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Hennocq Q, Person H, Hachani M, Bertin H, Corre P, Gorbonosov V, Ivanov A, Khonsari RH. Quality of life and nasal splints after primary cleft lip and nose repair: Prospective assessment of information and tolerance. J Craniomaxillofac Surg 2018; 46:1783-1789. [PMID: 30158060 DOI: 10.1016/j.jcms.2018.07.022] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 07/30/2018] [Indexed: 11/28/2022] Open
Abstract
Splints are commonly used after primary cleft surgery in order to secure the position of the nasal cartilages. Although the importance of splints is more and more stressed in the literature, many questions remain unanswered relative to the psychological impact of this device on children and families. Two questionnaires, Information and Tolerance, were used in order to measure the quality of life (QoL) associated with the use of nasal splints after primary cleft surgery. Information assessed the understanding of the parents the day before the procedure. Tolerance assessed their experience 3 months after splint placement. We prospectively included 41 consecutive patients from a Paris cleft center, 21 consecutive patients from a Russian center (Moscow) and 10 consecutive patients form a another French center (Nantes). In Paris and Nantes, an initial fixed splint was placed during the procedure until day 10, and then replaced by a removable splint for a period of 4 months. In the Moscow group, removable splints were used primarily for a total period of 4 months. Three types of removable splints were considered: commercial anatomical self-retentive splints (Nose-Fit™, Moscow, Russian Federation), in-house anatomical self-retentive splints and commercial Talmant-type splints requiring taping (Sebbin, Boissy-l'Aillerie, France). The data was analyzed as Likert scales and internal consistency was assessed using the Cronbach coefficient. Age at surgery, uni- or bilateral cleft, type of splint, number of splint changes and complications were tested against the scores of the questionnaires using multivariate models. We did not find correlations between the factors assessed by the multivariate analysis and the splint type. Information and Tolerance scores were high and showed satisfactory QoL associated with the use of splints. The internal consistency of the combination of the two forms was good. While the effects of splints on nasal morphology still need to be confirmed based on a controlled prospective study, we show here that this device is well tolerated by families and is not associated with specific complications.
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Affiliation(s)
- Quentin Hennocq
- Assistance Publique - Hôpitaux de Paris, Service de chirurgie maxillofaciale et plastique, Hôpital Necker - Enfants Malades, Université Paris Descartes, Université Sorbonne Paris Cité, (Head: Pr. Arnaud Picard, MD PhD), Paris, France
| | - Hélène Person
- Assistance Publique - Hôpitaux de Paris, Service de chirurgie maxillofaciale et plastique, Hôpital Necker - Enfants Malades, Université Paris Descartes, Université Sorbonne Paris Cité, (Head: Pr. Arnaud Picard, MD PhD), Paris, France
| | - Manel Hachani
- Assistance Publique - Hôpitaux de Paris, Service de chirurgie maxillofaciale et plastique, Hôpital Necker - Enfants Malades, Université Paris Descartes, Université Sorbonne Paris Cité, (Head: Pr. Arnaud Picard, MD PhD), Paris, France
| | - Hélios Bertin
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire Hôtel-Dieu, Université de Nantes, Nantes, France
| | - Pierre Corre
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire Hôtel-Dieu, Université de Nantes, Nantes, France
| | - Vatcheslav Gorbonosov
- Department of Pediatric Maxillofacial Surgery, Central Institute for Stomatology and Maxillofacial Surgery, Moscow, Russian Federation
| | - Alexandre Ivanov
- Department of Pediatric Maxillofacial Surgery, Central Institute for Stomatology and Maxillofacial Surgery, Moscow, Russian Federation
| | - Roman Hossein Khonsari
- Assistance Publique - Hôpitaux de Paris, Service de chirurgie maxillofaciale et plastique, Hôpital Necker - Enfants Malades, Université Paris Descartes, Université Sorbonne Paris Cité, (Head: Pr. Arnaud Picard, MD PhD), Paris, France.
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Khonsari RH, Ivanov AL. [Second French-Russian meeting for cranio-maxillo-facial surgery, Paris, 4 & 5th of October, 2013]. ACTA ACUST UNITED AC 2014; 115:128-30. [PMID: 24412034 DOI: 10.1016/j.revsto.2013.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 11/18/2013] [Indexed: 10/25/2022]
Affiliation(s)
- R H Khonsari
- Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière, UPMC université Paris 06, AP-HP, Paris, France.
| | - A L Ivanov
- Service de chirurgie maxillo-faciale pédiatrique, institut central de stomatologie et chirurgie maxillo-faciale, Moscou, Fédération de Russie
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