title: Nasal Entrance Correction in Unilateral Cleft Lip Repair.
abstract: OBJECTIVE
  Correction of cleft nose deformity in patients with unilateral cleft lip is challenging and involves primarily the nasal cartilage and the nasal entrance. No consensus on the most effective surgical technique has been reached. This article describes a surgical procedure for nasal entrance correction.
  
  
  METHODS
  In this retrospective study, 30 adult patients underwent secondary nasal entrance corrections. According to a modified Van der Meulen technique, a nasal alar rim flap with anatomic repositioning of the alar cartilage was applied. Symmetry and esthetic results were evaluated by semiquantitative photographic analysis.
  
  
  RESULTS
  In all patients, the nasal tip was narrowed considerably, and a lifting of the nasal tip was achieved. Columellar elongation averaged 40%, and the form of the nostril was changed from horizontally oval to longitudinally oval.
  
  
  CONCLUSIONS
  The described technique is well suited for a sustainable correction of complex cleft-induced deformities without visible scars in adult patients.
authors.affiliation: Consultant, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany. Electronic address: alexander.metz@uni-essen.de.
authors.forename: Alexander St F
authors.initials: AS
authors.lastname: Metz
authors.affiliation: Consultant, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany.
authors.forename: Roman
authors.initials: R
authors.lastname: Pförtner
authors.affiliation: Consultant, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany.
authors.forename: Claus
authors.initials: C
authors.lastname: Schmeling
authors.affiliation: Consultant, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Rieger
authors.affiliation: Department Head, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany.
authors.forename: Christopher
authors.initials: C
authors.lastname: Mohr
mesh_terms: D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009296:Nasal Cavity / Q000601:surgery*; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods*