Author/Editor		Bizimoska, Saška; Koželj, Vesna
Title		Simetrija nosu pri odraslih osebah, rojenih z enostransko heilognatopalatoshizo, in njena sprememba po korekcijski rinoseptoplastiki
Translated title		Nasal symmetry before and after corrective rhinoseptoplasty in adults born with unilateral cleft lip and palate
Type		članek
Vol. and No.		Letnik 68, št. 2/3
Publication year		2013
Volume		str. 39-47
ISSN		0044-4928 - Zobozdravstveni vestnik
Language		slv
Abstract		Background: Nasal asymmetry in unilateral cleft lip and palate (UCLP) patients ispresent already at birth and remains noticeable in adulthood due to differences in theshape and position of the alar cartilages. It can be corrected with openrhinoseptoplasty after the completion of growth. We evaluated the outcome of thisprocedure. Methods: Nasal symmetry was assessed on pre- and postoperativefrontal photographs of 33 adults with complete UCLP. The assessments were doneby eight evaluators using a three-point scale. The values for each subject wereaveraged. The Wilcoxon, Mann-Whitney, and interclass correlation coefficient testswere used for statistical analysis. Results: Before rhinoseptoplasty, 12 subjects hadpoor, 19 good, and two excellent nasal symmetry. After the surgery, three subjectshad poor, 21 good, and nine excellent nasal symmetry. The difference was statisticallysignificant (V=458, p<0.001). Agreement among evaluators was high and statisticallysignificant both before (ICC=0.925; p<0.001) and after the procedure (ICC=0.949;p<0.001). Conclusion: Open rhinoseptoplasty is effective in improving nasalsymmetry in adults with UCLP.
Keywords		orofacialne shize odrasli rinoseptoplastika cleft lip and palate adults rhinoseptoplasty