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Preschool Age Anthropometric Evaluation of the Nose After Bilateral Complete Cleft Lip Repair

Winaikosol, Kengkart MD*; Patthanapalakornskul, Jirapat MD; Jenwitheesuk, Kamonwan MD*; Punyavong, Pattama MD*; Surakunprapha, Palakorn MD*; Chowchuen, Bowornsilp MD, MBA*

doi: 10.1097/SCS.0000000000005531
Original Article: PDF Only

Objective: To evaluate the aesthetic outcomes of surgery in preschool-aged bilateral complete cleft lip patients by comparing their nasal aesthetic parameters with those of normal children.

Setting and Sample Population: Twenty-six 4 to 6-year-old (preschool age) patients with bilateral complete cleft lip who underwent primary cheiloplasty and a control group of 30 children in Northeast Thailand of the same age were enrolled.

Materials and Methods: Nasal aesthetic parameters were analyzed in terms of 3 ratios and 1 angle using three-dimensional photographs. The data from bilateral cleft lip patients were compared with those from a control group.

Results: The nasal parameters of patients in the cleft group were the same as those in the control group in terms of nasal tip height (NTH), columella height (CH), and dome height (DH) (P values were 0.361, 0.494, and 0.086), but nasal width (NW) was greater in the cleft group (P < 0.001). The nasal aesthetic parameters differed significantly between the 2 groups in terms of CLA (P < 0.001) and ratio of NTH and NW (P < 0.001), but not in terms of the CH:NW (P = 0.190) and DH:CH ratios (P = 0.147).

Conclusion: This treatment protocol for bilateral cleft lip was able to achieve most of the aesthetic goals in terms of NTH, CH, DH, ratio of CH to NW, and ratio of DH to CH. However, more surgical correction of NW and CLAs may be needed.

*Plastic & Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen

Plastic & Reconstructive Unit, Department of Surgery, Rayong Hospital, Rayong, Thailand.

Address correspondence and reprint requests to Kengkart Winaikosol, MD, Plastic & Reconstructive Surgery Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand; E-mail:

Received 18 November, 2018

Accepted 3 March, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.