A modified technique to correct the cleft lip nasal deformity.
Repositioning the collapsed alar cartilage, lengthening the columella and correct repositioning of the alar base of the cleft side are the main components of the cleft lip nostril repair. The rotation-advancement lip procedure was performed in all primary cases, and to some extent for necessary revision in secondary cases. For elevating and supporting the displaced alar cartilage "Skoog's mattress key stitch" was used. The columella was lengthened with a c-flap. In the secondary cases the c-flap was kept long and wide enough, so that its de-epithelialized distal part was used to augment the depression of the cleft side alar base. In all primary cases, a lateral mucosal L-flap was inserted into the intercartilaginous incision. 17 primary and 15 secondary cases were repaired using this technique. Follow-up of the patients from one to four years demonstrated no interference with nasal growth in primary cases and no recurrence of the deformity in any case. Three secondary cases required additional minor corrections.
Ozcan
G
G
Plastic and Reconstructive Surgery Clinic, Vakif Gureba Hospital, Istanbul, Turkey.
D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps