Secondary correction of the bilateral cleft lip nose by excision of the columellar forked flap and nasal remodelling with reverse-U flaps: a preliminary report.
Although the forked flap procedure has been widely used as a technique to lengthen the columella in the bilateral cleft lip deformity, often the results are unfavourable. We describe a technique to achieve a more natural shape, in which the unsatisfactory forked flap is excised and the columella is reconstructed by mobilization and rotation of nasal skin, combined with bilateral reverse-U flaps. Five consecutive patients who underwent this secondary correction procedure are presented.
Uchida
M
M
Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
Kojima
T
T
Hirase
Y
Y
D000293:Adolescent; D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D011184:Postoperative Period; D012086:Reoperation / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*