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Alar groove plasty using a subcutaneous flap technique in bulbous nose repair after cleft lip plasty.
J Plast Reconstr Aesthet Surg 2009; 62(7):884-8JP

Abstract

BACKGROUND

Bulbous nose is a ball-like nasal deformity, frequently seen in postoperative cleft lip patients, that is hard to prevent despite numerous techniques available for nasal tip plasty. Here we describe a new method for correcting bulbous nose in cleft lip patients by creating an ideal alar groove.

METHODS

A subcutaneous flap with the pedicle of the overlying skin connected circumferentially is made just beneath the position for the ideal alar groove. The subcutaneous flap is fixed to the septum cartilage to create the alar groove depression on the nasal tip. This method is generally performed in conjunction with other rhinoplasty using the open nasal approach.

RESULTS

Three postoperative cleft lip and nose patients underwent alar groove plasty combined with rhinoplasty. All retained good contour after the operation.

CONCLUSION

Alar groove plasty using the subcutaneous flap technique improves bulbous nose deformities of cleft lip patients and can retain good postoperative contour.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Keio University Hospital, Tokyo, Japan. hirotoshi_ohara@yahoo.co.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18448408

Citation

Ohara, H, et al. "Alar Groove Plasty Using a Subcutaneous Flap Technique in Bulbous Nose Repair After Cleft Lip Plasty." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 62, no. 7, 2009, pp. 884-8.
Ohara H, Nakajima T, Ogata H, et al. Alar groove plasty using a subcutaneous flap technique in bulbous nose repair after cleft lip plasty. J Plast Reconstr Aesthet Surg. 2009;62(7):884-8.
Ohara, H., Nakajima, T., Ogata, H., Ishii, N., & Shimizu, Y. (2009). Alar groove plasty using a subcutaneous flap technique in bulbous nose repair after cleft lip plasty. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 62(7), pp. 884-8. doi:10.1016/j.bjps.2007.10.081.
Ohara H, et al. Alar Groove Plasty Using a Subcutaneous Flap Technique in Bulbous Nose Repair After Cleft Lip Plasty. J Plast Reconstr Aesthet Surg. 2009;62(7):884-8. PubMed PMID: 18448408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alar groove plasty using a subcutaneous flap technique in bulbous nose repair after cleft lip plasty. AU - Ohara,H, AU - Nakajima,T, AU - Ogata,H, AU - Ishii,N, AU - Shimizu,Y, Y1 - 2008/04/29/ PY - 2007/05/19/received PY - 2007/09/27/revised PY - 2007/10/25/accepted PY - 2008/5/2/pubmed PY - 2009/7/14/medline PY - 2008/5/2/entrez SP - 884 EP - 8 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 62 IS - 7 N2 - BACKGROUND: Bulbous nose is a ball-like nasal deformity, frequently seen in postoperative cleft lip patients, that is hard to prevent despite numerous techniques available for nasal tip plasty. Here we describe a new method for correcting bulbous nose in cleft lip patients by creating an ideal alar groove. METHODS: A subcutaneous flap with the pedicle of the overlying skin connected circumferentially is made just beneath the position for the ideal alar groove. The subcutaneous flap is fixed to the septum cartilage to create the alar groove depression on the nasal tip. This method is generally performed in conjunction with other rhinoplasty using the open nasal approach. RESULTS: Three postoperative cleft lip and nose patients underwent alar groove plasty combined with rhinoplasty. All retained good contour after the operation. CONCLUSION: Alar groove plasty using the subcutaneous flap technique improves bulbous nose deformities of cleft lip patients and can retain good postoperative contour. SN - 1878-0539 UR - https://www.unboundmedicine.com/medline/citation/18448408/Alar_groove_plasty_using_a_subcutaneous_flap_technique_in_bulbous_nose_repair_after_cleft_lip_plasty_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(08)00167-8 DB - PRIME DP - Unbound Medicine ER -