Möglichkeiten und Limitationen der Evaluation von Behandlungskonzepten bei Lippen-, Kiefer- und Gaumenspalten

Piffkò, József; Meyer, Ulrich; Joos, Ulrich

doi:10.1007/s10006-001-0349-0

Cited by 2 publications

(3 citation statements)

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“…The overall incidence of cleft palate with or without cleft lip is 1 case in approximately 1000 live births in the USA and in Europe [1, 2]. In Hungary the incidence of combined oro-facial clefts is 2 in 1000 live births [2]. Although CLP together occur more commonly in males, isolated cleft palate is more common in females [1, 2].…”

Section: Introductionmentioning

confidence: 99%

“…In Hungary the incidence of combined oro-facial clefts is 2 in 1000 live births [2]. Although CLP together occur more commonly in males, isolated cleft palate is more common in females [1, 2]. …”

Section: Introductionmentioning

confidence: 99%

“…The aim of the operation is to reunite all tissue layers of the lip, to reposition the nasal septum and to separate the oral and nasal cavities; and restore the valve function of the soft palate [1, 2]. …”

Section: Introductionmentioning

confidence: 99%

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Secondary correction of nasal deformities in cleft lip and palate patients: surgical technique and outcome evaluation

et al. 2016

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BackgroundNasal deformity associated with cleft lip and palate is a highly challenging reconstructive problem in rhinoplasty. In the literature, several operative solutions and evaluation methods have been described, however these do not offer a standard procedure for the surgeon. Our aim was to standardize our surgical technique—as much as the uniqueness of each case allowed it—based on the most frequent deformities we had faced; and to evaluate our results via a postoperative patient satisfaction questionnaire.Between 2012 and 2014 12 consecutive patients with combined cleft lip and palate deformities underwent secondary nasal and septal correction surgery with the same method by the same surgeon. The indications of surgery were, on one hand, difficult nasal breathing and altered nasal function (tendency for chronic rhinosinusitis) and on the other hand the aesthetic look of the nose. No exclusion criteria were stated. In our follow-up study we evaluated our results by using a modified Rhinoplasty Outcome Evaluation (ROE) questionnaire: patients answered the same four questions pre- and postoperatively. Data were statistically analyzed by t-test.ResultsBased on the questionnaire, all patients experienced improvement of nasal breathing function, improved appearance of the nose and less stigmatization from the society. According to the t-test, all scores of the four questions improved significantly in the postoperative 4–6 months, compared with the preoperative scores.ConclusionsIn our opinion with our standardized surgical steps satisfactory aesthetic and functional results can be achieved. We think the modified ROE questionnaire is an adequate and simple method for the evaluation of our surgical results.

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