Khodir Mahmoud Akram, Osman Saeeda Mahmoud, Ragab Hala Ragaa, AboulHassan Mamdouh Ahmed, Oraby Mona Samy
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Champlion Street, El-Azarita, Alexandria, Egypt.
Department of General Surgery, Plastic Section, Faculty of Medicine, Cairo University, Al-Saray Street, Al-Manial, Cairo, Egypt.
Head Face Med. 2025 Aug 1;21(1):55. doi: 10.1186/s13005-025-00533-6.
To evaluate the effectiveness of customized nasal conformers used after unilateral cleft lip repair on nasal symmetry and parental satisfaction.
Fourteen medically free, non-syndromic children aged 10-24 weeks with unilateral cleft lip were divided into two groups. All patients underwent primary repair using the Fisher technique. Group I received customized nasal conformers fabricated using digital models, while Group II did not. Anthropometric measurements, including nostril height and width, columella deviation angle, and nasolabial angle were used to assess nasal symmetry between both groups. Parental satisfaction was evaluated using the Cleft Evaluation Profile (CEP).
At six months postoperatively, Group I showed no significant difference between cleft and non-cleft sides across all parameters. In contrast, Group II exhibited significant asymmetry in nostril height and width, although no significant difference was observed in the nasolabial angle. CEP scores showed significantly higher satisfaction in fathers for lip, nose, and profile, and in mothers for nose and profile. No significant difference was noted in teeth appearance for either parent group. Intra-examiner reliability was reliable across all parameters.
The use of customized postsurgical nasal conformers in unilateral cleft lip repair was associated with improved symmetry between cleft and non-cleft sides and appeared to reduce relapse, which may have contributed to increased parental satisfaction with the treatment.
Was retrospectively registered at Clinicaltrials.gov on 23/10/2024 (NCT06637488).
评估单侧唇裂修复术后使用定制鼻整形器对鼻对称性及家长满意度的效果。
将14名年龄在10 - 24周、无综合征、医疗条件良好的单侧唇裂患儿分为两组。所有患者均采用费舍尔技术进行一期修复。第一组使用根据数字模型制作的定制鼻整形器，第二组未使用。通过人体测量，包括鼻孔高度和宽度、鼻小柱偏斜角度和鼻唇角，来评估两组之间的鼻对称性。使用唇裂评估量表（CEP）评估家长满意度。
术后6个月，第一组在所有参数上患侧与非患侧之间均无显著差异。相比之下，第二组在鼻孔高度和宽度上表现出显著不对称，尽管在鼻唇角上未观察到显著差异。CEP评分显示，父亲对唇部、鼻部和侧面轮廓的满意度显著更高，母亲对鼻部和侧面轮廓的满意度显著更高。两组家长对牙齿外观的评价均无显著差异。所有参数的检查者内信度均可靠。
在单侧唇裂修复术中使用定制的术后鼻整形器与患侧和非患侧之间对称性的改善相关，且似乎减少了复发，这可能有助于提高家长对治疗的满意度。
于2024年10月23日在Clinicaltrials.gov进行回顾性注册（NCT06637488）。
