Secondary correction of nasal deformities in cleft lip and palate patients surgical technique and outcome evaluation /

BACKGROUND: Nasal deformity associated with cleft lip and palate is a highly challenging reconstructive problem in rhinoplasty. In the literature, several operative solutions and evaluation methods have been described, however these do not offer a standard procedure for the surgeon. Our aim was to s...

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Elmentve itt :
Bibliográfiai részletek
Szerzők: Vass Gábor
Mohos Gábor
Bere Zsófia
Iván László
Varga János
Piffkó József
Rovó László
Dokumentumtípus: Cikk
Megjelent: 2016
Sorozat:HEAD AND FACE MEDICINE 12 No. 1
doi:10.1186/s13005-016-0132-y

mtmt:3157301
Online Access:http://publicatio.bibl.u-szeged.hu/16546
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520 3 |a BACKGROUND: Nasal deformity associated with cleft lip and palate is a highly challenging reconstructive problem in rhinoplasty. In the literature, several operative solutions and evaluation methods have been described, however these do not offer a standard procedure for the surgeon. Our aim was to standardize our surgical technique-as much as the uniqueness of each case allowed it-based on the most frequent deformities we had faced; and to evaluate our results via a postoperative patient satisfaction questionnaire. Between 2012 and 2014 12 consecutive patients with combined cleft lip and palate deformities underwent secondary nasal and septal correction surgery with the same method by the same surgeon. The indications of surgery were, on one hand, difficult nasal breathing and altered nasal function (tendency for chronic rhinosinusitis) and on the other hand the aesthetic look of the nose. No exclusion criteria were stated. In our follow-up study we evaluated our results by using a modified Rhinoplasty Outcome Evaluation (ROE) questionnaire: patients answered the same four questions pre- and postoperatively. Data were statistically analyzed by t-test. RESULTS: Based on the questionnaire, all patients experienced improvement of nasal breathing function, improved appearance of the nose and less stigmatization from the society. According to the t-test, all scores of the four questions improved significantly in the postoperative 4-6 months, compared with the preoperative scores. CONCLUSIONS: In our opinion with our standardized surgical steps satisfactory aesthetic and functional results can be achieved. We think the modified ROE questionnaire is an adequate and simple method for the evaluation of our surgical results. 
700 0 1 |a Mohos Gábor  |e aut 
700 0 1 |a Bere Zsófia  |e aut 
700 0 1 |a Iván László  |e aut 
700 0 1 |a Varga János  |e aut 
700 0 1 |a Piffkó József  |e aut 
700 0 1 |a Rovó László  |e aut 
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