title: [Application of asymmetric butterfly incision combined with vestibular V-Y advance flap in repairing unilateral secondary cleft lip nasal deformity].
abstract: OBJECTIVE
  To explore a new surgical method and its effect in repairing secondary nasal deformity of unilateral cleft lip.
  
  
  METHODS
  Sixty-two patients with secondary unilateral lip and nasal deformity were treated with asymmetric butterfly incision combined with vestibular V-Y advance flap, and the subjective and objective indicators after operation were observed.
  
  
  RESULTS
  All incisions healed with primary healing and all cases were followed up for 3-12 months. Fifty-eight cases got symmetric nostril and alar, the sum of absolute value of the nostril differences between both sides < 3 mm. Two cases got symmetric nostril and alar, but the sum of absolute value of the nostril differences between both sides was 3.5 mm and 4.2 mm respectively. The alar relapsed again in 2 cases and the results were not satisfied, the sum of absolute value of the nostril differences between both sides > 5 mm.
  
  
  CONCLUSIONS
  The method of using the asymmetric butterfly incision combined with vestibular V-Y mucosa flap can reset the skin,cartilages and mucosa to the anatomic position effectively.
authors.affiliation: Department of Plastic and Aesthetic Surgery, Henan Provincial People's Hospital, Zhengzhou 450000, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Li
authors.forename: Zhengwen
authors.initials: Z
authors.lastname: Zhang
authors.forename: Feng
authors.initials: F
authors.lastname: Xie
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Henan Provincial People's Hospital, Zhengzhou 450000, China; Email: lj0371ent@sina.com.
authors.forename: Jun
authors.initials: J
authors.lastname: Liu
mesh_terms: D000818:Animals; D002356:Cartilage / Q000601:surgery; D002971:Cleft Lip / Q000601:surgery*; D006801:Humans; D009666:Nose / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps