Nonsurgical correction of nasal deformity in unilateral complete cleft lip: a 6-year follow-up.

摘要: Nasal deformity in unilateral cleft lip and palate patients increases with time, tongue malposition being one of the causes. Some authors have emphasized role nasal adjacent facial musculature as active extrinsic agents. Another cause alar can be lack a proper foundation because maxillary hypoplasia region pyriform foramen. If collapse occurs, septum bends convexly toward side. Tissues are soft plastic during neonatal period. Once infant is about 3 months age, it becomes difficult to correct deformity. Therefore, any resource used from first day, mainly 15 days life, will useful prevent increasing avoid surgical correction. A controlled clinical trial was planned compare anthropometric measurements two series complete lip. In group, we included 44 who came our clinic 2 life second group consisted 47 were more than age at time consultation. To provide control data for evaluation results after 6 years follow-up both patients, also third 48 healthy 6-year-old children. component added occlusal prostheses only up surgery. The same surgeon performed Millard II procedure muscular reposition described by Delaire all patients. taken caliper, obtained directly plaster models using surface impressions babies, confirmed laser three-dimensional measuring device. statistical comparison between showed significant increase columellar length group. 6-year growth cosmetic nose revealed better permanent nostril symmetry no cartilage luxation had component. These highlight importance early treatment allow us suggest way deformity, help remodeling, obtain elongation, or decrease need primary surgery nose.