Abstract

PUENTE ESPEL, J.  and  ORTIZ MONASTERIO Y GARAY, F.. Photogrammetric analysis of the alterations in nasal cartilaginous and soft tissue structures in patients operated for unilateral cleft lip and palate. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.1, pp.87-92. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000100012.

Patients with unilateral cleft lip and palate show anatomic disturbances related to nasal and odontologic tissues which directly affect facial symmetry, aesthetics and growth. These malformations can be repaired during the initial lip closure procedure with primary nasal correction, if a correct surgical technique is followed. If an incorrect surgical repair is performed, the nasal structures will show deformities which represent stigmata of the initial problem. The aim of this study is to describe the nasal deformities and the relationship between the nasal structures and the cheek and superior lip aesthetic units in 50 patients with nonsyndromic unilateral cleft lip and palate that previously underwent a cheiloplasty. Furthermore, nasal measurements in patients with an adequate surgical result are also described. The most frequent nasal anatomic abnormalities in our series were: caudal displacement of the alar dome in 48 patients (96%); deviation of the nasal longitudinal axis in 5 to 10^o in 24 patients (48%); larger nostril on the cleft side in 28 patients (56%); nostril notch in 18 patients (36%); alar base junction with the upper lip caudally oriented on the cleft side in 35 patients (70%), and medial displacement of the tissue corresponding to the intersection of the alar lateral border with the cheek on the cleft side in 34 patients (68%). The data obtained show that an adequate surgical correction can be attained during the first intervention.

Keywords : Cleft lip and palate; Cleft nose; Primary rhinoplasty; Photogrammetry.

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