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1

Baser, Brajendra. "UNILATERAL CLEFT NOSE DEFORMITY." UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY 11, no. 1 (2023): 37–43. http://dx.doi.org/10.36611//upjohns/volume11/issue1/6.

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INTRODUCTION Cleft lip deformity is a complex 3-dimensional congenital facial deformity which leads to poor functional, aesthetic and social outcomes. METHODOLOGY In order to optimize the aesthetic symmetry of unilateral cleft lip nasal deformity correction, we propose an anatomic technique involving reconstruction and restoration of the cleft side alone and to fashion it akin to the normal side in teh form of a case series. SURGICAL TECHNIQUE 1. All the cases were operated by the open Rhinoplasty approach, using the standard stair step trans-columellar and infracartilaginous incision. In unil
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Anderl, H. "UNILATERAL CLEFT LIP NOSE." Plastic and Reconstructive Surgery 79, no. 4 (1987): 661. http://dx.doi.org/10.1097/00006534-198704000-00034.

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3

Salyer, Kenneth E. "UNILATERAL CLEFT LIP NOSE." Plastic and Reconstructive Surgery 79, no. 4 (1987): 661. http://dx.doi.org/10.1097/00006534-198704000-00035.

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Nolst Trenité, Gilbert J., Richard H. L. Paping, and Albert H. Trenning. "Rhinoplasty in the Cleft Lip Patient." Cleft Palate-Craniofacial Journal 34, no. 1 (1997): 63–68. http://dx.doi.org/10.1597/1545-1569_1997_034_0063_ritclp_2.3.co_2.

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Several important factors to consider in the surgical repair of the cleft lip nose are described: the importance of an adequate lip closure technique to ensure symmetry can prevent a more conspicuous deformity of the nose during growth, the consequences of secondary rhinoplasty in the growing nose in which the surgeon has to weigh the possible growth inhibition due to scar tissue against the possible functional and esthetic improvement, a systematic surgical approach in which the operative procedure is divided Into different steps, and the use of autogenous graft material. In the evaluation of
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Railean, Silvia, Cristina Postaru, Roman Lupan, and Odi Nabila. "Primary correction of the nasal deformity on patients with unilateral cleft lip." Bulletin of the Academy of Sciences of Moldova. Medical Sciences, no. 2(73) (November 2022): 54–59. http://dx.doi.org/10.52692/1857-0011.2022.2-73.07.

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Introduction. Orofacial clefts, is a group of conditions that includes cleft lip, cleft palate, and both together. Symmetry of the face can be obtained with primary nose reconstruction. The goal: Analysis of patients with unilateral complete cleft lip patients treated with or without a primary nasal correction at the time of cleft lip repair were compared to evaluate the relevance of early surgical correction of the nose Material and method. The 5 unilateral cleft subjects were operated on in 2022 by a technique of primary cleft nose correction (PCR), and 5 were operated without primary nose r
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Tolhurst, D. E. "UNILATERAL CLEFT LIP NOSE CORRECTION." Plastic and Reconstructive Surgery 83, no. 6 (1989): 1082. http://dx.doi.org/10.1097/00006534-198906000-00048.

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7

Rossell-Perry, Percy. "Primary unilateral cleft lip nasal deformity repair using V-Y-Z plasty: An anthropometric study." Indian Journal of Plastic Surgery 50, no. 02 (2017): 180–86. http://dx.doi.org/10.4103/ijps.ijps_215_16.

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ABSTRACT Background: Secondary nose deformity after unilateral cleft lip repair is a common problem. Loss of tip projection on the cleft side of unilateral cleft lip nasal deformity can be difficult to correct due to lack of adequate support. The purpose of this study is to evaluate the surgical outcome after using V-Y-Z plasty to address unilateral cleft lip nasal deformities. Methods: A cross-sectional study of one surgeon's outcome of 58 performed primary complete unilateral cleft lip nasal deformity repairs. All these patients met the study criterion of having anthropometric measurements a
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Power, Stephanie M., and Damir B. Matic. "The Effects of Secondary Cleft Procedures on Alar Base Position and Nostril Morphology in Patients with Unilateral Clefts." Cleft Palate-Craniofacial Journal 54, no. 4 (2017): 431–35. http://dx.doi.org/10.1597/15-158.

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Objective To compare effects of secondary cleft procedures on alar base position and nostril morphology. Design Retrospective review. Setting Multidisciplinary cleft clinic at tertiary center. Patients, Participants Seventy consecutive patients with unilateral clefts were grouped according to secondary procedure. Interventions Alveolar bone graft versus total lip takedown with anatomic muscle repair versus single-stage total lip with cleft septorhinoplasty (nose-lip) versus rhinoplasty alone. Main Outcome Measures Anthropometric measurements were recorded from pre- and postoperative photograph
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Morrant, David G., and William C. Shaw. "Use of Standardized Video Recordings to Assess Cleft Surgery Outcome." Cleft Palate-Craniofacial Journal 33, no. 2 (1996): 134–42. http://dx.doi.org/10.1597/1545-1569_1996_033_0134_uosvrt_2.3.co_2.

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A standardized method of video recording the nasolabial area of children with complete unilateral clefts of the lip and nose is described. Assessment of the outcome of cleft surgery using a scoring system to evaluate the video recordings was carried out by a panel of plastic surgeons familiar with the problems of secondary deformity in cleft patients. Nine features of the appearance and function of the lip and 10 features of the nose appearance were assessed in 30 children, aged 11 to 14 years, from two cleft treatment centers. The reliability of the panel ranged from poor to excellent for dif
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10

Datusanantyo, Robertus Arian, Magda Rosalina Hutagalung, and Sitti Rizaliyana. "Modified Cleft Lip Evaluation Profile (Mclep) Index For Unilateral Cleft Lip Repair Outcome Assessment In Surabaya Clp Center." Jurnal Rekonstruksi dan Estetik 5, no. 1 (2021): 6. http://dx.doi.org/10.20473/jre.v5i1.24316.

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Background: Cleft lip and/or palate is the most common craniofacial congenital anomaly encountered by the plastic surgeon. Both reconstruction and outcome assessment are challenging. This study aimed to assess the outcome of unilateral cleft lip repair in the Surabaya CLP Center.Methods: All patients who underwent unilateral cleft lip repair in 2017 were included in the study. Those without complete photographs at minimally 52 weeks after surgery were excluded. The photographs of patients taken at least one-year post-surgery were assessed using a modified cleft lip evaluation profile (MCLEP) i
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11

Rossell-Perry, Percy, and Arquimedes Gavino-Gutierrez. "Mixed Dentition Period Follow-up of Primary Unilateral Cleft Nose Deformity Repair." Plastic and Reconstructive Surgery - Global Open 11, no. 10 (2023): e5313. http://dx.doi.org/10.1097/gox.0000000000005313.

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Background: Recently, there has been an increased acceptance of the primary cleft rhinoplasty providing acceptable outcomes. Nose reconstruction, and specifically cleft nose deformity, should be addressed based on this philosophy. The purpose of this study was to evaluate surgical outcomes during the mixed dentition period after primary surgery to address unilateral cleft lip nose deformity based on the proposed technique. Methods: This is a retrospective cohort study. Thirty-two primary complete unilateral cleft lip patients were operated on by a single surgeon using the V-Y-Z cleft rhinoplas
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Bardi M, Adebola RA, Efunkoya AA, et al. "Comparative analysis of preoperative and postoperative nasal appearance following unilateral complete cleft lip repair in Kano." Ibom Medical Journal 18, no. 2 (2025): 379–84. https://doi.org/10.61386/imj.v18i2.679.

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Background: Cleft of the lip even after primary repair is reported to show residual deformities especially affecting the nose. The correction of nasal asymmetry is believed to be most challenging and has contributed greatly to modifications and improvement in surgical techniques. The aim of this study was to evaluate the nasal outcome using the symmetry of the nose in children with unilateral complete cleft lip following primary repair in Kano. Methods: This was a prospective analysis of the nasal outcome in children with unilateral complete cleft lip with or without palate. Preoperative and p
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13

Hood, C. A., M. T. Hosey, M. Bock, J. White, A. Ray, and A. F. Ayoub. "Facial Characterization of Infants with Cleft Lip and Palate Using a Three-Dimensional Capture Technique." Cleft Palate-Craniofacial Journal 41, no. 1 (2004): 27–35. http://dx.doi.org/10.1597/02-143.

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Objective To characterize the soft tissue features of infants with unilateral cleft lip (UCL) and unilateral complete cleft lip and palate (UCLP) prior to primary surgery and compare with noncleft controls. Design Prospective controlled capture of the facial morphology of infants using a noninvasive three-dimensional stereophotogrammetry method. Participants 23 children with presurgical cleft: 11 UCL (M = 6, F = 5); 12 UCLP (M = 9, F = 3), and 21 noncleft controls (M = 7, F = 14) were imaged at approximately 3 months of age (range 10 to 16 weeks). Main Outcome Measure Accurate, repeatable quan
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14

Reddy, Srinivas Gosla, Rajgopal R. Reddy, Joachim Obwegeser, and Maurice Y. Mommaerts. "Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts." Indian Journal of Plastic Surgery 47, no. 03 (2014): 340–45. http://dx.doi.org/10.4103/0970-0358.146588.

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ABSTRACT Background: Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques have been considered to repair these cleft defects. Aim: We present two surgical options to repair such facial clefts. Materials and Methods: A nasal dorsum rotational flap was used to treat patients with Tessier no. 2 clefts. This is a local flap that uses tissue from the dorsal surface of
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15

Son, Jangwoo, and Kang-Min Ahn. "Rhinoplasty for unilateral cleft lip deformity." Journal of The Korean Dental Association 62, no. 4 (2024): 240–45. http://dx.doi.org/10.22974/jkda.2024.62.4.005.

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Cleft nasal deformity is most common sequel after cleft lip and palate surgery. The severity of the nasal deformity is usually decided by initial cleft state, previous operation skill and postoperative care. Secondary cleft rhinoplasty for unilateral cleft patient requires both esthetic and functional results. Understanding the anatomic defect and growth potential after cleft operation help to perform favorable secondary rhinoplasty. Surgical methods for deformed cleft nose are diverse and each methods have pros and cons. Closed or open rhinoplasty with or without cartilage graft and piriform
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Crins-de Koning, Marjolein, Robin Bruggink, Marloes Nienhuijs, Till Wagner, Ewald M. Bronkhorst, and Edwin M. Ongkosuwito. "Three-dimensional analysis of facial morphology in nine-year-old children with different unilateral orofacial clefts compared to normative data." PeerJ 13 (January 21, 2025): e18739. https://doi.org/10.7717/peerj.18739.

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Aim To compare three-dimensional (3D) facial morphology of various unilateral cleft subphenotypes at 9-years of age to normative data using a general face template and automatic landmarking. The secondary objective is to compare facial morphology of 9-year-old children with unilateral fusion to differentiation defects. Methods 3D facial stereophotogrammetric images of 9-year-old unilateral cleft patients were imported into 3DMedX® for processing. All images of patients with a right sided cleft were mirrored. A regionalized general facial template was used for standardization. This template was
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Bardach, Janusz. "Unilateral cleft lip/nose repair: Bardach's technique." Operative Techniques in Plastic and Reconstructive Surgery 2, no. 3 (1995): 187–92. http://dx.doi.org/10.1016/s1071-0949(95)80009-3.

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18

Cronin, Thomas D., and Keith A. Denkler. "Correction of the Unilateral Cleft Lip Nose." Plastic and Reconstructive Surgery 82, no. 3 (1988): 419–32. http://dx.doi.org/10.1097/00006534-198809000-00008.

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19

Hocevar-Boltezar, I., A. Jarc, and V. Kozelj. "Ear, nose and voice problems in children with orofacial clefts." Journal of Laryngology & Otology 120, no. 4 (2006): 276–81. http://dx.doi.org/10.1017/s0022215106000454.

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The purpose of this study was to compare the prevalence of ear, nose and particularly voice problems in groups of children with cleft palate (CP) and with unilateral cleft lip, alveolus and palate (UCLP). On the basis of history, regular otorhinolaryngological examinations and hearing tests, the prevalence of different pathologies was assessed in 80 CP children (35 boys and 45 girls) and 73 UCLP children (47 boys and 26 girls). Ear pathology was reported in 53.8 per cent of CP children and in 58.9 per cent of UCLP children. Nasal breathing was impaired in 14 CP (17.5 per cent) and 36 UCLP (49.
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20

Oh, Tae-Suk, and Young Chul Kim. "A comprehensive review of surgical techniques in unilateral cleft lip repair." Archives of Craniofacial Surgery 24, no. 3 (2023): 91–104. http://dx.doi.org/10.7181/acfs.2023.00268.

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Unilateral cleft lip is a common congenital anomaly that affects the appearance and function of the upper lip and nose. Surgical repair of cleft lip aims to restore the normal anatomy and functionality of the affected structures. In recent years, several advances have been made in the field of cleft lip repair, including new surgical techniques and approaches. This comprehensive review discusses the surgical management of patients with unilateral cleft lip and palate and provides step-by-step instructions for the surgical procedures.
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21

Zhang, Xulong, Zhen Song, Yihao Xu, et al. "Correction of Cleft Lip Nose Deformity With Circular Shape Alar Graft and Block Costal Cartilage." Annals of Plastic Surgery 91, no. 1 (2023): 78–83. http://dx.doi.org/10.1097/sap.0000000000003582.

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Background Secondary deformities of the cleft lip and nose are mainly caused by the long period of craniofacial development and the secondary scarring. Correction of the secondary cleft lip-nose deformity is a complex process that requires both the correction of the soft tissue and skeletal support. The purpose of this study was to present our experience in correcting the secondary unilateral cleft lip-nose deformities with autologous costal cartilage. Methods A retrospective analysis of patients who underwent correction of unilateral cleft nasal deformity with simultaneous rhinoplasty by a se
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22

Septrina, Rani, and Gentur Sudjatmiko. "Antropometric Evaluation Of Gentur's Cheiloplasty Method In Unilateral Cleft Lip." Jurnal Plastik Rekonstruksi 3, no. 2 (2017): 52–60. http://dx.doi.org/10.14228/jpr.v3i2.202.

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Background: Cheiloplasty, the earliest surgical procedure in cleft lip and palate patient, has impact on functional and aesthetical appearance1. The Gentur’s technique is a method of cleft lip surgery that has been developed by him and has been used in RSUPN Cipto Mangunkusumo/Faculty of Medicine Universitas Indonesia2. It uses the rotation-advancement, small triangular, preventing notching concepts with some other details to overcome the wide cleft. This study was conducted to answer whether the Gentur’s technique gives symmetrical result in anthropometric measurements.
 Methods: Cross s
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Mccomb, Harold K., and Brian A. Coghlan. "Primary Repair of the Unilateral Cleft Lip Nose: Completion of a Longitudinal Study." Cleft Palate-Craniofacial Journal 33, no. 1 (1996): 23–31. http://dx.doi.org/10.1597/1545-1569_1996_033_0023_protuc_2.3.co_2.

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The first 10 consecutive unilateral cleft subjects operated on in 1975 by a technique of primary cleft nose correction, developed by the author (HKM), were reviewed at ages 10 and 18. No further nasal surgery had been performed on these cases. The anteroposterior and inferior facial appearances of each of the cases have been published for evaluation. A computer-based method of measuring nasal asymmetry was used to objectively analyze the results and compare them with normal and cleft control faces that were age matched. The results support the observation that nasal growth of the cleft side of
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Mandal, Emeline, Charles Filip, Maud Els-Marie Andersson, and Bjørn Øgaard. "Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team." Cleft Palate-Craniofacial Journal 56, no. 7 (2019): 853–59. http://dx.doi.org/10.1177/1055665618820753.

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Objective: Describe patients born with unilateral cleft lip with or without cleft alveolus (CL±A) in relation to cleft severity and laterality, gender, associated anomalies and syndromes, number and type of lip- and nose operations, and time of alveolar bone graft (ABG) treatment in relation to dental status in cleft area. Materials and Methods: Patients included 220 children born with unilateral CL±A, born between 1988 and 1997 referred to the Oslo Cleft Lip and Palate Team. The data were collected retrospectively. All patients were followed up until 18 years of age. Results: Among all CL±A,
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Lee, Hyun Seung, Hyung Joon Seo, and Yong Chan Bae. "Tessier number 7 cleft with unilateral complete cleft lip and palate: a case report." Archives of Plastic Surgery 48, no. 6 (2021): 630–34. http://dx.doi.org/10.5999/aps.2021.00857.

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To date, there have been no reports of patients showing a Tessier number 7 cleft with unilateral complete cleft lip and palate. Furthermore, no studies have established the sequence, plan, or timing of surgical methods for treating patients presenting the above anomalies simultaneously. We report a case of a Tessier number 7 cleft with unilateral complete cleft lip and palate. Two months after birth, lip adhesion was performed on the unilateral complete cleft lip and total excision was performed on the skin tag. At 4 months of age, Tessier number 7 cleft was corrected. At 6 months of age, surg
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Nguyen Van, Minh, Tai Tran Tan, and Loi Nguyen Hong. "ASSESSMENT OF  SECONDARY CLEFT LIP/NASAL DEFORMITIES AFTER PRIMARY PLASTIC SURGERY ON THE PATIENT WITH UNILATERAL CLEFT LIP/PALATE." Volume 8 Issue 5 8, no. 5 (2018): 65–71. http://dx.doi.org/10.34071/jmp.2018.5.9.

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Objectives: Congenital cleft lip/palate is most common deformity of the face. Primary plastic surgery for rehabilitation and aesthetics is the need of the patients and family of patients, however, there are many secondary deformities of lip and nose post-surgery. Therefore, assessment of secondary cleft lip/nasal deformities is performed for planning of surgical repair. Method: 46 patient with unilateral cleft lip/palate, were operated with different techniques, are examinated post-surgery at department of Maxillofacial surgery, Hue University of Medicine and Pharmacy Hospital and Centre of Od
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Pranav, Kumar. "A Hospital-Based Study to Assess the Presurgical Nasoalveolar Moulding in Unilateral Cleft Lip and Palate." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 530–34. https://doi.org/10.5281/zenodo.11521267.

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AbstractAim: The aim of the present study was to assess the presurgical nasoalveolar moulding in unilateral cleft lip andpalate.Methods: 100 infants (65 boys and 35 girls) with unilateral cleft lip and palate (UCLP) were recruited atdepartment of Department of Burn & Plastic Surgery. A comprehensive clinical assessment, including facial andoral examination, was simultaneously performed by the standardized team. The study was conducted for theperiod of 1 year.Results: The result showed significant increases in average nostril height (CNH) in cleft side (from 1.16 + 0.34mm to 6.74 + 2.18 mm,
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Rossell-Perry, Percy, and Carolina Romero-Narvaez. "Evaluation of the Use of Auricular Composite Graft for Secondary Unilateral Cleft Lip Nasal Alar Deformity Repair." Plastic Surgery International 2014 (September 25, 2014): 1–7. http://dx.doi.org/10.1155/2014/270285.

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The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities. A retrospective cohort study of one surgeon’s outcome of 35 consecutive performed secondary cleft lip nasal deformity repair. Thirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed surgical technique since 2008. All these patients met the study criterion of having anthropometric measurements performed at least one year postoperatively. Measurement of nostril size was performed at the right a
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Peltomäki, Timo, Bruno L. Vendittelli, Barry H. Grayson, Court B. Cutting, and Lawrence E. Brecht. "Associations between Severity of Clefting and Maxillary Growth in Patients with Unilateral Cleft Lip and Palate Treated with Infant Orthopedics." Cleft Palate-Craniofacial Journal 38, no. 6 (2001): 582–86. http://dx.doi.org/10.1597/1545-1569_2001_038_0582_absoca_2.0.co_2.

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Objective: The purpose of this study was to examine possible associations between severity of clefting in infants and maxillary growth in children with complete unilateral cleft lip and palate. Design: This was a retrospective study of measurements made on infant maxillary study casts and maxillary cephalometric variables obtained at 5 to 6 years of follow-up. Setting: The study was performed at the Institute of Reconstructive Plastic Surgery of New York University Medical Center, New York, New York. Patients: Twenty-four consecutive nonsyndromic unilateral complete cleft lip and palate patien
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Paiva, Tatiana Saito, Marcia Andre, Wellingson Silva Paiva, and Beatriz Silva Camara Mattos. "Aesthetic Evaluation of the Nasolabial Region in Children with Unilateral Cleft Lip and Palate Comparing Expert versus Nonexperience Health Professionals." BioMed Research International 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/460106.

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Esthetic evaluation of cleft lip and palate rehabilitation outcomes may assist in the determination of new surgical interventions and aid in reevaluation of treatment protocols. Our objective was to compare esthetics assessments of the nasolabial region in children with a unilateral cleft lip and palate between healthcare professionals who were experienced in the treatment of cleft lip and palate and those who were inexperienced. The study group included 55 patients between 6 and 12 years of age who had already undergone primary reconstructive surgery for unilateral cleft lip. Standardized dig
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Warren, Donald W., Amelia F. Drake, and Jefferson U. Davis. "Nasal Airway in Breathing and Speech." Cleft Palate-Craniofacial Journal 29, no. 6 (1992): 511–19. http://dx.doi.org/10.1597/1545-1569_1992_029_0511_naibas_2.3.co_2.

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Clefts of the lip and palate frequently produce nasal deformities that tend to reduce the size of the nasal airway. Approximately 70% of the cleft population have nasal airway impairment and about 80% “mouth-breathe” to some extent. Surgical correction of nasal, palatal, and pharyngeal structures may further compromise breathing. Type of cleft appears to affect airway size, with unilateral clefts demonstrating the smallest airway. Although a pharyngeal flap may further decrease airway size, some individuals do not notice a postoperative change because of airway compromise prior to flap placeme
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Russell, K. A., and B. Tompson. "Correlation between Facial Morphology and Esthetics in Patients with Repaired Complete Unilateral Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 46, no. 3 (2009): 319–25. http://dx.doi.org/10.1597/07-143.1.

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Objective: The purpose of this study was to determine if there were correlations between anthropometric nasolabial measurements and subjective assessments of nasal esthetics in individuals with repaired complete unilateral cleft lip and palate (CUCLP). Participants: The sample consisted of 28 individuals with repaired CUCLP and 20 age- and gender-matched individuals without clefts. Outcome Measures: Nasolabial morphology was assessed using 2D and 3D measurements made on frontal photographs, lateral cephalometric radiographs, and plaster nose casts. A panel of orthodontists rated nasal esthetic
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Mulder, F. J., D. G. M. Mosmuller, H. C. W. de Vet, et al. "The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients." Cleft Palate-Craniofacial Journal 55, no. 7 (2018): 1006–12. http://dx.doi.org/10.1597/16-123.

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Objective: To develop a reliable and easy-to-use method to assess the nasolabial appearance of 18-year-old patients with unilateral cleft lip and palate (CLP). Design: Retrospective analysis of nasolabial aesthetics using a 5-point ordinal scale and newly developed photographic reference scale: the Cleft Aesthetic Rating Scale (CARS). Three cleft surgeons and 20 medical students scored the nasolabial appearance on standardized frontal photographs. Setting: VU University Medical Center, Amsterdam. Patients: Inclusion criteria: 18-year-old patients, unilateral cleft lip and palate, available pho
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Sugihara, Tsuneki, Tetsunori Yoshida, Hiroharu H. Igawa, and Ken-ich Homma. "Primary Correction of the Unilateral Cleft Lip Nose." Cleft Palate-Craniofacial Journal 30, no. 2 (1993): 231–36. http://dx.doi.org/10.1597/1545-1569(1993)030<0231:pcotuc>2.3.co;2.

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Sugihara, Tsuneki, Tetsunori Yoshida, Hiroharu H. Igawa, and Ken-Ich Homma. "Primary Correction of the Unilateral Cleft Lip Nose." Cleft Palate-Craniofacial Journal 30, no. 2 (1993): 231–36. http://dx.doi.org/10.1597/1545-1569_1993_030_0231_pcotuc_2.3.co_2.

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The details of surgical techniques for primary correction of the unilateral cleft lip nose and their results for 45 cases are reported. The technique employed an infracartilaginous incision on the affected side, thus allowing direct suturing of the alar cartilage onto the lateral cartilage. For the postoperative evaluation, the nasal form in both frontal and bottom views was scored for five items. In overall evaluation, the grades of “Good,” “Fair,” and “Poor” were derived from the total scores of five items. In the postoperative results (range of follow-up: 24 months to 84 months), 24 cases w
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36

Clark, J. Madison, Judith M. Skoner, and Tom D. Wang. "Repair of the Unilateral Cleft Lip/Nose Deformity." Facial Plastic Surgery 19, no. 1 (2003): 029–40. http://dx.doi.org/10.1055/s-2003-39134.

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37

Mazzola, Riccardo. "Secondary Unilateral Cleft Lip Nose: The External Approach." Facial Plastic Surgery 12, no. 04 (1996): 367–78. http://dx.doi.org/10.1055/s-2008-1064507.

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38

Salyer, Kenneth E., Edward R. Genecov, and David G. Genecov. "Unilateral cleft lip-nose repair – long-term outcome." Clinics in Plastic Surgery 31, no. 2 (2004): 191–208. http://dx.doi.org/10.1016/s0094-1298(03)00128-7.

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39

Meyer, Eric, and Alan Seyfer. "Cleft Lip Repair: Technical Refinements for the Wide Cleft." Craniomaxillofacial Trauma & Reconstruction 3, no. 2 (2010): 81–86. http://dx.doi.org/10.1055/s-0030-1254377.

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Clefts of the lip and palate are among the most common congenital malformations. A unilateral deformity is the most common type of cleft, but even within this subgroup there is a great deal of variety due to the accompanying severe distortion of the upper lip, cheek, nose, and maxilla. To repair such a variety of clefts with good aesthetic results, several general incisional approaches should be mastered along with a variety of subtle techniques that improve the end product. The most common repair utilized in America is the Millard rotation-advancement technique. This is partly due to the perc
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Adenwalla, H. S., and P. V. Narayanan. "Primary unilateral cleft lip repair." Indian Journal of Plastic Surgery 42, S 01 (2009): S62—S70. http://dx.doi.org/10.1055/s-0039-1699378.

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ABSTRACTThe unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved t
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Hadikhosuma, Jessica Novia, Bambang Wicaksono, and Rionaldo Dhiparedja. "COMPLETE UNILATERAL CLEFT LIP SURGERY USING MODIFIED ROTATION-ADVANCEMENT FLAP TO ENHANCE AESTHETIC APPEARANCE IN RSPAL DR. RAMELAN HOSPITAL: A CASE SERIES." Jurnal Rekonstruksi dan Estetik 9, no. 2 (2024): 100–110. https://doi.org/10.20473/jre.v9i2.59067.

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ABSTRACT Introduction: Unilateral cleft lip is a common congenital anomaly that impacts both the appearance and function of the upper lip and nose. Surgical cleft lip repair aims to return the affected structures to their normal anatomy and functionality. In recent years, several advances have been made in cleft lip repair, including new surgical techniques and approaches. In this current study, authors have adapted Millard's rotation-advancement flap technique and further modified it throughout his 14 years of experience. Case Presentation: This case series included 4 patients at RSPAL Dr Ram
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Zuhaib, Mohammed, Krishnamurthy Bonanthaya, Renu Parmar, Pritham N. Shetty, and Pradeep Sharma. "Presurgical nasoalveolar moulding in unilateral cleft lip and palate." Indian Journal of Plastic Surgery 49, no. 01 (2016): 42–52. http://dx.doi.org/10.4103/0970-0358.182235.

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ABSTRACT Context: Presurgical nasoalveolar moulding (PNAM) is a non-surgical method of reshaping the cleft lip, alveolus, palate and the nose to minimize the severity of the cleft deformity, before primary cheiloplastyand palatoplasty. In this context, PNAM proves to be an invaluable asset in the management of unilateral cleft lip and palate. Aims: The study was conducted to evaluate the effi cacy of PNAM in the management of unilateral cleft lip and palate with the following objectives: (1) To assess and compare the degree of reduction in the size of cleft palate and alveolus (pre-PNAM and po
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Le, Hoang Vinh, Viet Luan Tran, and Quang Hung Do. "Unilateral cleft lip anatomy combined with nasal deformities for clinical application in rhinoplasty at Cho Ray Hospital." Ministry of Science and Technology, Vietnam 65, no. 7 (2023): 17–20. http://dx.doi.org/10.31276/vjst.65(7).17-20.

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Nasal deformity in unilateral cleft lip patients has many different clinical forms, causing severe disproportion on both sides of the nose. The treatment of rhinoplasty in these cases is very complex and always a challenge for the surgeon. This study aims to investigate the characteristics of nasal deformities in unilateral cleft lip patients, thereby helping clinical surgeons better prepare for rhinoplasty in these patients. A retrospective method describes a series of cases performed on 89 unilateral cleft lip patients who had lip surgery but still deformed the nose and came for examination
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Kumjan, N., A. Manosudprasit, A. Pisek, et al. "A Three-Dimensional Comparison of Nasolabial Soft Tissue between Children with Repaired Unilateral Complete Cleft Lip and Palate and Unaffected Children in Khon Kaen, Thailand." Journal of Clinical Pediatric Dentistry 44, no. 6 (2020): 442–50. http://dx.doi.org/10.17796/1053-4625-44.6.9.

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Objectives: The objectives were to assess the treatment outcomes of unilateral cleft lip and palate after primary surgery on nasolabial soft tissue of children ages 4–5 years old as compared with unaffected children and to establish a nasolabial soft tissue norm within Khon Kaen. Study design: This cross-sectional study consisted of 60 unaffected subjects living in Khon Kaen province and 20 subjects with repaired complete unilateral cleft lip and palate who were treated at Srinagarind Hosipital, Khon Kaen, Thailand. 3D images were taken by a Morpheus 3D Scanner and measured by the Morpheus 3D
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Zhang, Rosaline S., Lawrence O. Lin, Ian C. Hoppe, et al. "Nasal Obstruction in Children With Cleft Lip and Palate: Results of a Cross-Sectional Study Utilizing the NOSE Scale." Cleft Palate-Craniofacial Journal 56, no. 2 (2018): 177–86. http://dx.doi.org/10.1177/1055665618772400.

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Objective: To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. Design: Retrospective cross-sectional study. Setting: Cleft Lip and Palate Program, Children’s Hospital of Philadelphia. Patients, Subjects: One thousand twenty-eight surveys obtained from 456 subjects (mean age: 10.10 (4.48) years) with CL/P evaluated between January 2015 and August 2017 with at least 1 completed NOSE survey. Interventions: Nasal Obstruction Symptom Evaluatio
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Schwirtz, Roderic M. F., Frans J. Mulder, David G. M. Mosmuller, et al. "Rating Nasolabial Aesthetics in Unilateral Cleft Lip and Palate Patients." Cleft Palate-Craniofacial Journal 55, no. 5 (2018): 747–52. http://dx.doi.org/10.1177/1055665617747702.

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Objective: To determine if cropping facial images affects nasolabial aesthetics assessments in unilateral cleft lip patients and to evaluate the effect of facial attractiveness on nasolabial evaluation. Design: Two cleft surgeons and one cleft orthodontist assessed standardized frontal photographs 4 times; nasolabial aesthetics were rated on cropped and full-face images using the Cleft Aesthetic Rating Scale, and total facial attractiveness was rated on full-face images with and without the nasolabial area blurred using a 5-point Likert scale. Setting: Cleft Palate Craniofacial Unit of a Unive
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Rai, Kimit. "Primary Unilateral and Bilateral Cleft Lip and Nose in An Older Population." Canadian Journal of Plastic Surgery 13, no. 2 (2005): 71–74. http://dx.doi.org/10.1177/229255030501300203.

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A one-stage procedure to reconstruct complete and incomplete unilateral/bilateral cleft lip and nose deformities is presented. Emphasis was made on closure of the lip muscles, correction of the nostril floor, correction of the alveolar cleft as well as reconstruction of the nose through an intranasal approach, with a supported suture technique for nasal correction. No dental or orthodontic treatment was available or performed in this older population. Emphasis was on primary closure of the muscles, using the rotation advancement principle. The repair that was performed was near anatomical, rec
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van Loon, Bram, Srinivas G. Reddy, Niels van Heerbeek, et al. "3D stereophotogrammetric analysis of lip and nasal symmetry after primary cheiloseptoplasty in complete unilateral cleft lip repair." Rhinology journal 49, no. 5 (2011): 546–53. http://dx.doi.org/10.4193/rhino11.092.

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Background: The aim of this study was to evaluate symmetry of the lip and nose in patients with CUCLP after primary cheiloseptoplasty (Afroze technique), in comparison to non-cleft controls. Methodology: In this prospective study, forty-four patients with operated non-syndromic CUCLP were included. The control group consisted of 44 volunteers without cleft defects of approximately the same age and sex. Primary septoplasty was performed in conjunction with the cleft lip (CL) repair using the Afroze incision. 3D facial images were acquired using 3D stereophotogrammetry. After a 3D cephalometric
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van Loon, Bram, Srinivas G. Reddy, Niels van Heerbeek, et al. "3D stereophotogrammetric analysis of lip and nasal symmetry after primary cheiloseptoplasty in complete unilateral cleft lip repair." Rhinology journal 49, no. 5 (2011): 546–53. http://dx.doi.org/10.4193/rhino.11.092.

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Background: The aim of this study was to evaluate symmetry of the lip and nose in patients with CUCLP after primary cheiloseptoplasty (Afroze technique), in comparison to non-cleft controls. Methodology: In this prospective study, forty-four patients with operated non-syndromic CUCLP were included. The control group consisted of 44 volunteers without cleft defects of approximately the same age and sex. Primary septoplasty was performed in conjunction with the cleft lip (CL) repair using the Afroze incision. 3D facial images were acquired using 3D stereophotogrammetry. After a 3D cephalometric
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Maharanii, R. Aj Aulia, Agus Nurwiadh, and Harmas Yazid Yusuf. "Management of Tessier No. 2 Facial Cleft Using Millard Technique with Zig- Zag Ad-vancement Flap: A Case Report." International Journal of Medical and Biomedical Studies 8, no. 5 (2024): 80–86. http://dx.doi.org/10.32553/ijmbs.v8i5.2876.

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Introduction: Craniofacial cleft is a rare congenital disorder that affects facial and skull. development, with an incidence estimated between 1.4-4.9 per 100,000 births. This condition often results in significant complications such as feeding difficulties, impaired speech, hearing issues, and psychosocial challenges. Among craniofacial clefts, the oblique facial cleft, including Tessier No. 2 cleft, is the rarest and least documented. This cleft is characterized by specific soft and hard tissue deformities resulting from a failure of fusion among facial processes during embryonic development
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