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

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.

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

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2010.10.019 ◽

2011 ◽

Vol 64 (6) ◽

pp. 747-753 ◽

Cited By ~ 7

Author(s):

Takuya Fujimoto ◽

Keisuke Imai ◽

Takaharu Hatano ◽

Makoto Takahashi ◽

Motoki Tamai

Keyword(s):

Cleft Lip ◽

Nose Deformity ◽

Cleft Lip Nose

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

Archives of Plastic Surgery ◽

10.5999/aps.2021.00857 ◽

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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Statistical Evaluation of The Cleft Lip Nose Deformity Image

2006 International Conference of the IEEE Engineering in Medicine and Biology Society ◽

10.1109/iembs.2006.4398287 ◽

2006 ◽

Author(s):

D. W. Kim ◽

J. T. Kim ◽

H. K. Hong ◽

K. C. Nam ◽

J. H. Park

Keyword(s):

Cleft Lip ◽

Statistical Evaluation ◽

Nose Deformity ◽

Cleft Lip Nose

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Modification of the Koken Nasal Splint

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_2000_037_0125_motkns_2.3.co_2 ◽

2000 ◽

Vol 37 (2) ◽

pp. 125-126 ◽

Cited By ~ 1

Author(s):

T.D.D. Cobley ◽

A. Orlando ◽

K. Page ◽

N.S.G. Mercer

Keyword(s):

Cleft Lip ◽

Nasal Splint ◽

Nose Deformity ◽

Cleft Lip Nose

Koken nasal splints have been found effective postoperatively in treating cleft-lip nose deformity. In our experience, their retention has been poor, so reducing the molding effect. This paper presents a modification designed to overcome the problem of retention.

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