ASSESSMENT OF  SECONDARY CLEFT LIP/NASAL DEFORMITIES AFTER PRIMARY PLASTIC SURGERY ON THE PATIENT WITH UNILATERAL CLEFT LIP/PALATE

Abstract

Objectives: Congenital cleft lip/palate is most common deformity of the face. Primary plastic surgery for rehabilitation and aesthetics is the need of the patients and family of patients, however, there are many secondary deformities of lip and nose post-surgery. Therefore, assessment of secondary cleft lip/nasal deformities is performed for planning of surgical repair. Method: 46 patient with unilateral cleft lip/palate, were operated with different techniques, are examinated post-surgery at department of Maxillofacial surgery, Hue University of Medicine and Pharmacy Hospital and Centre of Odonto-Stomatology, Hue Central Hospital. These patients were assessed according to the postoperative results of Motier score (1997) including of red lip, white lip, scars, and nose. Results: V notch and defect on the shift line are the most common deformities on red lip (52.2%). 34.8% patient have short white lip on cleft side. Straight and prominent scars is 52.2%. The most common deformities of nose are septal deviation (78.3%), narrow sill (52.2%), defect of the upper part of the nostril rim (78.3%) and low position of ala (47.8%). Conclusion: secondary cleft lip/nasal deformities is unavoidable. It is necessary to have a plan for surgical repair of these deformities. Key words: Unilateral cleft lip/palate, Secondary cleft lip/nasal deformities