Direct Anthropological analysis of Unilateral Cleft Nose: A Novel Approach using an Innovative Plane

Objective: The main objective of this study is to introduce a new plane for direct anthropological study of the nose. Design: The study is a cross-sectional study done to analyze cleft nasal deformity by direct method and comparing with indirect method for assessing reliability of the plane introduced. Setting: The study was carried out in institutional setup which is approved for smile train cleft project. Inclusion Criteria: The study included only those patients who were affected with unilateral cleft lip isolated or associated with cleft palate. All the patients who were included in the study were aged above 15 years where the growth of the nose was completed. Exclusion Criteria: Patients who are aged below 15 years of age, whose growth is yet not complete. Main Outcome Measure(s): There had been no specific plane to analyze the angle of columella in recent past which has been mostly analyzed by indirect methods (photographic method and three-dimensional scans). We have attempted to introduce a new plane for analysis of nose anthropologically both using direct method and compared it with the indirect method for its reliability. Results: Comparative assessment with indirect method shows a little variation in recording which is not statistically significant, thus ensuring the reliable application of this particular technique for evaluating cleft nasal deformity. Conclusions: The technique described is easier to apply and replicate in limited resource setup as it does not require high-end armamentarium and equipment.