One Versus Two Stages Surgery of Secondary Cheilorhinoplasty and Alveolar Cleft Grafting

Abstract

Purpose: This study was planned to evaluate clinically and radiographically, the outcomes of secondary cheilorhinoplastyeither simultaneously with or six months after alveolar cleft grafting for patients with unilateral cleft lip nose deformity.Materials and Methods: Interventional, comparative study carried out on twenty patients with unilateral cleft lip nosedeformity, were divided randomly into two groups, group I: secondary cheilorhinoplasty was performed simultaneously withalveolar cleft grafting, group II: secondary cheilorhinoplasty was performed six months after it. Patients were assessed bothclinically and radiographically.Results: Clinically, significant improvement in functional results regarding NOSE scale and in aesthetic results of nose and lip postoperatively in both groups with no significant difference between them. Radiographically, significant improvement in thenasal airway volume and septal deviation postoperatively in both groups with no significant differences between them.Conclusion: No significant differences clinically and radigraphically between one and two stages surgery. Standardizedphotographs are efficient and can be used for aesthetic evaluation of nose and lip. CBCT and computer software are reliabletools for measuring nasal airway volume and septal deviation for assessment of nasal obsruction. NOSE scale is a reliable toolfor nasal function evaluation and POSAS is an efficient tool for scar assessment.