Primary repair of the bilateral cleft lip nose: a 4-year review.
Four years ago, a new method of primary repair of the bilateral cleft lip nose was described. The splayed-out alar domes and columellar crura that lie within the nasal tip were exposed by an open-tip rhinoplasty. They were united to re-form the columella and narrow the nasal tip. This report is the first stage of a longitudinal study of the nasolabial growth and development of the first seven consecutive patients who were treated by this method at Princess Margaret Hospital. At 3 to 4 years of age, the columellae are well developed, and there appears to be no interference with growth. The external nasal scars create minimal disfigurement.
McComb
H
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Department of Plastic and Maxillofacial Surgery, Princess Margaret Hospital for Children, Perth, Western Australia.
D002675:Child, Preschool; D002971:Cleft Lip / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D009666:Nose / Q000002:abnormalities* / Q000254:growth & development / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D013997:Time Factors