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Triangular with Ala nasi (TAN) repair of unilateral cleft lips: a personal technique and early outcomes.
J Craniofac Surg 2007; 18(1):186-97JC

Abstract

The triangular flap repair is one of the most common techniques used in cleft lip surgery. However, inability to address the nasal deformity and loss of orbicularis wholeness accompanied with incomplete reorientation have been two major handicaps of the triangular repair. Therefore, we developed our personal technique, called the triangular with ala nasi (TAN) repair, including a perialar incision and a distinct approach to the skin and muscle. We applied the TAN technique to 32 consecutive (19 male and 13 female) patients with unilateral cleft. The mean age at repair was 2.5 (1-32) years. The cleft lip appeared completely and incompletely in 11 and 21 patients, respectively. The postoperative outcomes were assessed subjectively by Williams test and objectively by Lindsay-Farkas method.The mean follow-up time was 17.1 months. No early complication involving hematoma, infection, wound dehiscence, or partial or total flap loss was encountered. The recoveries of 79.1% and 86.2% on average, when compared with the noncleft side, were obtained postoperatively. With our technique, we aimed at combining the useful properties of the two popular techniques, Millard and Tennison-Randall. The TAN repair lengthens the vertical lip using a triangular flap, resulting in a nonlinear, zig-zag scar on the philtral ridge and forming a symmetrical cupid's bow, superiorities of the Tennison-Randall repair. On the other hand, our method also presents an excellent approximation of both the deep and superficial muscle groups and reduces the nasal deformity with a perialar incision, features of the Millard's technique.

Authors+Show Affiliations

Ataturk University, Medical Faculty, Department of Plastic Reconstructive and Aesthetic Surgery, Erzurum, Turkey. drondertan@yahoo.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17251861

Citation

Tan, Onder, and Bekir Atik. "Triangular With Ala Nasi (TAN) Repair of Unilateral Cleft Lips: a Personal Technique and Early Outcomes." The Journal of Craniofacial Surgery, vol. 18, no. 1, 2007, pp. 186-97.
Tan O, Atik B. Triangular with Ala nasi (TAN) repair of unilateral cleft lips: a personal technique and early outcomes. J Craniofac Surg. 2007;18(1):186-97.
Tan, O., & Atik, B. (2007). Triangular with Ala nasi (TAN) repair of unilateral cleft lips: a personal technique and early outcomes. The Journal of Craniofacial Surgery, 18(1), pp. 186-97.
Tan O, Atik B. Triangular With Ala Nasi (TAN) Repair of Unilateral Cleft Lips: a Personal Technique and Early Outcomes. J Craniofac Surg. 2007;18(1):186-97. PubMed PMID: 17251861.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Triangular with Ala nasi (TAN) repair of unilateral cleft lips: a personal technique and early outcomes. AU - Tan,Onder, AU - Atik,Bekir, PY - 2007/1/26/pubmed PY - 2007/7/31/medline PY - 2007/1/26/entrez SP - 186 EP - 97 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 18 IS - 1 N2 - The triangular flap repair is one of the most common techniques used in cleft lip surgery. However, inability to address the nasal deformity and loss of orbicularis wholeness accompanied with incomplete reorientation have been two major handicaps of the triangular repair. Therefore, we developed our personal technique, called the triangular with ala nasi (TAN) repair, including a perialar incision and a distinct approach to the skin and muscle. We applied the TAN technique to 32 consecutive (19 male and 13 female) patients with unilateral cleft. The mean age at repair was 2.5 (1-32) years. The cleft lip appeared completely and incompletely in 11 and 21 patients, respectively. The postoperative outcomes were assessed subjectively by Williams test and objectively by Lindsay-Farkas method.The mean follow-up time was 17.1 months. No early complication involving hematoma, infection, wound dehiscence, or partial or total flap loss was encountered. The recoveries of 79.1% and 86.2% on average, when compared with the noncleft side, were obtained postoperatively. With our technique, we aimed at combining the useful properties of the two popular techniques, Millard and Tennison-Randall. The TAN repair lengthens the vertical lip using a triangular flap, resulting in a nonlinear, zig-zag scar on the philtral ridge and forming a symmetrical cupid's bow, superiorities of the Tennison-Randall repair. On the other hand, our method also presents an excellent approximation of both the deep and superficial muscle groups and reduces the nasal deformity with a perialar incision, features of the Millard's technique. SN - 1049-2275 UR - https://www.unboundmedicine.com/medline/citation/17251861/Triangular_with_Ala_nasi__TAN__repair_of_unilateral_cleft_lips:_a_personal_technique_and_early_outcomes_ DB - PRIME DP - Unbound Medicine ER -