title: Reduced nasal growth after primary nasal repair combined with cleft lip surgery.
abstract: Nasal growth after cleft lip surgery with or without primary nasal repair was evaluated using lateral cephalograms. In 14 patients who underwent simultaneous nasal repair with primary cleft lip repair and 12 patients without simultaneous nasal repair, lateral cephalograms were obtained at 5 and 10 years of age. Lateral cephalograms of normal Japanese children were used as a control. At 5 years of age, there were significant differences in the nasal height and columellar angle among the three groups. Children without simultaneous nasal repair had shorter noses with more upward tilt of the columella compared with the controls, while children with simultaneous nasal repair had much shorter noses and more upward tilt than those without repair. At 10 years of age, the children without simultaneous nasal repair showed no differences from the control group, while those with simultaneous repair still had shorter noses and more upward tilt of the columella. These findings suggest that performing nasal repair at the same time as primary cleft lip surgery has an adverse influence on the subsequent growth of the nose.
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi Prefecture, Japan. Electronic address: yohkoy@fujita-hu.ac.jp.
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshimura
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi Prefecture, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Okumoto
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi Prefecture, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Iijima
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi Prefecture, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Inoue
mesh_terms: D002508:Cephalometry; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000254:growth & development*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
keywords: Cleft lip; Lateral cephalogram; Nasal growth; Nasal repair