Primary rhinoplasty in the treatment of children with congenital clefts of the upper lip

Abstract

The objective of the study was to evaluate the benefits of using primary rhinoplasty in the treatment of chil- dren with congenital unilateral and bilateral lip clefts. Correction of the deformity of the nose for children with congenital cleft lip was performed in 328 children aged2-11 months old (272 patients with unilateral and 56 patients with bilateral cleft lip) during the primary operation with the technique advanced at the clinic. When asses- sing immediate and long-term results of treatment with primary rhinoplasty, the results of treatment of children in both patients’ groups with one-sided and bilateral lip clefts were improved. The use of the technique of primary rhinoplasty does not have a significant effect on the growth of cartilaginous structures of the nose, which leads to a decrease in the number of repeated corrective operations. Carrying out early radical rhinoplasty in the primary operation in combination with orthodontic treat- ment and constant dynamic follow-up in the conditions of the dispensary center allows to improve the results of treatment significantly, to create conditions for normal growth of tissues of the middle zone of the face.