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The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity.
J Craniofac Surg 2005; 16(2):255-61JC

Abstract

The columella, nasal tip, lip relationship in the secondary bilateral cleft deformity remains an enigma and a great challenge for the cleft surgeon. A subset of patients with bilateral cleft lip still require columellar lengthening and nasal correction, despite the advances in preoperative orthopedics and primary nasal corrections. An approach to correct this deformity is described. This consists of (1) lengthening the columella by a central lip advancement flap; (2) open rhinoplasty, allowing definitive repositioning of lower lateral cartilages, ear cartilage grafting to the tip and columella when necessary; (3) nasal mucosal advancement; (4) alar base narrowing; and (5) reconstruction of the orbicularis oris as required. Depending on the individual assessment of the patients, some of these steps were not performed, leaving the nasal mucosal advancement the most important aspect of the reconstruction. In a consecutive series of 72 patients with repaired bilateral cleft lip and palate, 17 patients have been treated with nasal mucosal rotation advancement and followed up for a maximum period of 10 years. With the use of this technique, the secondary bilateral cleft lip nose deformity has been successfully corrected.

Authors+Show Affiliations

Institute for Craniofacial and Reconstructive Surgery/Providence Hospital, 16001 West Nine Mile Road, Southfield, MI 48075, USA. ianjackson@juno.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15750422

Citation

Jackson, Ian T., et al. "The Central Lip Flap and Nasal Mucosal Rotation Advancement: Important Aspects of Composite Correction of the Bilateral Cleft Lip Nose Deformity." The Journal of Craniofacial Surgery, vol. 16, no. 2, 2005, pp. 255-61.
Jackson IT, Yavuzer R, Kelly C, et al. The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity. J Craniofac Surg. 2005;16(2):255-61.
Jackson, I. T., Yavuzer, R., Kelly, C., & Bu-Ali, H. (2005). The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity. The Journal of Craniofacial Surgery, 16(2), pp. 255-61.
Jackson IT, et al. The Central Lip Flap and Nasal Mucosal Rotation Advancement: Important Aspects of Composite Correction of the Bilateral Cleft Lip Nose Deformity. J Craniofac Surg. 2005;16(2):255-61. PubMed PMID: 15750422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity. AU - Jackson,Ian T, AU - Yavuzer,Reha, AU - Kelly,Christopher, AU - Bu-Ali,Hanadi, PY - 2005/3/8/pubmed PY - 2005/5/4/medline PY - 2005/3/8/entrez SP - 255 EP - 61 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 16 IS - 2 N2 - The columella, nasal tip, lip relationship in the secondary bilateral cleft deformity remains an enigma and a great challenge for the cleft surgeon. A subset of patients with bilateral cleft lip still require columellar lengthening and nasal correction, despite the advances in preoperative orthopedics and primary nasal corrections. An approach to correct this deformity is described. This consists of (1) lengthening the columella by a central lip advancement flap; (2) open rhinoplasty, allowing definitive repositioning of lower lateral cartilages, ear cartilage grafting to the tip and columella when necessary; (3) nasal mucosal advancement; (4) alar base narrowing; and (5) reconstruction of the orbicularis oris as required. Depending on the individual assessment of the patients, some of these steps were not performed, leaving the nasal mucosal advancement the most important aspect of the reconstruction. In a consecutive series of 72 patients with repaired bilateral cleft lip and palate, 17 patients have been treated with nasal mucosal rotation advancement and followed up for a maximum period of 10 years. With the use of this technique, the secondary bilateral cleft lip nose deformity has been successfully corrected. SN - 1049-2275 UR - https://www.unboundmedicine.com/medline/citation/15750422/The_central_lip_flap_and_nasal_mucosal_rotation_advancement:_important_aspects_of_composite_correction_of_the_bilateral_cleft_lip_nose_deformity_ L2 - http://Insights.ovid.com/pubmed?pmid=15750422 DB - PRIME DP - Unbound Medicine ER -