1525-1527. 7. Sykes JM. The importance of primary rhinoplasty at the time of initial unilateral cleft lip repair. Arch Facial Plast Surg. 2010 JanFeb;12(1):53-5. 8. Buile D, Pilmane M, Akota I. Evaluation of the Multiple Tissue Factors in the Cartilage of Primary and Secondary Rhinoplasty in Cleft Lip and Palate Patients. Pediatr Rep. 2022 Oct 2;14(4):419-433. 9. Tigga C, Kumar MS, Subhasish B, Siddartha M, Mohsina H. Rhinoplasty in secondary nasal deformities: Subjective and objective outcome evaluation. Natl J Maxillofac Surg. 2020 JulDec;11(2):186-192. 10. Choudhary S, Khanna S, Punia S. Component Restoration in the Unilateral Intermediate Cleft Tip Rhinoplasty: Technique and Long-Term Outcomes. PlastReconstr Surg. 2020 Jan;145(1):208e-209e. 11. Henry C, Samson T, Mackay D. Evidencebased medicine: The cleft lip nasal deformity. PlastReconstr Surg. 2014 May;133(5):1276- 1288. 12. Howard T, Willaims I, Navaratnam AV, Haloob N, Stoenchev K, Saleh H. 'Should paediatricseptal surgery and septorhinoplasty be performed for nasal obstruction?' - A systematic review of the literature. Facial Plast Surg. 2023 Nov 30.