IADR Abstract Archives
simultaneous secondary cheilorhinoplasty and alveolar bone grafting in unilateral cleft lip nose and alveolus deformity
Objectives: correction of cleft lip nasal deformity is very challenging for any surgeon especially when complicated with hypoplastic maxilla and open alveolar defect. Secondary cheilorhinoplasty and alveolar grafting are essential parts in correction of such deformity. The aim of this study was to assess both clinically and radiologically the outcome of simultaneous cheilorhinoplasty and alveolar cleft grafting in unilateral CLND cases.
Methods: 8 patients aged between 14 and 25 years were selected randomly for correction of unilateral CLND and alveolar bone grafting with autogenous bone graft simultaneously. Patients were assessed preoperatively and postoperatively both clinically regarding nasal function using NOSE scale, photographic evaluation of lip and nose esthetics, and radiologically regarding alveolar cleft graft density. Data were statistically analysed.
Results: the results of this study showed statistically significant difference between pre and postoperative records regarding nasal obstruction, nasal and lip aesthetics and symmetry, and success of alveolar cleft grafting except one case revealed alveolar graft loss and recurrence of oronasal fistula.
Conclusions: Secondary cheilorhinoplasty can be done successfully in the same time with late secondary alveolar bone grafting to avoid several surgical distresses for the patient, to improve facial aesthetic and function in one surgical step, and to reduce risk of psychological consequences. Alveolar bone grafting is an important part for augmentation of alar base. Autogenous bone graft provides good grafting material for repair of alveolar cleft and augmentation of alar base. Standardised photographs can be used for evaluation of aesthetics of the lip and nose. 3d CT scan is a valuable instrument in assessment and follow up of alveolar cleft grafting procedures.
Methods: 8 patients aged between 14 and 25 years were selected randomly for correction of unilateral CLND and alveolar bone grafting with autogenous bone graft simultaneously. Patients were assessed preoperatively and postoperatively both clinically regarding nasal function using NOSE scale, photographic evaluation of lip and nose esthetics, and radiologically regarding alveolar cleft graft density. Data were statistically analysed.
Results: the results of this study showed statistically significant difference between pre and postoperative records regarding nasal obstruction, nasal and lip aesthetics and symmetry, and success of alveolar cleft grafting except one case revealed alveolar graft loss and recurrence of oronasal fistula.
Conclusions: Secondary cheilorhinoplasty can be done successfully in the same time with late secondary alveolar bone grafting to avoid several surgical distresses for the patient, to improve facial aesthetic and function in one surgical step, and to reduce risk of psychological consequences. Alveolar bone grafting is an important part for augmentation of alar base. Autogenous bone graft provides good grafting material for repair of alveolar cleft and augmentation of alar base. Standardised photographs can be used for evaluation of aesthetics of the lip and nose. 3d CT scan is a valuable instrument in assessment and follow up of alveolar cleft grafting procedures.