Role of cartilage correcting sutures in single-stage secondary rhinoplasty for unilateral cleft lip nose deformity

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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Rhinoplasty in the Cleft Lip Patient

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1997_034_0063_ritclp_2.3.co_2 ◽

1997 ◽

Vol 34 (1) ◽

pp. 63-68 ◽

Cited By ~ 2

Author(s):

Gilbert J. Nolst Trenité ◽

Richard H.L. Paping ◽

Albert H. Trenning

Keyword(s):

Cleft Lip ◽

Surgical Repair ◽

Operative Procedure ◽

Scar Tissue ◽

Graft Material ◽

Nasal Vestibule ◽

Secondary Rhinoplasty ◽

Custom Made ◽

Postoperative Problems ◽

Cleft Lip Nose

Several important factors to consider in the surgical repair of the cleft lip nose are described: the importance of an adequate lip closure technique to ensure symmetry can prevent a more conspicuous deformity of the nose during growth, the consequences of secondary rhinoplasty in the growing nose in which the surgeon has to weigh the possible growth inhibition due to scar tissue against the possible functional and esthetic improvement, a systematic surgical approach in which the operative procedure is divided Into different steps, and the use of autogenous graft material. In the evaluation of 52 cleft lip patients (5 bilateral clefts, 47 complete unilateral clefts) who had undergone a secondary rhinoplasty, two specific postoperative problems were encountered: slight to moderate recurrence of the caudal septal deviation (in unilateral clefts) and restenosis of the nasal vestibule at the cleft side. Adjustment of the surgical technique and the use of a custom-made vestibulum device diminished these sequellae considerably.

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

Military Medicine ◽

10.1093/milmed/140.9.637 ◽

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

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Secondary correction of bilateral cleft lip nose deformity – Clinical and three-dimensional observations on pre- and postoperative outcome

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2010.05.008 ◽

2011 ◽

Vol 39 (5) ◽

pp. 305-312 ◽

Cited By ~ 14

Author(s):

Norifumi Nakamura ◽

Masaaki Sasaguri ◽

Takako Okawachi ◽

Kazuhide Nishihara ◽

Etsuro Nozoe

Keyword(s):

Cleft Lip ◽

Three Dimensional ◽

Postoperative Outcome ◽

Bilateral Cleft Lip ◽

Nose Deformity ◽

Cleft Lip Nose

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

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.129619 ◽

2014 ◽

Vol 47 (01) ◽

pp. 20-24 ◽

Cited By ~ 4

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.

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