Cleft Lip Nose Correction Combining Open Rhinoplasty With the Dibbel Technique

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dc.contributor.authorGundeslioglu, Ayse Ozlem
dc.contributor.authorAltuntas, Zeynep
dc.contributor.authorInan, Irfan
dc.contributor.authorBilgen, Fatma
dc.contributor.authorJasharllari, Lorenc
dc.contributor.authorKaraibrahimoglu, Adnan
dc.date.accessioned2024-02-23T14:23:28Z
dc.date.available2024-02-23T14:23:28Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractCleft lip nose rhinoplasty is a challenging procedure because of the different presentation and severity of the deformity. Due to this presentation type, there is still no standard procedure correcting all the components of the deformity although a number of techniques have been published in literature. In this study, the effectiveness of the combination of open rhinoplasty and the Dibbel technique with nasal sill augmentation was evaluated. We hereby report our experience with 7 patients who had unilateral cleft lip nose deformity with slumped lower lateral cartilage and underprojected and deformed dome, operated on between September 2010 and April 2013 by 1 surgeon. The mean age of the patients at the time of surgery was 24.5 years (18-38 years) and the patients were followed up for an average of 18.5 months (6-31 months). All patients were operated on with open rhinoplasty and Dibbel technique combination with nasal sill augmentation. Frontal, lateral, oblique, and basilar photographs were obtained preoperatively and postoperatively for each patient. Nasal projection, columella height, nasolabial angle, nasal sill symmetry, and base width were measured on the photographs for comparison of preoperative and postoperative results. All patients' medial and lateral cantus distances were used for photographic standardization. The results demonstrated that there was a statistically significant increase in nasal projection (2.13 +/- 0.28mm preoperatively versus 2.31 +/- 0.08mm postoperatively; P = 0.018), columella height (1.07 +/- 0.25mm preoperatively versus 1.21 +/- 0.18mm postoperatively; P = 0.028), nostril apex height (1.11 +/- 0.15mm preoperatively versus 1.22 +/- 0.11mm postoperatively, P< 0.028), nasolabial angle (77.71 +/- 8.74mm preoperatively versus 91.33 +/- 6.49mm postoperatively; P< 0.05), and nasal sill symmetry (0.42 +/- 0.15mm preoperatively versus 0.27 +/- 0.07mm postoperatively; P< 0.05), and a significant decrease of alar width (2.35 +/- 0.44mm versus 2.16 +/- 0.32mm postoperatively; P = 0.018) on the affected side in response to surgery. The results of this study demonstrated that the Dibbel technique and open rhinoplasty combination with nasal sill augmentation is an effective and safe method for the correction of cleft lip nose deformity in respect to nasal symmetry.en_US
dc.identifier.doi10.1097/SCS.0000000000001544
dc.identifier.endpage686en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue3en_US
dc.identifier.pmid25974773en_US
dc.identifier.scopus2-s2.0-84953343521en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage682en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000001544
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13565
dc.identifier.volume26en_US
dc.identifier.wosWOS:000355236700053en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCleft Lip Nose Diseaseen_US
dc.subjectOpen Rhinoplastyen_US
dc.subjectThe Dibbel Techniqueen_US
dc.subjectNasal Sill Augmentationen_US
dc.titleCleft Lip Nose Correction Combining Open Rhinoplasty With the Dibbel Techniqueen_US
dc.typeArticleen_US

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