Frontiers in Pediatrics (May 2023)
Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study
- Hongpu Wei,
- Hongpu Wei,
- Hongpu Wei,
- Hongpu Wei,
- Hongpu Wei,
- Hongpu Wei,
- Xiaofeng Xu,
- Xiaofeng Xu,
- Xiaofeng Xu,
- Xiaofeng Xu,
- Xiaofeng Xu,
- Xiaofeng Xu,
- Teng Wan,
- Teng Wan,
- Teng Wan,
- Teng Wan,
- Teng Wan,
- Teng Wan,
- Yusheng Yang,
- Yusheng Yang,
- Yusheng Yang,
- Yusheng Yang,
- Yusheng Yang,
- Yusheng Yang,
- Yong Zhang,
- Yong Zhang,
- Yong Zhang,
- Yong Zhang,
- Yong Zhang,
- Yong Zhang,
- Yilai Wu,
- Yilai Wu,
- Yilai Wu,
- Yilai Wu,
- Yilai Wu,
- Yilai Wu,
- Yun Liang,
- Yun Liang,
- Yun Liang,
- Yun Liang,
- Yun Liang,
- Yun Liang
Affiliations
- Hongpu Wei
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Hongpu Wei
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Hongpu Wei
- National Center for Stomatology, Shanghai, China
- Hongpu Wei
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Hongpu Wei
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Hongpu Wei
- Shanghai Research Institute of Stomatology, Shanghai, China
- Xiaofeng Xu
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Xiaofeng Xu
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Xiaofeng Xu
- National Center for Stomatology, Shanghai, China
- Xiaofeng Xu
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Xiaofeng Xu
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Xiaofeng Xu
- Shanghai Research Institute of Stomatology, Shanghai, China
- Teng Wan
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Teng Wan
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Teng Wan
- National Center for Stomatology, Shanghai, China
- Teng Wan
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Teng Wan
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Teng Wan
- Shanghai Research Institute of Stomatology, Shanghai, China
- Yusheng Yang
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Yusheng Yang
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Yusheng Yang
- National Center for Stomatology, Shanghai, China
- Yusheng Yang
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Yusheng Yang
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Yusheng Yang
- Shanghai Research Institute of Stomatology, Shanghai, China
- Yong Zhang
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Yong Zhang
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Yong Zhang
- National Center for Stomatology, Shanghai, China
- Yong Zhang
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Yong Zhang
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Yong Zhang
- Shanghai Research Institute of Stomatology, Shanghai, China
- Yilai Wu
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Yilai Wu
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Yilai Wu
- National Center for Stomatology, Shanghai, China
- Yilai Wu
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Yilai Wu
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Yilai Wu
- Shanghai Research Institute of Stomatology, Shanghai, China
- Yun Liang
- Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Yun Liang
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- Yun Liang
- National Center for Stomatology, Shanghai, China
- Yun Liang
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Yun Liang
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Yun Liang
- Shanghai Research Institute of Stomatology, Shanghai, China
- DOI
- https://doi.org/10.3389/fped.2023.1156275
- Journal volume & issue
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Vol. 11
Abstract
BackgroundCleft lip and/or palate (CLP) can lead to severe nasolabial deformities that significantly affect the appearance of the patient. Among all types of nasolabial deformities, narrow nostril deformities are the most troublesome, causing poor and unstable surgical outcomes. The purpose of this study was to develop an algorithm for surgical method selection for revision of narrow nostril deformities secondary to CLP based on retrospective clinical data.Materials and methodsPatients with narrow nostril deformities secondary to CLP were enrolled in the study. Before surgery, patients' clinical data were collected and the width of the nasal floor and the length of the alar rim were measured. Surgical methods were determined according to the measurements. After surgery, a nostril retainer was applied for 6 months to consolidate and maintain the nostril shape. The surgical method and postsurgical changes were recorded for the final summary of the algorithm to select surgical methods for narrow nostril deformities.ResultsThe data from 9 patients were analyzed. According to the width of the nasal floor and the length of the alar rim, correct surgical methods were determined. Four patients received nasolabial skin flaps to widen the soft tissue of the nasal floor. Three patients received upper lip scar tissue flaps to treat the narrow nasal floor. For the short alar rim, free alar composite tissue flap or narrowing of the nostril of the noncleft side was recommended.ConclusionThe width of the nasal floor and the length of the alar rim are critical elements to consider when selecting the correct surgical method for revising narrow nostril deformities secondary to CLP. The proposed algorithm provides a reference for selecting surgical methods in future clinical practice.
Keywords