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.
Department of Plastic and Maxillofacial Surgery, Princess Margaret Hospital for Children, Perth, Western Australia.
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McComb
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