ISSN: 2161-119X

Otolaryngology: Open Access
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  • Research Article   
  • Otolaryngol (Sunnyvale),
  • DOI: 10.4172/2161-119X.1000378

Evaluation of Nostril Morphology in Individuals with Repaired Unilateral Cleft Lip at Children Hospital 1, Ho Chi Minh City

Hoang Nguyen1,2*, Kieu Tho Nguyen3, Chuong Nguyen3, Nguyen Dinh Pham4, Thuong Chi Bui5, Quan Ngoc Hong Nguyen6 and Helen Thanh Nhi Dang7
1Department of Biochemistry and Pharmacology, The Ohio State University School of Medicine Columbus, Ohio, USA
2Department of Preventative Medicine, College of Medicine, Charles R Drew University (CDU),, Los Angeles, California, USA
3Department of Otolaryngology, The University of Medicine and Pharmacy, Ho Chi Minh, Vietnam
4Department of Otolaryngology, Children Hospital 1, Ho Chi Minh, Vietnam
5Department of Obstetrics/Gynecology, The University of Medicine and Pharmacy, Ho Chi Minh, Vietnam
6Department of Internal Medicine, Phuong Chau International Hospital, Can Tho, Vietnam
7Department of Biological Sciences, University of California, Davis, California, USA
*Corresponding Author : Hoang Nguyen MD/PhD, Department of Biochemistry and Pharmacology, The Ohio State University School of Medicine Columbus, Ohio, USA, Tel: +1 213 446 2519, Email: hoangucla@yahoo.com

Received Date: Jun 18, 2019 / Accepted Date: Aug 23, 2019 / Published Date: Aug 30, 2019

Abstract

Objective: The purpose of this study was to evaluate nostril morphology in individuals with repaired unilateral cleft lip.

Method: This was a prospective cross-sectional study. Unilateral cleft lip patients following primary lip repair in Children Hospital 1 from August 2016 to December 2017 were taken on standardized photographs in the area of the nose preoperatively and postoperatively. All patients agreed for disclosure of their medical records, and have been approved by ethical committees.

Results: There were totally 35 patients who underwent primary lip repair. Cleft lip was consistently more common in males at a 3:2 ratio. The mean age was 3.94 months (minimum age=1 month, maximum age=8 months). Unilateral cleft lip showed a left predominance (65.7% on the left; 34.3% on the right). A significant difference (p<0.05) in the width of the nasal base, the height and the width of the nostril, columella height and columella angle. In contrast to those results, no significant difference could be identified in the width of columella (1.9 mm preoperatively, 2 mm postoperatively). A significant difference (p<0.05) between the cleft side and the unaffected side was seen in nostril height, columella width (the coefficient of asymmetry (CA) was 19.2%; 16.2% respectively). In contrast, no significant asymmetry regarding columella height and nostril width (CA=10.5% and 13.3% respectively).

Conclusion: Millard technique has become more common and has some merits for labial esthetic. However, this technique has not resulted in lasting improvement in the nostril height, the columella width and the width of the nasal base yet. Anthropometric nasal measurements can support the role of primary rhinoplasty as guiding surgeons to correct some nasal structures, as well as set timing of repair, standard rhinoplasty protocols in secondary cleft rhinoplasty.

Keywords: Nasal morphometry; Unilateral cleft lip; Rhinoplasty

Citation: Nguyen H, Nguyen KT, Nguyen C, Pham ND, Bui TC, et al. (2019) Evaluation of Nostril Morphology in Individuals with Repaired Unilateral Cleft Lip at Children Hospital 1, Ho Chi Minh City. Otolaryngol (Sunnyvale) 9:378. Doi: 10.4172/2161-119X.1000378

Copyright: © 2019 Nguyen H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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