Abstract
The goal of this study is to address the soft tissue element of this deformity (in addition to the essential skeletal element) and evaluate its value in the final outcome. Soft tissue element includes modifying the shape of the nostril by direct incisions and augmenting the nasal sill by composite grafts. The current study is a randomized controlled trial study performed. Twenty patients with unilateral cleft lip nasal deformity were included during the period from November 2016 to December 2018. Patients were recruited from Otorhinolaryngology outpatient clinics in Beni-Suef University Hospital and randomly allocated into two groups: group (A) included 10 patients underwent skeletal reconstruction only (standardized technique), while group (B) included 10 patients underwent, in addition to skeletal reconstruction, and soft tissue manipulation (the new technique). The results showed that there was no statistical difference between both groups regarding hemicolumellar length, hemitip height, alar width length and domal angel. Linear and angular measurements showed improvement in both groups without difference. Subjectively, patient satisfaction and peer review showed no significant difference.
Highlights
Cleft lip deformity usually accompanies cleft lip
The improvement in the soft tissue group was approved by previous studies as Masuoka and colleagues’ study in 2012 use Photogrammetric analysis in 38 consecutive patients who had been treated by open rhinoplasty using the conchal cartilage between 2003 and 2009
Photogrammetric analysis demonstrated a significant increase in the nasal height to nasal width ratio, a significant increase in the nostril height to nostril width ratio of the affected side and a slight improvement of the columella angle all postoperative values are different from preoperative values, with statistical significance (p < 0.01) ( 10 )
Summary
Cleft lip deformity usually accompanies cleft lip. It is caused by displacement of alar cartilage, malposition of columella, lower skeleton of the nose, and nasal septum. The most important cause of nasal deformity is displacement of alar cartilage [1]. The unilateral cleft lip nasal deformity (UCLND) is complex deformity and affects all layers of tissues. Inner lining, and osseocartilaginous structure and overlying skin can be affected in UCLND [2]. The most important factor is the skeletal affection. The most affected part is lower lateral cartilage (LLC). LLC forms of affection are fragmentation and splay by the underlying cleft lip resulting in significant asymmetry in the nostrils that may continue even after lip repair [3]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
