EVALUATION OF SUCCESS OF SECONDARY RHINOPLASTY IN CLEFT LIP AND PALATE PATIENTS

Nzar A Sherif, Suha N. Aloosi, Saman W. Boskani

Abstract


Background: Secondary rhinoplasty in cleft lip and palate (CLP) patients addresses aesthetic and functional nasal deformities, with patient satisfaction as a key outcome measure. This study aimed to evaluate rhinoplasty satisfaction in cleft lip and palate patients at Sulaymaniyah Teaching Hospital.

Materials & Methods: This prospective observational study was conducted over 12 months, involving 20 cleft lip and palate patients. Participants were selected based on a non-probability convenience sampling method. The Rhinoplasty Outcome Evaluation (ROE) questionnaire assessed satisfaction pre- and post-surgery. Surgical techniques included open rhinoplasty with grafting, and data on demographics, cleft type, and previous treatments were collected.

Results: The mean age of the patients in this study was 23.55 ±4.46 years. The pre-operative total score had a mean of 5.60 ±2.16. In contrast, the post-operative total score had a mean of 20.60 ±1.70, (95% CI: -16.38 to -13.63), indicating a statistically significant difference between pre-and post-surgery scores (P≤0.001). Additionally, the post-operative total score (mean of 20.60 ±1.70) showed a statistically significant difference when compared to the total score of normal patients (mean of 18.20 ±4.4), (95% CI: 0.007 to 4.79) (P≤0.04).

Conclusion: The study demonstrated patient satisfaction with secondary rhinoplasty, as indicated by a significant increase in the Rhinoplasty Outcome Evaluation score after surgery compared to before. This increase signifies patient satisfaction with the surgical procedure.


Keywords


Cleft lip; Cleft palate; Rhinoplasty; Secondary rhinoplasty.

Full Text:

PDF

References


Phalke N, Goldman JJ. Cleft Palate. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Joshua Goldman declares no relevant financial relationships with ineligible companies.; 2024.

Khan MI, Cs P, Srinath NM. Genetic factors in nonsyndromic orofacial clefts. Glob Med Genet. 2020;7(4):101–8. https://doi.org/10.1055/s-0041-1722951

Walker NJ, Anand S, Podda S. Cleft Lip. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

Dissaux C, Diop V, Wagner D, Talmant JC, Morand B, Bruant-Rodier C, et al. Aesthetic and psychosocial impact of dentofacial appearance after primary rhinoplasty for cleft lip and palate. J Craniomaxillofac Surg. 2021;49(10):914–22. https://doi.org/10.1016/j.jcms.2021.06.004

Nguyen NH, Taylor JM, Lee JC. Psychosocial functioning in patients with cleft lip and palate. In: Martin CR, Preedy VR, Patel VB, Rajendram R, editors. Handbook of the Behavior and Psychology of Disease. Cham: Springer International Publishing; 2025. p. 1–29. https://doi.org/10.1007/978-3-031-73363-5_102

Oh TS, Kim YC. A comprehensive review of surgical techniques in unilateral cleft lip repair. Arch Craniofac Surg. 2023;24(3):91–104. https://doi.org/10.7181/acfs.2023.00268

Homsy P, Grann A, Lassus P. Patient-reported esthetic outcomes following secondary rhinoplasty in adult patients with a cleft lip and palate. Cleft Palate Craniofac J. 2024;0(0):10556656241296793. https://doi.org/10.1177/10556656241296793

Mulafikh DS, Alharethy SE, Alqabbani AA, Mesallam TA. Validation and clinical application of the Arabic rhinoplasty outcomes evaluation questionnaire. Saudi Med J. 2021;42(6):655–9. https://doi.org/10.15537/smj.2021.42.6.20210038

Chen YH, Liao YF, Chang CS, Lu TC, Chen KT. Patient satisfaction and quality of life after orthodontic treatment for cleft lip and palate deformity. Clin Oral Investig. 2021;25:5521–9. https://doi.org/10.1007/s00784-021-03861-4

Van Geneugden L, Verdonck A, Willems G, Hens G, Cadenas de Llano-Pérula M. Relation between maximum oral muscle pressure and dentoalveolar characteristics in patients with cleft lip and/or palate: a prospective comparative study. J Clin Med. 2023;12(14):4598. https://doi.org/10.3390/jcm12144598

Vass G, Mohos G, Bere Z, Ivan L, Varga J, Piffko J, et al. Secondary correction of nasal deformities in cleft lip and palate patients: surgical technique and outcome evaluation. Head Face Med. 2016;12(1):34. https://doi.org/10.1186/s13005-016-0132-y

Saraf A, Gupta N, Manhas M, Kalsotra P. Evaluation of quality of life after septorhinoplasty using rhinoplasty outcome evaluation questionnaire. Egypt J Otolaryngol. 2023;39(1):82. https://doi.org/10.1186/s43163-023-00445-9

Assouline-Vitale SL, Ruffenach L, Bodin F, Zink S, Romary B, Bruant-Rodier C, et al. Satisfaction survey of secondary rhinoplasty among unilateral cleft lip and palate patients. Ann Chir Plast Esthet. 2023;68(2):139–44. https://doi.org/10.1016/j.anplas.2022.07.007

Nguyen HL, Hoang MP, Nguyen VM, Tran TT, Le VS. Use of septal cartilage in rhinoplasty to correct nasal deformity after unilateral cleft lip and palate surgery. Clin Cosmet Investig Dent. 2022;14:131–40. https://doi.org/10.2147/CCIDE.S364332

Wang J, Li B, Wang Q, Wu L, Zhang C, Zhao S, et al. A modified technique in rhinoplasty: a septal extension graft complex using septal cartilage, ethmoid bone, and auricular cartilage. Aesthet Surg J. 2022;43(2):125–36. https://doi.org/10.1093/asj/sjac185

Yenigun A, Ilen F, Dogan R, Senturk E, Ozturan O. Septal extension graft fixed in the middle in rhinoplasty. FPSAM Video J. 2023;1(1). https://doi.org/10.1089/fpsamv.2023.0004

Rot P, Krzywdzińska S, Grab P, Jurkiewicz D, Chloupek A, Sobol M. The rhinoplasty outcome evaluation (ROE) questionnaire in rhinoplasty: a systematic review and meta-analysis. J Clin Med. 2024;13(16). https://doi.org/10.3390/jcm13164642

Khan N, Rashid M, Khan I, Ur Rehman Sarwar S, Ur Rashid H, Khurshid M, et al. Satisfaction in patients after rhinoplasty using the rhinoplasty outcome evaluation questionnaire. Cureus. 2019;11(7):e5283. https://doi.org/10.7759/cureus.5283

Doval AF, Ourian A, Boochoon KS, Chegireddy V, Lypka MA, Echo A. Comparing plastic surgery and otolaryngology surgical outcomes and cartilage graft preferences in pediatric rhinoplasty: a retrospective cohort study analyzing 1839 patients. Medicine (Baltimore). 2021;100(25):e26393. https://doi.org/10.1097/MD.0000000000026393

Insalaco LF, Karp E, Zavala H, Chinnadurai S, Tibesar R, Roby BB. Comparing autologous versus allogenic rib grafting in pediatric cleft rhinoplasty. Int J Pediatr Otorhinolaryngol. 2020;138:110264. https://doi.org/10.1016/j.ijporl.2020.110264

Aloosi SN, Amin ZM, Muhamed HO. Quality of life assessment in orthognathic surgery patients with dentofacial deformity. J Craniomaxillofac Res. 2020;7(1):26–33. https://doi.org/10.18502/jcr.v7i1.4013

Izu SC, Kosugi EM, Brandão KV, Lopes AS, Garcia LB, Suguri VM, et al. Normal values for the rhinoplasty outcome evaluation (ROE) questionnaire. Braz J Otorhinolaryngol. 2012;78(4):76–9. https://doi.org/10.1590/S1808-86942012000400015




DOI: https://doi.org/10.46903/gjms/23.3.1988

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025. Nzar A Sherif, Suha N. Aloosi, Saman W. Boskani

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067

Website: https://www.gmcdikhan.edu.pk

Phone: +92-966-747373

Scimago Journal & Country Rank