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Original Research

Open Access

Effectiveness of the Nasal Creator Device after Cheiloplasty in Patients with Cleft Lip and Palate as Measured by 3D Stereophotogrammetry

  • Sulawan Waewsanga1
  • Poonsak Pisek1,*,
  • Palakorn Surakunprapha2
  • Surasith Piyasin3
  • Araya Pisek4

1Division of Orthodontics, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand

2Department of Surgery, Faculty of Medicine, Khon Kaen University, Thailand

3Department of Mechanical engineering, Faculty of Engineering, Khon Kaen University, Thailand

4Division of Dental Public Health, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Thailand

DOI: 10.17796/1053-4625-45.4.12 Vol.45,Issue 4,October 2021 pp.284-290

Published: 01 October 2021

*Corresponding Author(s): Poonsak Pisek E-mail:


Objective: To evaluate nostril morphology post-cheiloplasty after patients with unilateral cleft lip and palate (UCLP) use of the nasal creator device. Study Design: This is a prospective study. Sixteen patients with nonsyndromic UCLP treated at Khon Kaen University underwent cheiloplasty and then wear the nasal creator device for 6 months. Three-dimensional images were taken, from which 5 lines and 8 landmark points were evaluated prior to (T0) and 1 day (T1), 1 month (T2), 3 months (T3), and 6 months (T4) after cheiloplasty. A Repeated Measure ANOVA was used to evaluate nostril changes between time periods and a paired t-test was used to compare values between the affected and non-affected side at T4 (P < .05). Results: On the affected side, the nostril height significantly increased from T0 (2.46±0.89 mm) to T4 (4.22±1.03 mm), and the nostril width significantly decreased from T0 (9.46±2.57 mm) to T4 (7.34±1.41 mm). On the non-affected side, the nostril height significantly increased from T0 (3.39±0.78 mm) to T4 (4.65±1.07 mm), and the nostril width was not significantly different from T0 (6.00±1.25 mm) to T4 (6.59±0.95 mm). The alar base width was not significantly different between T0 (30.18±2.72 mm) and T4 (29.82±1.69 mm). Nostril height and width were not significantly different by T4 when comparing the affected and non-affected sides. Conclusion: Using nasal creator device for 6 months significantly increased the nostril height and decreased nostril width and alar base width after cheiloplasty.


Cheiloplasty; Unilateral cleft lip and palate; Nasal creator device; 3D stereophotogrammetry

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Sulawan Waewsanga,Poonsak Pisek,Palakorn Surakunprapha,Surasith Piyasin,Araya Pisek. Effectiveness of the Nasal Creator Device after Cheiloplasty in Patients with Cleft Lip and Palate as Measured by 3D Stereophotogrammetry. Journal of Clinical Pediatric Dentistry. 2021. 45(4);284-290.


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