title: Secondary rhinoplasty using flying-bird and vestibular tornado incisions for unilateral cleft lip patients.
abstract: To correct the nasal deformity in cleft lip patients, a new procedure of open rhinoplasty using a "flying-bird" incision in the nostril tip with a vestibule "tornado"-shaped incision in the cleft side is presented. The newly designed vestibular incision produces effective vestibular advancement with the freed lower lateral cartilage. The flying-bird incision makes it possible to produce a suitable nostril tip appearance with symmetrical external nostril vestibules. If the vestibular defect after flap advancement is wide, a full-thickness skin graft is used to give priority for making a good external nostril shape. This procedure is useful for most cleft lip noses, particularly in cases of moderate to severe deformity.
authors.affiliation: First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita, Japan.
authors.forename: Tokuzo
authors.initials: T
authors.lastname: Matsuya
authors.forename: Seiji
authors.initials: S
authors.lastname: Iida
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Kogo
mesh_terms: D000293:Adolescent; D000328:Adult; D002971:Cleft Lip / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000002:abnormalities*; D019651:Plastic Surgery Procedures / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps