title: Presurgical orthopedic treatment ameliorates postoperative nasal deformity after cheiloplasty.
abstract: We assessed the postoperative nasal form and symmetry after presurgical use of a Hotz plate (HP) in patients with unilateral complete cleft lip and palate (UCLP). The subjects were 28 infants with UCLP who underwent cheiloplasty. Of these subjects, 14 underwent presurgical orthopedic treatment using the HP (HP group) and 14 underwent the same treatment without the HP (non-HP group). Photographic records were obtained 1 and 6 months after cheiloplasty, and the results of anthropometric analysis were compared between the 2 groups. The nasal inclination and the ratio of the width of the nasal base to the total width of the nose were significantly improved in the HP group compared with the non-HP group at both postoperative time points. Thus, presurgical use of the HP significantly improved the nasal asymmetry and deformity in UCLP patients after primary cheiloplasty and nasal repair.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Clinical Medicine, Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Ibaraki, Japan. adachikoji@md.tsukuba.ac.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Adachi
authors.forename: Shinji
authors.initials: S
authors.lastname: Togashi
authors.forename: Toru
authors.initials: T
authors.lastname: Yanagawa
authors.forename: Naomi
authors.initials: N
authors.lastname: Ishibashi
authors.forename: Takuya
authors.initials: T
authors.lastname: Goto
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamagata
authors.forename: Kojiro
authors.initials: K
authors.lastname: Onizawa
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Sasaki
authors.forename: Kaoru
authors.initials: K
authors.lastname: Sasaki
authors.forename: Hiroki
authors.initials: H
authors.lastname: Bukawa
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Sekido
mesh_terms: D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D009989:Orthotic Devices; D010781:Photography; D019651:Plastic Surgery Procedures; D012225:Rhinoplasty; D016896:Treatment Outcome