The residual unilateral cleft lip nasal deformity: a three-phase correction technique.
The author presents a three-phase correction technique for the residual unilateral cleft lip nasal deformity. This procedure involves a sculpting excision of the alar rim, use of this alar rim as an interpositional flap in lengthening the columella, and augmentation of the nasal tip and perialar sulcus with a free ear conchal cartilage graft. The concept has been incorporated in the revisionary surgery program of 74 patients over a period of 5 years with a minimal follow-up of 2 years. The majority of the patients are operated on between the ages of 5 and 7 years based on the concept of a need for a "tidy appearance" by first grade.
D002971:Cleft Lip / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009666:Nose / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery