CONDITION OF THE EXTERNAL NOSE, NASAL CAVITY AND PARANASAL SINUSES IN CHILDREN WITH CONGENITAL CLEFT LIP AND PALATE
Keywords:
congenital, cleft, deformation, hypertrophy, asymmetryAbstract
Studying this problem, we found out that patients with congenital rhinorrhea quite often have pathology of the nasal cavity and paranasal sinuses. According to data from 1966, deformation of the external nose was detected in 77% of cases, curvature of the nasal septum in 40% of cases, hypertrophy of the inferior turbinates in 60% of subjects, polyps in the nasal cavity were found in 2% of cases, obstruction of the nasal passages was present in 31% of patients, in 90% of cases there was a violation of nasal breathing of varying degrees of severity, olfactory function suffered in 80% of cases. According to the results of the work carried out in the Lipetsk region, curvature of the nasal septum was diagnosed in 82% of cases in children with this congenital pathology. According to research in recent years, problems with the nasal cavity in children with cleft lip and palate were in second place after maxillofacial and dental pathology.
References
1.Chang C.S., Por Y.C., Liou E.J., Chang C.J., Chen P.K., Noordhoff M.S.
Long-term comparison of four techniques for obtaining nasal symmetry in unilateral complete cleft lip patients: a single surgeon's experience. Plast Reconstr Surg. 2010 Oct;126(4):1276-84.
2.Henry C., Samson T., Mackay D. Evidence-based medicine: The cleft
lip nasal deformity. Plast Reconstr Surg. 2014 May;133(5):1276-88.
3. Polzer I., Breitsprecher L., Winter K., Biffar R.Videoendoscopic, speech and hearing in cleft palate children after levator-palatopharyngeus surgery according to Kriens. J Craniomaxillofac Surg. 2006 Sep;34.
4. Smahel Z., Müllerová I. Nasopharyngeal characteristics in children
with cleft lip and palate. Cleft Palate Craniofac J. 1992 May;29(3):282-6.
5. Tweedie D.J., Skilbeck C.J., Wyatt M.E., Cochrane L.A. Partial adenoidectomy by suction diathermy in children with cleft palate, to avoid velopharyngeal insufficiency. Int J Pediatr Otorhinolaryngol. 2009 Nov;73(11):1594-7.
6. Wermker K., Jung S., Joos U., Kleinheinz J.. Nasopharyngeal development in patients with cleft lip and palate: a retrospective case-control study. Int J Otolaryngol. 2012.
7. Starikova N.V., Nadtochiy A.G., Agееva M.I. Prеnatalinaya diagnostika rasshеlini nеba po strukturnim osobеnnostyam i funksii yazika // Stomatologiya . – 2013 . – № 1 . – S.70 - 75 .
8. Yunusov A.S., Mamеdov Ad.A., Gubееv R.I.Problеma rеkonstruktivnoy xirurgii narujnogo nosa i vnutrinosovix struktur u dеtеy ranее pеrеnеsshix xеylouranoplastiku // LOR- praktika. - 2014. - № S. - S. 62-63.
