Tags

Type your tag names separated by a space and hit enter

Long-term outcome of simultaneous repair of bilateral cleft lip and nose (a 15 year experience).
Br J Plast Surg 2003; 56(3):205-17BJ

Abstract

We have performed primary repair of bilateral cleft lip and nose on 169 patients in the past 15 years. During the first eight years, we used a small triangular flap skin design for the lip and for the nose correction, we used a corrective nasal cartilage lifting suture through rim incisions in order to bring the nasal dome cartilage toward the center and create the columella. The small triangular flap at the columella base was rotated 90 degrees posteriorly to emphasize the contour of the nasolabial angle. In the subsequent 7-year period, the lip design was changed to the straight line method, and an inverted trapezoid suture was placed between the alar and nasal dorsum at four points. By this procedure displaced cartilages are moved into correct position and the alar groove became more distinct.Long-term observations showed a favorable configuration of the nose, and eliminated the bilateral cleft nose stigma with only minimum degree of growth disturbance. The remaining problem is the somewhat superior faced nasal tip. To leave the bilateral cleft lip nasal deformity uncorrected for a long period places great psychosocial burden on the patient and the family. We believe that it is desirable to conduct early lip and nose repair synchronously in a minimally invasive manner, as a collaborative effort between plastic surgeons with specialized training in cleft lip repair and an interdisciplinary team.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Tokyo 160-8582, Japan.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12859915

Citation

Nakajima, Tatsuo, et al. "Long-term Outcome of Simultaneous Repair of Bilateral Cleft Lip and Nose (a 15 Year Experience)." British Journal of Plastic Surgery, vol. 56, no. 3, 2003, pp. 205-17.
Nakajima T, Ogata H, Sakuma H. Long-term outcome of simultaneous repair of bilateral cleft lip and nose (a 15 year experience). Br J Plast Surg. 2003;56(3):205-17.
Nakajima, T., Ogata, H., & Sakuma, H. (2003). Long-term outcome of simultaneous repair of bilateral cleft lip and nose (a 15 year experience). British Journal of Plastic Surgery, 56(3), pp. 205-17.
Nakajima T, Ogata H, Sakuma H. Long-term Outcome of Simultaneous Repair of Bilateral Cleft Lip and Nose (a 15 Year Experience). Br J Plast Surg. 2003;56(3):205-17. PubMed PMID: 12859915.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcome of simultaneous repair of bilateral cleft lip and nose (a 15 year experience). AU - Nakajima,Tatsuo, AU - Ogata,Hisao, AU - Sakuma,Hisashi, PY - 2003/7/16/pubmed PY - 2003/9/5/medline PY - 2003/7/16/entrez SP - 205 EP - 17 JF - British journal of plastic surgery JO - Br J Plast Surg VL - 56 IS - 3 N2 - We have performed primary repair of bilateral cleft lip and nose on 169 patients in the past 15 years. During the first eight years, we used a small triangular flap skin design for the lip and for the nose correction, we used a corrective nasal cartilage lifting suture through rim incisions in order to bring the nasal dome cartilage toward the center and create the columella. The small triangular flap at the columella base was rotated 90 degrees posteriorly to emphasize the contour of the nasolabial angle. In the subsequent 7-year period, the lip design was changed to the straight line method, and an inverted trapezoid suture was placed between the alar and nasal dorsum at four points. By this procedure displaced cartilages are moved into correct position and the alar groove became more distinct.Long-term observations showed a favorable configuration of the nose, and eliminated the bilateral cleft nose stigma with only minimum degree of growth disturbance. The remaining problem is the somewhat superior faced nasal tip. To leave the bilateral cleft lip nasal deformity uncorrected for a long period places great psychosocial burden on the patient and the family. We believe that it is desirable to conduct early lip and nose repair synchronously in a minimally invasive manner, as a collaborative effort between plastic surgeons with specialized training in cleft lip repair and an interdisciplinary team. SN - 0007-1226 UR - https://www.unboundmedicine.com/medline/citation/12859915/Long_term_outcome_of_simultaneous_repair_of_bilateral_cleft_lip_and_nose__a_15_year_experience__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0007122603001140 DB - PRIME DP - Unbound Medicine ER -