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[One-stage repair of unilateral cleft lip and nasal deformity].

Abstract

OBJECTIVE

To investigate the method for simultaneous correction of nasal deformity and unilateral cleft lip so as to decrease the secondary operation for the deformity.

METHODS

The Millard procedure (or Millard plus triangle flap insertion) was used to repair the unilateral cleft lip. Through the incisions, the greater alar and nasalis were repositioned to the normal anatomical positions. The deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle of mouth to the anterior nasal spine. The mattress sutures through the tip of the columella and ala nasi helped to recover the shape of the nostril.

RESULTS

108 patients were treated with this method. They aged from one month to 19 years, included 30 with second degree cleft lip and 78 with third degree cleft lip. The follow-up for as long as 3 years showed satisfactory results.

CONCLUSIONS

This technique can eliminate the severe cleft nasal deformity and elevate the displaced alar cartilage at the time of lip repair without interference with nasal growth. It is recommended for the treatment of unilateral cleft lip with severe nasal deformity.

Authors+Show Affiliations

Department of Burns and Plastic Surgery, Children's Hospital of Chongqing University of Medical Science, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

16883890

Citation

Qiu, Lin, et al. "[One-stage Repair of Unilateral Cleft Lip and Nasal Deformity]." Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery, vol. 22, no. 3, 2006, pp. 188-90.
Qiu L, Fu YX, Tian XF, et al. [One-stage repair of unilateral cleft lip and nasal deformity]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2006;22(3):188-90.
Qiu, L., Fu, Y. X., Tian, X. F., & Liu, Y. (2006). [One-stage repair of unilateral cleft lip and nasal deformity]. Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery, 22(3), pp. 188-90.
Qiu L, et al. [One-stage Repair of Unilateral Cleft Lip and Nasal Deformity]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2006;22(3):188-90. PubMed PMID: 16883890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [One-stage repair of unilateral cleft lip and nasal deformity]. AU - Qiu,Lin, AU - Fu,Yue-xian, AU - Tian,Xiao-fei, AU - Liu,Yan, PY - 2006/8/4/pubmed PY - 2010/2/17/medline PY - 2006/8/4/entrez SP - 188 EP - 90 JF - Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery JO - Zhonghua Zheng Xing Wai Ke Za Zhi VL - 22 IS - 3 N2 - OBJECTIVE: To investigate the method for simultaneous correction of nasal deformity and unilateral cleft lip so as to decrease the secondary operation for the deformity. METHODS: The Millard procedure (or Millard plus triangle flap insertion) was used to repair the unilateral cleft lip. Through the incisions, the greater alar and nasalis were repositioned to the normal anatomical positions. The deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle of mouth to the anterior nasal spine. The mattress sutures through the tip of the columella and ala nasi helped to recover the shape of the nostril. RESULTS: 108 patients were treated with this method. They aged from one month to 19 years, included 30 with second degree cleft lip and 78 with third degree cleft lip. The follow-up for as long as 3 years showed satisfactory results. CONCLUSIONS: This technique can eliminate the severe cleft nasal deformity and elevate the displaced alar cartilage at the time of lip repair without interference with nasal growth. It is recommended for the treatment of unilateral cleft lip with severe nasal deformity. SN - 1009-4598 UR - https://www.unboundmedicine.com/medline/citation/16883890/[One_stage_repair_of_unilateral_cleft_lip_and_nasal_deformity]_ L2 - https://medlineplus.gov/cleftlipandpalate.html DB - PRIME DP - Unbound Medicine ER -