Primary rhinoplasty in unilateral incomplete cleft lip nose: a 4-year follow up

2021 ◽  
pp. 110717
Author(s):  
Fatemeh Mirashrafi ◽  
Sara Rahavi-Ezabadi ◽  
Fatemeh Tavakolnejad ◽  
Amin Amali
Keyword(s):  
Cleft Lip ◽  
Primary Rhinoplasty ◽  
Cleft Lip Nose

Battlefield Cleft Lip-Nose Deformity: Case Report with Thirty-Year Follow-up

1975 ◽  
Vol 140 (9) ◽  
pp. 637-640
Author(s):  
Martin C. Robson ◽  
Neal Koss ◽  
Thomas J. Krizek
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Nose Deformity ◽  
Cleft Lip Nose

scholarly journals Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap

2014 ◽  
Vol 47 (01) ◽  
pp. 20-24 ◽  
Author(s):  
Nitin J. Mokal ◽  
Manpreet Juneja
Keyword(s):  
Cleft Lip ◽  
Perioperative Complications ◽  
Deformity Correction ◽  
Flap Necrosis ◽  
Upper Lip ◽  
Bilateral Cleft Lip ◽  
Nose Deformity ◽  
Abbé Flap ◽  
Cleft Lip Nose

ABSTRACTAim: The purpose of this article is to review modification and outcome of secondary rhinoplasty along with Abbι flap for correction of secondary bilateral cleft lip deformity. Materials and Methods: A total of thirteen patients of secondary bilateral cleft lip-nose deformity having tight upper lip, lack of acceptable philtral column, Cupid′s bow definition, irregular lip scars, and associated nasal deformity were selected. All the patients received Abbι flap and simultaneous nasal correction. All cases were treated during a period of three years. Mean patient age at the time of the operation was 21 years, and ranged from 16 to 27 years. The average follow-up period was three years. Results: Assessment of results was based on comparing preoperative and postoperative clinical photographs done by surgeon and patient relatives and patient satisfaction questionnaires. The columellar lengthening and upper lip vermillion correction achieved was satisfactory. There were no perioperative complications such as airway obstruction, bleeding, infection, wound disruption, or flap necrosis.

Fifteen-Year Follow-Up Results of Presurgical Orthopedics Followed by Primary Correction for Unilateral Cleft Lip Nose in Program SEHATI in Indonesia

2013 ◽  
Vol 50 (2) ◽  
pp. 129-137 ◽  
Author(s):  
Farida Kamil Sulaiman ◽  
Inge Gustiningsih Haryanto ◽  
Syafrudin Hak ◽  
Norifumi Nakamura ◽  
Masaaki Sasaguri ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Presurgical Orthopedics ◽  
Cleft Lip Nose

Follow-up of unilateral cleft-lip nose deformity after secondary repair with a modified reverse-U method

2011 ◽  
Vol 64 (6) ◽  
pp. 747-753 ◽  
Author(s):  
Takuya Fujimoto ◽  
Keisuke Imai ◽  
Takaharu Hatano ◽  
Makoto Takahashi ◽  
Motoki Tamai
Keyword(s):  
Cleft Lip ◽  
Nose Deformity ◽  
Cleft Lip Nose

The Anchor of the Nasal Ala in Cleft Lip-Nose Patients: A Morphological Description and a New Surgical Approach

2000 ◽  
Vol 37 (2) ◽  
pp. 130-136
Author(s):  
Paolo G. Morselli
Keyword(s):  
Surgical Technique ◽  
Cleft Lip ◽  
Normal Growth ◽  
Alar Cartilage ◽  
Morphological Description ◽  
Triangular Flap ◽  
Primary Rhinoplasty ◽  
The Face ◽  
Cleft Lip Nose ◽  
New Surgical Technique

Objective The purpose of this article is to describe a morphological condition that is readily seen in both primary and secondary deformed noses of cleft patients and to present a new surgical technique to correct this specific deformity that afflicts the alar dome. This anomaly resembles a taut cord-like tissue that runs vertically from the pyriform aperture and is anchored onto the alar cartilage, thus impeding the cartilage's normal growth process. This new surgical technique releases the anchor and corrects the deformity of the nasal rim by using a triangular flap V-Y advancement technique. Results From 1994 to 1997, 88 cleft lip-nose cases were operated on by the author using the triangular flap V-Y advancement technique for releasing the anchor. Forty-two cases were primary repairs and 46 were secondary repairs. Conclusions By studying the normal and pathological anatomy of the nose and its proportions, the surgeon can obtain ideas for new surgical corrective techniques that can be used to restore anatomical balance and harmony between the nose and the face. Only in the last 15 to 20 years has the plastic surgeon begun to be interested in primary rhinoplasty in cleft lip-nose patients. Within this time, many different techniques have been proposed. All primary and secondary cases that have undergone this specific technique for release of the anchor have shown good results for restoring the height of the alar dome's affected side to that of the noninvolved side, thus establishing a more anatomically balanced nose.

Primary Rhinoplasty in Unilateral Cleft Patients: The “Limited Open” Approach and Other Technical Considerations

2006 ◽  
Vol 43 (4) ◽  
pp. 492-498 ◽  
Author(s):  
Rajeev B. Ahuja
Keyword(s):  
Cleft Lip ◽  
Open Rhinoplasty ◽  
Open Approach ◽  
Mattress Suture ◽  
Absolute Increase ◽  
Primary Rhinoplasty ◽  
Transcolumellar Incision ◽  
Cleft Lip Repair ◽  
Presurgical Orthopedics

Objective To validate a method of primary anatomic alar repositioning using a “limited open rhinoplasty” approach, along with cleft lip repair, without presurgical orthopedics. Methods The cleft lip deformities were repaired using a modified Tennison technique, and primary muscle union and gingivoperiosteoplasty were achieved in all cases. The alar cartilages were visualized using an inverted “U” incision on the cleft side and a rim incision on the noncleft side, without joining the two with a transcolumellar incision. The domes of the cartilages were approximated by a single horizontal mattress suture. Patients Thirty-five patients were operated on by this technique between March 1999 and February 2004. The patients ranged in age from 4 to 36 months (mean, 6 months). The follow-up ranged from 4 months to 4.5 years (mean, 18 months). Results Overall, the results for nasal shape and symmetry have been extremely good. Conclusions The technique used here provides an exposure just short of an “open” rhinoplasty without scarring the columella or nasal tip. Arch alignment and a symmetric and stable bony platform are generally achieved by 2 to 3 months after the surgery. In severe cases of complete clefts, we have observed an absolute increase in alar arch length as a result of tissue stretch.

Three-Dimensional Analysis of Definitive Secondary Unilateral Cleft Rhinoplasty Using Cartilage Graft

2021 ◽  
pp. 105566562110340
Author(s):  
Thinnapat Hantawornchaikit ◽  
Raweewan Arayasantiparb ◽  
Kumar KC ◽  
Kiatanant Boonsiriseth
Keyword(s):  
Cleft Lip ◽  
Three Dimensional ◽  
Nasal Tip ◽  
Tip Projection ◽  
Alar Base ◽  
Cleft Rhinoplasty ◽  
Nasal Tip Projection ◽  
Base Width ◽  
Cleft Lip Nose

Objective Three-dimensional assessment of nasal morphology in patients with unilateral cleft lip nose treated by cartilage graft augmentation. Design Retrospective study. Patients and Intervention Thirteen patients with unilateral cleft lip nose underwent definitive secondary rhinoplasty and postsurgical changes were examined using a three-dimensional (3D) laser scan. Main Outcome Measure Nasal dorsum length, nasal tip, alar width, and alar base width in frontal view; nasion depth, nasal tip projection, nasal dorsal angle, and nasal tip angle in lateral view; nostril width, nostril height, and nasal tip height in basal view were measured at preoperative (T1: within 6 months), short follow-up (T2: 2-10 weeks), and long follow-up (T3: 9-14 months). Results A significant change in alar width, alar base width, nostril width, and nostril height at the cleft side, nasal dorsum length, nasion depth, nasal tip projection, and nasal tip height was observed from T1 to T3 follow-up after rhinoplasty ( P < .05), whereas the nostril height at the noncleft side was also significantly increased at T2 follow-up but the mean change in height relapsed at T3 follow-up. Alar width, alar base width, and nostril width at the noncleft side, and nasal tip angle did not change significantly after surgery at any follow-up period. Conclusions 3D imaging evaluation after secondary cleft rhinoplasty demonstrated improved functional and aesthetic outcomes using a septal or conchal graft.

scholarly journals Tessier number 7 cleft with unilateral complete cleft lip and palate: a case report

2021 ◽  
Vol 48 (6) ◽  
pp. 630-634
Author(s):  
Hyun Seung Lee ◽  
Hyung Joon Seo ◽  
Yong Chan Bae
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Open Rhinoplasty ◽  
Alveolar Cleft ◽  
Skin Tag ◽  
Surgical Methods ◽  
Nose Deformity ◽  
Cleft Lip Nose ◽  
Vomer Flap

To date, there have been no reports of patients showing a Tessier number 7 cleft with unilateral complete cleft lip and palate. Furthermore, no studies have established the sequence, plan, or timing of surgical methods for treating patients presenting the above anomalies simultaneously. We report a case of a Tessier number 7 cleft with unilateral complete cleft lip and palate. Two months after birth, lip adhesion was performed on the unilateral complete cleft lip and total excision was performed on the skin tag. At 4 months of age, Tessier number 7 cleft was corrected. At 6 months of age, surgery involving two small triangular flaps was performed on the unilateral incomplete cleft lip after performing lip adhesion. At 13 months of age, two-flap palatoplasty with a vomer flap was performed on the complete cleft palate. At 6 years of age, open rhinoplasty was performed on the unilateral cleft lip nose deformity. At 9 years of age, bone grafting was performed for the alveolar cleft. At follow-up appointments up to 13 years of age, there were no major complications. Here, we present this patient, surgical procedures and timelines, and show our results demonstrating good postoperative outcomes.

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