A case control study of nasal passage changes in repaired cleft lip and/or plate deformity with persons without any such deformity


  • M. Ahmad ENT Surgeon, District Hospital Unnao




Cleft lip deformity, Nasal passage, Palate


Background: Cleft lip with or without an associated cleft palate (CLP) is one of the most common congenital birth defects. Both the frequency with which it occurs and the high psychosocial and financial costs associated with CLP contribute to a significant public health interest in the condition. The aim of the present study is to assess the nasal passage changes in repaired cleft lip and/or plate deformity with persons without any such deformity.

Methods: It was a case-control study comprising of 2 groups. Carried out in 25 patients with 15 years and above admitted in plastic surgery or ENT Department of Gandhi Memorial and associated hospital or in patients in whom surgery has been performed earlier. After taking written informed consents from family members or legal guardians detailed history with presenting complaints was taken. Data entry and statistical analysis were performed using the Microsoft Excel and SPSS windows version 16.0 software. Tests of significance like Chi-square test are applied to find out the results.

Results: Mean age of cases in 25.8 years and control 28.7. Deviation of nasal septum was present in 68% cases and 28% in control. Nasal obstruction left side in higher in cases than control. Deviation of nasal septum (L) was more common in cleft because most of the patient had cleft in left side. Caudal dislocation was also common in cleft. It was opposite to the side of cleft. It was common on right side because most of the patients have cleft on left side.

Conclusions: Nasal airflow analysis would be particularly helpful in such investigations. The commonest presenting symptom is nasal obstruction. It is due to deviation of nasal septum.


Fisher DM, Sommerlad BC. Cleft lip, cleft palate and velopharyngeal insufficiency. Plast Reconstr Surg. 2011;128(4):342-60.

Piffko J, Meyer U, Joos U. Possibilities and limitations in evaluating treatment concepts in lip-jaw-palate clefts. Mund Kiefer Gesichtschir. 2002;6(1):49-52.

Nolst Trenite GJ. Secondary surgery of the cleft-lip nose. In: Nolst Trenite GJ, editor. Rhinoplasty. Amsterdam: Kugler Publications; 1993: 105-116.

Pitak-Arnnop P, Hemprich A, Dhanuthai K, Yildirim V, Pausch NC. Panel and patient perceptions of nasal aesthetics after secondary cleft rhinoplasty with versus without columellar grafting. J Craniomaxillofac Surg. 2011;39(5):319-25.

Nakamura N, Sasaguri M, Okawachi T, Nishihara K, Nozoe E. Secondary correction of bilateral cleft lip nose deformity - Clinical and three-dimensional observations on pre- and postoperative outcome. J Craniomaxillofac Surg. 2011;39(5):305-12.

Chaithanyaa N, Rai KK, Shivakumar HR, Upasi A. Evaluation of the outcome of secondary rhinoplasty in cleft lip and palate patients. J Plast Reconstr Aesthet Surg. 2011;64(1):27-33.

Habel A, Sell D, Mars M. Management of cleft lip and palate. Arch Dis Childhood. 1996;74:360-6.

Cohen MM, Bankier A. Syndrome delineation involving orofacial clefting. Cleft Palate J. 1991;28:119-20.

Albery EH, Hathorn WAS, Pigott RW. Cleft lip and palate- a team approach. 1st ed. Great Britain: Wright Bristol; 1986: 8-9.

Fogh-Andersen P. Epidemiology and etiology of clefts. Birth Defects.1971;7:50-3.

Hornung, DE, Leopold DA. Relationship between uninasal anatomy and uninasal olfactory ability. Arch Otolaryngol Head Neck Surg. 1999;125(1):53-8.

Grossmann, N, Brin I, Aizenbud D, Sichel JY, Gross-Isseroff R, Steiner J. Nasal airflow and olfactory function after the repair of cleft palate (with and without cleft lip). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(5):539-44.

Fukuhara T, S Saito. Genetic consideration on the dysplasia of the nasopalatal segments as a 'Formes Frustes' radiologically found in parents of cleft children: a preliminary report. Jap J Human Genet. 1962;7(4):5.

Fukuhara T, Saito S. Possible carrier status of hereditary cleft palate with cleft lip; report of cases. Bull Tokyo Med Dent Univ.1963;10:333-45.

Fukuhara T. New Method and Approach to the Genetics of Cleft Lip and Cleft Palate. J Dent Res. 1965;44:259-68.

Bardach J. Cutting C. Anatomy of unilateral and Bilateral and cleft lip. In: Bardach J, Morris HL, eds. Multidiscipilanar Management Cleft Lip and Palate. Philadelphia: WB Saunders;1990: 154-158.

Drake AF, Warren DW. Cleft lip form and function. Clin Plast Surg. 1993;20(4):769-79.

Wahlmam U, Kunkel M, Wagner W. Pre-operative assessment of airway patency in the planning of corrective cleft lip surgery. Mund Kifer Gesicht Schir. 1998;1:153-7.






Original Research Articles