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Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations.

Publication ,  Journal Article
Sobol, DL; Allori, AC; Carlson, AR; Pien, IJ; Watkins, SE; Aylsworth, AS; Meyer, RE; Pimenta, LA; Strauss, RP; Ramsey, BL; Raynor, E; Marcus, JR
Published in: Plast Reconstr Surg
December 2016

BACKGROUND: The aesthetic aspects of the cleft lip nasal deformity have been appreciated for over a century, but the functional implications have remained largely underappreciated or misunderstood. This study describes the frequency and severity of nasal obstructive symptoms among children with cleft lip and/or cleft palate, addressing the hypotheses that age, cleft type, and severity are associated with the development of nasal obstructive symptoms. METHODS: Children with nonsyndromic cleft lip and/or cleft palate and a comparison group of unaffected children born from 1997 to 2003 were identified through the North Carolina Birth Defects Monitoring Program and birth certificates. Nasal airway obstruction was measured using the validated Nasal Obstruction Symptom Evaluation scale. RESULTS: The survey was completed by parental proxy for 176 children with cleft lip and/or cleft palate and 333 unaffected children. Nasal obstructive symptoms were more frequently reported in cleft lip with cleft palate compared with unaffected children (p < 0.0001); children who had isolated cleft lip with or without alveolus and isolated cleft palate were not statistically different from unaffected children. Patients with unilateral cleft lip with cleft palate were found to be more severely affected than bilateral cases. Nasal obstruction was observed in early childhood, although severity worsened in adolescence. CONCLUSIONS: This population-based study reports a high prevalence of nasal obstructive symptoms in children with cleft lip and/or cleft palate based on type and severity of the cleft. The authors encourage cleft teams to consider using this or similar screening methods to identify which children may benefit from functional rhinoplasty. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, I.

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Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

December 2016

Volume

138

Issue

6

Start / End Page

1275 / 1285

Location

United States

Related Subject Headings

  • Surgery
  • Severity of Illness Index
  • Rhinoplasty
  • Prevalence
  • Nasal Obstruction
  • Male
  • Humans
  • Health Surveys
  • Female
  • Cross-Sectional Studies
 

Citation

APA
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Sobol, D. L., Allori, A. C., Carlson, A. R., Pien, I. J., Watkins, S. E., Aylsworth, A. S., … Marcus, J. R. (2016). Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations. Plast Reconstr Surg, 138(6), 1275–1285. https://doi.org/10.1097/PRS.0000000000002772
Sobol, Danielle L., Alexander C. Allori, Anna R. Carlson, Irene J. Pien, Stephanie E. Watkins, Arthur S. Aylsworth, Robert E. Meyer, et al. “Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations.Plast Reconstr Surg 138, no. 6 (December 2016): 1275–85. https://doi.org/10.1097/PRS.0000000000002772.
Sobol DL, Allori AC, Carlson AR, Pien IJ, Watkins SE, Aylsworth AS, et al. Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations. Plast Reconstr Surg. 2016 Dec;138(6):1275–85.
Sobol, Danielle L., et al. “Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations.Plast Reconstr Surg, vol. 138, no. 6, Dec. 2016, pp. 1275–85. Pubmed, doi:10.1097/PRS.0000000000002772.
Sobol DL, Allori AC, Carlson AR, Pien IJ, Watkins SE, Aylsworth AS, Meyer RE, Pimenta LA, Strauss RP, Ramsey BL, Raynor E, Marcus JR. Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations. Plast Reconstr Surg. 2016 Dec;138(6):1275–1285.

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

December 2016

Volume

138

Issue

6

Start / End Page

1275 / 1285

Location

United States

Related Subject Headings

  • Surgery
  • Severity of Illness Index
  • Rhinoplasty
  • Prevalence
  • Nasal Obstruction
  • Male
  • Humans
  • Health Surveys
  • Female
  • Cross-Sectional Studies