The Journal of craniofacial surgery · 2025
A New Device for Nasal Morphology Correction in Patients With Incomplete Cleft Lip.
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Kobayashi Shinji, Sugiyama Madoka
Аннотация
PURPOSE: This study aims to introduce and evaluate a new nasal correction device designed to improve nasal morphology in infants with incomplete cleft lip before surgery.
METHODS: This case series included 2 patients with incomplete cleft lip and alveolar cleft (1 boy and 1 girl), aged 45 and 50 days at the time of device application. The device consists of a titanium body with a stainless steel spring exerting a force of ~2.3 N. The device was customized with resin to fit the nasal mucosa and was used to lift the drooping nostril margin. Patients were monitored monthly until surgery, with nasal morphology assessed using a noncontact scanner at 3 time points. Five nasal morphology measurements were taken using the Artec EVA scanner and VX elements software.
RESULTS: No erosions or ulcers of the skin and mucous membranes around the nose were observed in either patient. Over time, the height of the affected nostril increased, eventually matching the height of the unaffected side.
CONCLUSIONS: The new nasal correction device is effective in improving nasal morphology in infants with incomplete cleft lip before surgery. It offers a simple structure that can be easily handled by nonmedical personnel and is best applied as early as possible to maximize its effectiveness. The device shows potential for maintaining postsurgical nostrils and has possible applications in cosmetic medicine. Long-term outcomes should be monitored over time.
METHODS: This case series included 2 patients with incomplete cleft lip and alveolar cleft (1 boy and 1 girl), aged 45 and 50 days at the time of device application. The device consists of a titanium body with a stainless steel spring exerting a force of ~2.3 N. The device was customized with resin to fit the nasal mucosa and was used to lift the drooping nostril margin. Patients were monitored monthly until surgery, with nasal morphology assessed using a noncontact scanner at 3 time points. Five nasal morphology measurements were taken using the Artec EVA scanner and VX elements software.
RESULTS: No erosions or ulcers of the skin and mucous membranes around the nose were observed in either patient. Over time, the height of the affected nostril increased, eventually matching the height of the unaffected side.
CONCLUSIONS: The new nasal correction device is effective in improving nasal morphology in infants with incomplete cleft lip before surgery. It offers a simple structure that can be easily handled by nonmedical personnel and is best applied as early as possible to maximize its effectiveness. The device shows potential for maintaining postsurgical nostrils and has possible applications in cosmetic medicine. Long-term outcomes should be monitored over time.