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- Title
The Necessity of Nostril Retention Application After Secondary Unilateral Cleft Rhinoplasty.
- Authors
Zhang, Shiming; Wu, Min; Chen, Jiali; Yin, Jiayi; Sakran, Karim A.; Wang, Yan; Zeng, Ni; Yang, Chao; Shi, Bing; Huang, Hanyao
- Abstract
Background: This study aims to investigate the necessity of nostril retention after secondary unilateral cleft rhinoplasty. Methods: Seventy four patients who underwent secondary unilateral cleft rhinoplasty were categorized into control group, nasal retainer group, and nasal clip group. A nasal retainer or nasal clip was applied 7 days after secondary correction and retained in the nostrils of the patients for 6 to 12 months. Measurements from pre‐ and post‐operative photos and patient‐reported outcomes were used in this study. Results: After 6 to 12 months, although relapse still occurred in three groups, the nasal retainer group showed a better effect in the ratio of nostril height, whereas the nasal clip group showed a significant improvement in the ratio of nasal base. And both the two groups also showed significant improvement in the ratio of nasal columella. Patients from the control group generally had lower Derriford Appearance Scale (DAS) scores than the nasal retainer group and nasal clip group. Wearing a nasal retainer may negatively influence self‐concept, facial self‐consciousness of appearance and physical state, and significant differences in mean scores were also found in 9 items. Conclusions: The nostril retention after secondary unilateral cleft rhinoplasty could help preserve nasal morphology and reduce postoperative relapse but worsen the patients' quality of life. The necessity of applying the nostril retention should consider the forms of nasal deformity and the potential influence on the quality of life. Level of Evidence: 3 Laryngoscope, 133:1618–1623, 2023
- Subjects
RHINOPLASTY; SELF-consciousness (Awareness); CONTROL groups; QUALITY of life
- Publication
Laryngoscope, 2023, Vol 133, Issue 7, p1618
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.30451