Rhinologic Computed Tomographic Evaluation in Patients With Cleft Lip and Palate

Suzuki, Hideaki; Yamaguchi, Tai; Furukawa, Masayuki

doi:10.1001/archotol.125.9.1000

Cited by 50 publications

(61 citation statements)

References 16 publications

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“…In patients with UCLP, middle ear and mastoid problems, dental anomalies, and maxillary sinus volume shortage are observed frequently (17,18). Recently, investigations into nasal cavity and paranasal sinuses in CLP patients had increased, because rhinosinusitis was commonly observed in these patients (19). The treatment of these patients is jointly performed by several disciplines such as: otorhinolaryngology, prosthetic dentistry, oral and maxillofacial or plastic surgery, and orthodontics.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography

Dedeoğlu¹,

Altun²,

Küçük³

et al. 2017

BLL

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OBJECTIVE: The aim of this study was to evaluate the frequency of anatomical variation in nasal cavity and paranasal sinuses by comparing a unilateral cleft lip and palate (UCLP) group with a non-syndromic control group using cone beam computed tomography (CBCT). SUBJECTS AND METHODS: This study included 24 UCLP patients in the UCLP group and 24 non-syndromic patients in the control group. Coronal CBCT images were taken in all patients and were evaluated for anatomical variation. The measurements obtained in this study were analysed using chi-square and Fisher's exact tests to compare the two groups statistically. RESULTS: In the UCLP group, there were statistically lower frequencies of pterygoid process pneumatisation (p <0.05), higher wing pneumatisation (p < 0.05), and sphenoid sinus over pneumatisation (p < 0.05), and statistically higher frequencies of anterior nasal septal deviation (p < 0.05) compared to the control group. CONCLUSION: A higher incidence of anterior nasal septal deviation was found in UCLP patients compared to the patients in the control group. It is likely that for this reason, UCLP patients might be predisposed to sinusitis. In UCLP patients, the incidence of neurovascular structures in the sphenoid sinus was lower than that in non-syndromic control patients (Tab. 1, Fig. 6, Ref. 33). Text in PDF www.elis.sk.

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Section: Discussionmentioning

confidence: 99%

“…MSH may cause a reduction in drainage due to the malposition of the ostium, resulting in a predisposition to sinusitis (19,27).…”

Section: Maxillary Variationmentioning

confidence: 99%

Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography

Dedeoğlu¹,

Altun²,

Küçük³

et al. 2017

BLL

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“…In the convex side, a lateral shift of the middle turbinate narrows the middle meatus and sinus ostium. On the other hand, concha bullosa tends to occur in the concave side, so the sinus ostium is also narrowed (Suzuki et al 1999). Interestingly, rhinosinusitis was more common in the concave side than in the convex side in patients with cleft palate (Suzuki et al 1999).…”

Section: Discussionmentioning

confidence: 99%

Association between Septal Deviation and Sinonasal Papilloma

Nomura

Ogawa

Sugawara

et al. 2013

Tohoku J. Exp. Med.

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Sinonasal papilloma is a common benign epithelial tumor of the sinonasal tract and accounts for 0.5% to 4% of all nasal tumors. The etiology of sinonasal papilloma remains unclear, although human papilloma virus has been proposed as a major risk factor. Other etiological factors, such as anatomical variations of the nasal cavity, may be related to the pathogenesis of sinonasal papilloma, because deviated nasal septum is seen in patients with chronic rhinosinusitis. We, therefore, investigated the involvement of deviated nasal septum in the development of sinonasal papilloma. Preoperative computed tomography or magnetic resonance imaging findings of 83 patients with sinonasal papilloma were evaluated retrospectively. The side of papilloma and the direction of septal deviation showed a significant correlation. Septum deviated to the intact side in 51 of 83 patients (61.4%) and to the affected side in 18 of 83 patients (21.7%). Straight or S-shaped septum was observed in 14 of 83 patients (16.9%). Even after excluding 27 patients who underwent revision surgery and 15 patients in whom the papilloma touched the concave portion of the nasal septum, the concave side of septal deviation was associated with the development of sinonasal papilloma (p = 0.040). The high incidence of sinonasal papilloma in the concave side may reflect the consequences of the traumatic effects caused by wall shear stress of the high-velocity airflow and the increased chance of inhaling viruses and pollutants. The present study supports the causative role of human papilloma virus and toxic chemicals in the occurrence of sinonasal papilloma.

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“…Otros estudios antropométricos como los de Farkas (10), presentan dificultades técnicas por la complejidad de sus mediciones y la falta de reproductibilidad de resultados en ausencia de estudios imagenológicos complejos (11)(12)(13)(14). Esta investigación destaca el uso de herramientas fotogramétricas y clínicas sencillas para el análisis de la simetría en pacientes con labio y paladar hendido unilateral.…”

Section: Discussionunclassified

Análisis fotogramétrico de las alteraciones cartilaginosas y de tejidos blandos nasales en pacientes intervenidos por labio-paladar hendido unilateral

Espel

Garay²

2014

Cir. plást. iberolatinoam.

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Patients with unilateral cleft lip and palate show anatomic disturbances related to nasal and odontologic tissues which directly affect facial symmetry, aesthetics and growth. These malformations can be repaired during the initial lip closure procedure with primary nasal correction, if a correct surgical technique is followed. If an incorrect surgical repair is performed, the nasal structures will show deformities which represent stigmata of the initial problem.The aim of this study is to describe the nasal deformities and the relationship between the nasal structures and the cheek and superior lip aesthetic units in 50 patients with nonsyndromic unilateral cleft lip and palate that previously underwent a cheiloplasty. Furthermore, nasal measurements in patients with an adequate surgical result are also described.The most frequent nasal anatomic abnormalities in our series were: caudal displacement of the alar dome in 48 patients (96%); deviation of the nasal longitudinal axis in 5 to 10° in 24 patients (48%); larger nostril on the cleft side in 28 patients (56%); nostril notch in 18 patients (36%); alar base junction with the upper lip caudally oriented on the cleft side in 35 patients (70%), and medial displacement of the tissue corresponding to the intersection of the alar lateral border with the cheek on the cleft side in 34 patients (68%).The data obtained show that an adequate surgical correction can be attained during the first intervention.

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Rhinologic Computed Tomographic Evaluation in Patients With Cleft Lip and Palate

Cited by 50 publications

References 16 publications

Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography

Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography

Association between Septal Deviation and Sinonasal Papilloma

Análisis fotogramétrico de las alteraciones cartilaginosas y de tejidos blandos nasales en pacientes intervenidos por labio-paladar hendido unilateral

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