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Revision of the cleft lip nose.
Facial Plast Surg. 2012 Aug; 28(4):447-53.FP

Abstract

Secondary or revision rhinoplasty for the cleft nasal deformity represents one of the most challenging problems in rhinoplasty surgery. The secondary nasal deformity of the unilateral cleft lip involves a retrodisplaced dome of the ipsilateral nasal tip, hooding of the alar rim, a secondary alar-columellar web, and other deficiencies. This article discusses techniques to achieve the best possible outcome for patients with cleft nasal deformities. We emphasize the importance of early intervention by way of primary cleft rhinoplasty and highlight the typical challenges presented in delayed (secondary) or revision cleft rhinoplasty. We describe how the sliding flap cheilorhinoplasty effectively corrects these deformities using a laterally based chondrocutaneous flap via an open rhinoplasty approach. Columellar struts and shield grafts are some of the techniques combined with this approach to produce optimal results.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, USA. angelos.patrick@gmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22872561

Citation

Angelos, Patrick, and Tom Wang. "Revision of the Cleft Lip Nose." Facial Plastic Surgery : FPS, vol. 28, no. 4, 2012, pp. 447-53.
Angelos P, Wang T. Revision of the cleft lip nose. Facial Plast Surg. 2012;28(4):447-53.
Angelos, P., & Wang, T. (2012). Revision of the cleft lip nose. Facial Plastic Surgery : FPS, 28(4), 447-53. https://doi.org/10.1055/s-0032-1319838
Angelos P, Wang T. Revision of the Cleft Lip Nose. Facial Plast Surg. 2012;28(4):447-53. PubMed PMID: 22872561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Revision of the cleft lip nose. AU - Angelos,Patrick, AU - Wang,Tom, Y1 - 2012/08/07/ PY - 2012/8/9/entrez PY - 2012/8/9/pubmed PY - 2013/3/13/medline SP - 447 EP - 53 JF - Facial plastic surgery : FPS JO - Facial Plast Surg VL - 28 IS - 4 N2 - Secondary or revision rhinoplasty for the cleft nasal deformity represents one of the most challenging problems in rhinoplasty surgery. The secondary nasal deformity of the unilateral cleft lip involves a retrodisplaced dome of the ipsilateral nasal tip, hooding of the alar rim, a secondary alar-columellar web, and other deficiencies. This article discusses techniques to achieve the best possible outcome for patients with cleft nasal deformities. We emphasize the importance of early intervention by way of primary cleft rhinoplasty and highlight the typical challenges presented in delayed (secondary) or revision cleft rhinoplasty. We describe how the sliding flap cheilorhinoplasty effectively corrects these deformities using a laterally based chondrocutaneous flap via an open rhinoplasty approach. Columellar struts and shield grafts are some of the techniques combined with this approach to produce optimal results. SN - 1098-8793 UR - https://www.unboundmedicine.com/medline/citation/22872561/Revision_of_the_cleft_lip_nose_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1319838 DB - PRIME DP - Unbound Medicine ER -