title: Primary repair of the bilateral cleft lip nose: a 15-year review and a new treatment plan.
abstract: For 15 years a forked flap has been used for columella reconstruction in primary repair of the bilateral cleft lip nose. With the adolescent growth spurt, three unfavorable features have become apparent: (1) the columella may grow too long and the nostrils too large, (2) often the nasal tip remains broad, and (3) there is a drift of the columellar base and the lip-columellar angle is transgressed by scar. This procedure has therefore been discontinued. A new treatment plan is presented in which the columella is reconstructed from tissues in the splayed-out nasal tip.
authors.affiliation: Department of Plastic Surgery, Princess Margaret Hospital for Children, Perth, Western Australia.
authors.forename: H
authors.initials: H
authors.lastname: McComb
mesh_terms: D000293:Adolescent; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000002:abnormalities / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*