Reda Ahmade Eldesocky Nofel*

Professor of Oral and Maxillofacial Surgery, College of Dentistry, Umm Al-Qura University KSA and Al-Azhar University, Saudi Arabia.

*Corresponding Author: Reda Ahmade Eldesocky Nofel, Professor of Oral and Maxillofacial Surgery, College of Dentistry, Umm Al-Qura University KSA and Al-Azhar University, Saudi Arabia.

Received: March 08, 2023; Published: March 23, 2023

Abstract

The Purpose of the current study was to evaluate the use of lateral columellar flap in correction of different categories of complete unilateral cleft lip.

Data were collected retrospectively from all patients with who were operated on between 2020 and 2022.Of 18 children were suitable for analysis with harelip (complete cleft lip) included in this study. The patients were classified according to the severity of the defect into 3 groups, 6 patients each: Group I mild cleft, Group II moderate cleft and Group III severe cleft. The patients were assessment after correction and at 2, 8 and 14 months post operatively, and all measures were recorded using a caliper for anthropometrics evaluation. Each measurement was done 5 times and the average value was recorded.

At 2 months postoperatively, there was a significant increase (P < 0.05) of nostril width (group I) and highly significant increase (P < 0.01) in nostril height (group II) as compared to the other group. At 8 months postoperatively, there was a significant increase (P < 0.05) and highly significant increase (P < 0.01) in nostril height in (group I) as compared to the other groups. There was a significant increase (P < 0.05) in philtral height, fullness of the lip and width of cupids. At 14 months post-operatively. A highly significant increase (P < 0.01) was noted in nostril widths, nostril height, philtral height and fullness of the lip in (group I) compared to the other groups. While there was no significant difference (P<0.05) between groups and the other lip components. (F = 30.66).

All patient recovered uneventfully, and the columellar flap healed completely with no postorepaire complications. The site of the medial and lateral segments represented the philtrum column. The vertical height of the arch of the Cupid’s bow was equal on each sides.The texture of lateral nostril matched the skin of the columellar area, which considered more accepted cosmetically. It has been shown that the currently study flap has augmented the defected lip by additional tissues.

Keywords: Cleft Lip; Cheilorrhaphy; Nasal Deformity

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Citation

Citation: Reda Ahmade Eldesocky Nofel. “Retrospective Analysis of the Anthropometric Evaluation of Clinical Outcomes of the different Categories of Unilateral Cleft Lip after Reconstruction".Acta Scientific Dental Sciences 7.4 (2023): 73-79.

Copyright

Copyright: © 2023 Reda Ahmade Eldesocky Nofel. 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.