Repairing the Cleft Lip Nasal Deformity

2000 ◽  
Vol 37 (3) ◽  
pp. 234-242 ◽  
Author(s):  
Jorge I. De La Torre ◽  
Pamela M. Gallagher ◽  
Barry K. Douglas ◽  
Mayer Tenenhaus
Keyword(s):  
Cleft Lip ◽  
Primary Repair ◽  
Surgical Revision ◽  
Long Term Results ◽  
Nasal Deformity ◽  
Nasal Defect ◽  
Early Primary ◽  
Cleft Lip Nose

Objective The repair of the cleft lip nose and nasal deformity remains a challenging endeavor for reconstructive surgeons. Psychosocially, this complex, multifaceted deformity significantly stigmatizes the patient. Numerous techniques have been advocated by multiple authors for the treatment and reconstruction of these deformities, usually requiring serial staged reconstructions. Method Described is our technique for early primary repair of the cleft lip nasal deformity. The use of multiple suspension sutures to repair the nasal defect facilitates the repair of even very wide cleft lips. Conclusions These maneuvers provide an aesthetic and functional repair of the nasal defect in conjunction with the lip repair. Long-term results have minimized the need for surgical revision.

Primary Repair of the Unilateral Cleft Lip Nose: Completion of a Longitudinal Study

1996 ◽  
Vol 33 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Harold K. Mccomb ◽  
Brian A. Coghlan
Keyword(s):  
Longitudinal Study ◽  
Cleft Lip ◽  
Primary Repair ◽  
Adult Life ◽  
Septal Deviation ◽  
Nasal Surgery ◽  
Computer Based ◽  
Early Primary ◽  
Cleft Lip Nose

The first 10 consecutive unilateral cleft subjects operated on in 1975 by a technique of primary cleft nose correction, developed by the author (HKM), were reviewed at ages 10 and 18. No further nasal surgery had been performed on these cases. The anteroposterior and inferior facial appearances of each of the cases have been published for evaluation. A computer-based method of measuring nasal asymmetry was used to objectively analyze the results and compare them with normal and cleft control faces that were age matched. The results support the observation that nasal growth of the cleft side of the nose is unaffected by early primary nasal surgery and that the vertical shortening of the nose by the alar lift technique is preserved into adult life. Residual nostril asymmetry from septal deviation persists into adulthood.

scholarly journals Long-term results after early primary repair of tetralogy of Fallot

2001 ◽  
Vol 122 (1) ◽  
pp. 154-161 ◽  
Author(s):  
Emile A. Bacha ◽  
Albertus M. Scheule ◽  
David Zurakowski ◽  
Lars C. Erickson ◽  
Judy Hung ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Primary Repair ◽  
Long Term Results ◽  
Early Primary

Alveolar Bone Formation in Patients with Unilateral and Bilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty: Long-Term Results

2007 ◽  
Vol 119 (5) ◽  
pp. 1527-1537 ◽  
Author(s):  
Maria Costanza Meazzini ◽  
Chiara Tortora ◽  
Alberto Morabito ◽  
Giovanna Garattini ◽  
Roberto Brusati
Keyword(s):  
Bone Formation ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Long Term Results ◽  
Bilateral Cleft Lip

Evaluation of Unilateral Cleft Lip and Palate Treatment: Long Term Results

1990 ◽  
Vol 27 (4) ◽  
pp. 354-361 ◽  
Author(s):  
Hans Enemark ◽  
Stig Bolund ◽  
Inge Jørgensen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Long Term Results

The Rationale for CAD-CAM Uncemented Custom Hips: An Interim Assessment

1995 ◽  
Vol 5 (2) ◽  
pp. 52-62 ◽  
Author(s):  
J. Hua ◽  
P.S. Walker ◽  
W. Muirhead-Allwood ◽  
G. Bentley ◽  
C.J. McCullough
Keyword(s):  
Stem Length ◽  
Long Term Results ◽  
Ha Coating ◽  
Standard Design ◽  
Cad Cam ◽  
Early Primary ◽  
Torsional Stability ◽  
Lateral Flare ◽  
Close Fit

The purpose of this paper is to examine whether the rationale for CAD-CAM Custom Hips is realised in clinical practice. Previous studies demonstrated that custom uncemented stems, with a close fit proximally and a sliding fit distally, produced stresses closer to normal than for other stem types, which should result in the preservation of proximal bone. Custom stems showed less micromotion, especially in torsional loading, and hence should demonstrate interface osseointegration. The hips are designed and manufactured using specially written software. The standard design includes proximal macro-grooves with HA coating, an anterior flare, a lateral flare, a collar, and a smooth distal stem for a sliding fit. Elective features are added such as proximal stem twist and neck retroversion in CDH, increased stem length to bypass defects, curvatures in AP and ML views, and distal cutting flutes when extra torsional stability is required. From 1989 to 1994, 411 cases were carried out, approximately one-third in each of the categories of OA, JCA/CDH, and revision. Studies were made of the available radiographs at yearly intervals, while DEXA scans were taken of the RNOHT patients pre-operatively, at 6 months and then yearly. There were four failures requiring revision, three of the early primary design without HA coating, and one a revision design. The radiographs in primary hips showed complete proximal bone-implant apposition in 81% of all cases. The DEXA scans showed that the mean bone mass after two years for all seven Gruen zones was greater than 90%. It was concluded that the CAD-CAM HA-coated Custom Hips showed bone and interface stability up to this time. The hip has played a useful role in providing the ideal stem for each particular case, which may result in an improvement of long-term results, compared with the use of off-the-shelf implants.

Sign in / Sign up

Export Citation Format

Share Document