PMID: 9658844Jul 11, 1998Paper

Preoperative assessment of airway patency in the planning of corrective cleft nose surgery

Mund-, Kiefer- und Gesichtschirurgie : MKG
U WahlmamW Wagner

Abstract

To investigate acoustic assessment of complex structural anomalies in cleft lip and palate associated nasal deformities and its impact on the planning of corrective rhinosurgery. Twenty-three consecutive patients with unilateral CL(P) during routine consultations, three of them prior to corrective surgery. Acoustic measurements of the nasal airway crosssectional area were obtained for both nasal cavities. The size of isthmus area and isthmus location as well as the nasal volume and decongestion capacity in various regions of interest were determined. Obstructions in the area of the nasal valve (< 0.4 cm2) were detected in 85% of the patients on the cleft side, but only 15% on the contralateral side. Severe mucosal hypertrophy was a common finding on the cleft side with a significantly higher capacity of decongestion, especially in the posterior region of the nasal cavity (P < 0.02). A second stenosis located behind the physiological isthmus was found in 16 patients. Acoustic rhinometry is a noninvasive, objective method. It measures the degree and the exact location of airway obstructions. Apart from the equipment, the only prerequisite is a cooperative patient. The measurement has direct therapeutic consequences. If the exact ...Continue Reading

Citations

Mar 5, 2009·The Journal of Craniofacial Surgery·Inge Elly Kiemle TrindadeAna Claudia Martins Sampaio-Teixeira
Dec 17, 2014·Journal of Plastic Surgery and Hand Surgery·Antonio R RezendeMarcus V Collares
May 9, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Isil ArasServet Dogan
Dec 25, 2002·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Inge E K TrindadeAlceu S Trindade
Feb 13, 2020·The Journal of Craniofacial Surgery·Jonathan M BekiszRoberto L Flores

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