[One-stage repair of unilateral cleft lip and nasal deformity].
OBJECTIVE
To investigate the method for simultaneous correction of nasal deformity and unilateral cleft lip so as to decrease the secondary operation for the deformity.


METHODS
The Millard procedure (or Millard plus triangle flap insertion) was used to repair the unilateral cleft lip. Through the incisions, the greater alar and nasalis were repositioned to the normal anatomical positions. The deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle of mouth to the anterior nasal spine. The mattress sutures through the tip of the columella and ala nasi helped to recover the shape of the nostril.


RESULTS
108 patients were treated with this method. They aged from one month to 19 years, included 30 with second degree cleft lip and 78 with third degree cleft lip. The follow-up for as long as 3 years showed satisfactory results.


CONCLUSIONS
This technique can eliminate the severe cleft nasal deformity and elevate the displaced alar cartilage at the time of lip repair without interference with nasal growth. It is recommended for the treatment of unilateral cleft lip with severe nasal deformity.
Qiu
Lin
L
Department of Burns and Plastic Surgery, Children's Hospital of Chongqing University of Medical Science, China.
Fu
Yue-xian
YX
Tian
Xiao-fei
XF
Liu
Yan
Y
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012225:Rhinoplasty / Q000379:methods; D055815:Young Adult