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Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty.
Br J Plast Surg 2001; 54(7):588-96BJ

Abstract

A total of 45 patients with cleft lip nasal deformities were operated on between September 1997 and December 1999. We reviewed 35 of them. Out of these, 31 patients had unilateral cleft lip nasal deformities and four patients had bilateral cleft lip nasal deformities. The age range of the patients was from 3 years to 56 years. A reverse-U incision with V-Y plasty was used in 20 patients with mild to moderate unilateral cleft lip nasal deformities. An open rhinoplasty incision combined with the reverse-U incision and V-Y plasty was used in 11 patients with severe unilateral cleft lip nasal deformities. A bilateral reverse-U incision and a trans-columellar incision were used in the four patients with bilateral cleft lip nasal deformities. After advancement of the mucochondrial flap, alar transfixion sutures were used to ensure firm contact between the nasal skin and the redraped reverse-U flap. A composite graft for columellar lengthening was used in six cases of severe unilateral cleft lip nasal deformity and the four cases of bilateral cleft lip nasal deformity. Ancillary procedures included correction of a lateral displacement of the alar base, lip scar revision, a cartilage graft for tip augmentation, iliac bone grafting for correction of hypoplasia of the maxilla or for an alveolar cleft and corrective rhinoplasty. A self-made nasal retainer was applied for 6 months in all patients to maintain the corrected contour of the nostril. The follow-up period ranged from 11 months to 26 months, with an average of 18 months. The final results were evaluated based on the degree of symmetry of the nostrils, the redraping of the alar-columellar web and the exposure of the nostrils. Good results were obtained in 29 patients where alar-columellar web deformities were either absent or minimal and a satisfactory symmetry of the nostrils was achieved. Four patients had fair results and two patients had poor results. In conclusion, we suggest that the reverse-U incision with V-Y plasty is a useful method for achieving symmetry of the nostrils in cleft lip nasal deformities in Orientals. In addition, this technique provides ample advancement and repositioning of the mucochondrial flap and simultaneous correction of the nasal vestibular web.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Taegu, South Korea.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11583495

Citation

Cho, B C., and B S. Baik. "Correction of Cleft Lip Nasal Deformity in Orientals Using a Refined reverse-U Incision and V-Y Plasty." British Journal of Plastic Surgery, vol. 54, no. 7, 2001, pp. 588-96.
Cho BC, Baik BS. Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty. Br J Plast Surg. 2001;54(7):588-96.
Cho, B. C., & Baik, B. S. (2001). Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty. British Journal of Plastic Surgery, 54(7), pp. 588-96.
Cho BC, Baik BS. Correction of Cleft Lip Nasal Deformity in Orientals Using a Refined reverse-U Incision and V-Y Plasty. Br J Plast Surg. 2001;54(7):588-96. PubMed PMID: 11583495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty. AU - Cho,B C, AU - Baik,B S, PY - 2001/10/5/pubmed PY - 2002/1/5/medline PY - 2001/10/5/entrez SP - 588 EP - 96 JF - British journal of plastic surgery JO - Br J Plast Surg VL - 54 IS - 7 N2 - A total of 45 patients with cleft lip nasal deformities were operated on between September 1997 and December 1999. We reviewed 35 of them. Out of these, 31 patients had unilateral cleft lip nasal deformities and four patients had bilateral cleft lip nasal deformities. The age range of the patients was from 3 years to 56 years. A reverse-U incision with V-Y plasty was used in 20 patients with mild to moderate unilateral cleft lip nasal deformities. An open rhinoplasty incision combined with the reverse-U incision and V-Y plasty was used in 11 patients with severe unilateral cleft lip nasal deformities. A bilateral reverse-U incision and a trans-columellar incision were used in the four patients with bilateral cleft lip nasal deformities. After advancement of the mucochondrial flap, alar transfixion sutures were used to ensure firm contact between the nasal skin and the redraped reverse-U flap. A composite graft for columellar lengthening was used in six cases of severe unilateral cleft lip nasal deformity and the four cases of bilateral cleft lip nasal deformity. Ancillary procedures included correction of a lateral displacement of the alar base, lip scar revision, a cartilage graft for tip augmentation, iliac bone grafting for correction of hypoplasia of the maxilla or for an alveolar cleft and corrective rhinoplasty. A self-made nasal retainer was applied for 6 months in all patients to maintain the corrected contour of the nostril. The follow-up period ranged from 11 months to 26 months, with an average of 18 months. The final results were evaluated based on the degree of symmetry of the nostrils, the redraping of the alar-columellar web and the exposure of the nostrils. Good results were obtained in 29 patients where alar-columellar web deformities were either absent or minimal and a satisfactory symmetry of the nostrils was achieved. Four patients had fair results and two patients had poor results. In conclusion, we suggest that the reverse-U incision with V-Y plasty is a useful method for achieving symmetry of the nostrils in cleft lip nasal deformities in Orientals. In addition, this technique provides ample advancement and repositioning of the mucochondrial flap and simultaneous correction of the nasal vestibular web. SN - 0007-1226 UR - https://www.unboundmedicine.com/medline/citation/11583495/Correction_of_cleft_lip_nasal_deformity_in_Orientals_using_a_refined_reverse_U_incision_and_V_Y_plasty_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0007-1226(01)93682-3 DB - PRIME DP - Unbound Medicine ER -