Browse > Article

Acoustic Rhinometric Comparison of Cleft Side with Non-cleft Side after Repair of Unilateral Cleft Lip Nose Deformity  

Han, Ki Hwan (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Kwon, Hyuk Joon (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Kim, Hyun Ji (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Kim, Jun Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Son, Dae Gu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Publication Information
Archives of Plastic Surgery / v.33, no.1, 2006 , pp. 75-79 More about this Journal
Abstract
The upper and lower lateral cartilages provide the key to the lower cartilaginous portion of the nose. Lifting the cartilages is essential procedure for correction of unilateral cleft lip nose deformity. After correction of cleft lip nose deformity, authors used acoustic rhinometry (AR) to compare the lower nasal cavity of cleft side with non-cleft side. AR is a well known new, non-invasive diagnostic technique in which nasal geometry is assessed by means of acoustic reflection. From June 1996 to January 2004, we performed acoustic rhinometric analysis after correction of unilateral cleft lip nose deformity. This study involved 40 children of age ranged from 3 months to 8 years. Subjects were divided into the group of incomplete unilateral cleft lip nose deformity(20 subjects), and the group of complete unilateral cleft lip nose deformity(20 subjects). Results show that lower nasal cavity volume between non-cleft side and cleft side has no difference, and better results were obtained when nasal molding prong was applied at cleft side nostril. The results between incomplete type and complete type have no significant difference. In conclusion, AR is an effective method to calibrate cross sectional area and nasal cavity volume of unilateral cleft lip nose deformity, and furthermore effective in comparing the volume of cleft side with non-cleft side after unilateral cleft lip nose deformity correction with lifting the lower lateral cartilages to the upper lateral cartilages.
Keywords
Acoustic rhinometry; Unilateral cleft lip nose;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee WI, Seo SW, Yun ]Y, Park BY: Nasal deformity and acoustic airway obstruction profiles in unilateral secondary cleft lip nose deformity. J Korean Soc Plast Reconstr Surg 31: 741, 2004
2 Hilberg O: Objective measurement of nasal airway dimensions using acoustic rhinometry: methodological and clinical aspects. Allergy 57: 5, 2002
3 Hilberg O, Jackson AC, Swift DL, Pedersen OF: Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection. J Appl Physiol 66: 295, 1989
4 Kim SB, Han SK, Kim WK: Airway improvement after reduction of nasal bone fracture. J Korean Soc Plast Reconstr Surg 32: 49, 2005
5 Han KH, Kim JS, Choi DW: Correction of bilateral cleft lip, alveolus and nose with modified Mulliken method. J Korean Soc Plast Reconstr Surg 25: 1338, 1998
6 Millard DR: The unilateral cleft lip nose. Plast Reconstr Surg 34: 169, 1964   DOI   ScienceOn
7 McComb H: Primary correction of the unilateral cleft lip nose: a IS-year experience. Plast Reconstr Surg 77: 567, 1986
8 Salyer KE: Primary correction of the unilateral cleft lip nose: a IS-year experience. Plast Reconstr Surg 77: 558, 1986   DOI   ScienceOn
9 Mulliken JB: Principles and techniques of bilateral complete cleft lip repair. Plast Reconstr Surg 75: 477, 1985   DOI   ScienceOn
10 Min YG, Jang YJ: Measurements of cross-sectional area of the nasal cavity by acoustic rhinometry and cr scanning. Laryngoscope 105: 757, 1995   DOI   ScienceOn
11 McComb H: Primary correction of unilateral cleft lip nasal deformity: a 10-year review. Plast Reconstr Surg 75: 791, 1985   DOI   ScienceOn