Tags

Type your tag names separated by a space and hit enter

Seven fundamental procedures for definitive correction of unilateral secondary cleft lip nasal deformity in soft tissue aspects.
J Oral Maxillofac Surg 2011; 69(11):e420-30JO

Abstract

PURPOSE

It is accepted that patients who undergo appropriate primary repair for cleft lip will have secondary deformities. Because these deformities are caused by complex and diverse patterns, the deformities were categorized to provide a standardized treatment for each category.

PATIENTS AND METHODS

Pathologic characteristics of 1,170 patients were classified into 7 categories. Corrections were performed using 7 fundamental procedures corresponding to the surgical resolution of each deformity: 1) transposition of the caudal septum; 2) release of the septal-cartilaginous junction; 3) medial crus elevation; 4) lateral crus elevation; 5) release of the orbicularis oris muscle from the lip elevators; 6) anchoring of the orbicularis oris muscle to the anterior nasal spine; and 7) philtral column formation. A satisfaction survey was performed to evaluate the overall outcomes in 171 patients and an anthropometric analysis was performed in 38 patients.

RESULTS

Satisfactory scores obtained through postoperative follow-up were higher than preoperative scores, and there was no difference between postoperative scores obtained over the short and long term. All preoperative anthropometric measurements were different from the postoperative measurements, indicating that the fundamental procedure achieved effective outcomes.

CONCLUSIONS

These proposed 7 fundamental procedures can be used as guidelines that can always be applied for the correction of any secondary cleft lip nasal deformity to obtain ideal treatment outcomes.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Yonsei University Health System, Severance Hospital, Seodaemun-gu, Seoul, Republic of Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21839565

Citation

Lee, Dong Won, et al. "Seven Fundamental Procedures for Definitive Correction of Unilateral Secondary Cleft Lip Nasal Deformity in Soft Tissue Aspects." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 69, no. 11, 2011, pp. e420-30.
Lee DW, Choi BK, Park BY. Seven fundamental procedures for definitive correction of unilateral secondary cleft lip nasal deformity in soft tissue aspects. J Oral Maxillofac Surg. 2011;69(11):e420-30.
Lee, D. W., Choi, B. K., & Park, B. Y. (2011). Seven fundamental procedures for definitive correction of unilateral secondary cleft lip nasal deformity in soft tissue aspects. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 69(11), pp. e420-30. doi:10.1016/j.joms.2011.04.022.
Lee DW, Choi BK, Park BY. Seven Fundamental Procedures for Definitive Correction of Unilateral Secondary Cleft Lip Nasal Deformity in Soft Tissue Aspects. J Oral Maxillofac Surg. 2011;69(11):e420-30. PubMed PMID: 21839565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Seven fundamental procedures for definitive correction of unilateral secondary cleft lip nasal deformity in soft tissue aspects. AU - Lee,Dong Won, AU - Choi,Bong-Kyoon, AU - Park,Be-Young Yun, Y1 - 2011/08/11/ PY - 2010/12/14/received PY - 2011/04/21/revised PY - 2011/04/24/accepted PY - 2011/8/16/entrez PY - 2011/8/16/pubmed PY - 2011/12/30/medline SP - e420 EP - 30 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J. Oral Maxillofac. Surg. VL - 69 IS - 11 N2 - PURPOSE: It is accepted that patients who undergo appropriate primary repair for cleft lip will have secondary deformities. Because these deformities are caused by complex and diverse patterns, the deformities were categorized to provide a standardized treatment for each category. PATIENTS AND METHODS: Pathologic characteristics of 1,170 patients were classified into 7 categories. Corrections were performed using 7 fundamental procedures corresponding to the surgical resolution of each deformity: 1) transposition of the caudal septum; 2) release of the septal-cartilaginous junction; 3) medial crus elevation; 4) lateral crus elevation; 5) release of the orbicularis oris muscle from the lip elevators; 6) anchoring of the orbicularis oris muscle to the anterior nasal spine; and 7) philtral column formation. A satisfaction survey was performed to evaluate the overall outcomes in 171 patients and an anthropometric analysis was performed in 38 patients. RESULTS: Satisfactory scores obtained through postoperative follow-up were higher than preoperative scores, and there was no difference between postoperative scores obtained over the short and long term. All preoperative anthropometric measurements were different from the postoperative measurements, indicating that the fundamental procedure achieved effective outcomes. CONCLUSIONS: These proposed 7 fundamental procedures can be used as guidelines that can always be applied for the correction of any secondary cleft lip nasal deformity to obtain ideal treatment outcomes. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/21839565/Seven_fundamental_procedures_for_definitive_correction_of_unilateral_secondary_cleft_lip_nasal_deformity_in_soft_tissue_aspects_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(11)00776-2 DB - PRIME DP - Unbound Medicine ER -