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Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar.
Rev Stomatol Chir Maxillofac Chir Orale. 2013 Nov; 114(5):322-6.RS

Abstract

INTRODUCTION

Columellar cartilage graft helps improve esthetic results in secondary cleft rhinoplasty for patients presenting with cleft lips. However, inadequate skin coverage of the cartilaginous graft can result in columellar necrosis and graft loss. Moreover, the scar after Millard's primary cheiloplasty may not be esthetic. The aim of this article was to present the columellar flap technique to cover the columellar graft and to improve the scar after unilateral Millard's cheiloplasty.

TECHNICAL NOTE

The triangular flap is drawn on the edge of Millard's cheiloplasty scar. It is then moved in a V-Y fashion so as to cover the cartilaginous graft and improve the esthetic aspect of the new columella.

DISCUSSION

Four hundred and twelve teenage/adult rhinoplasties were performed in our department over 10 years (October 2001 to October 2011). This flap was used in 10 patients who were followed-up for at least 1 year. There were no severe postoperative complications. Millard's unilateral cheiloplasty scar was less visible. A prospective study is ongoing.

Authors+Show Affiliations

Department of oral, craniomaxillofacial and facial plastic surgery, faculty of medicine, university hospital of Leipzig, Leipzig, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23992887

Citation

Pausch, N C., et al. "Columellar Flap for Secondary Cleft Rhinoplasty With Esthetic Improvement of Millard's Unilateral Cheiloplasty Scar." Revue De Stomatologie, De Chirurgie Maxillo-faciale Et De Chirurgie Orale, vol. 114, no. 5, 2013, pp. 322-6.
Pausch NC, Hemprich A, Subbalekha K, et al. Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar. Rev Stomatol Chir Maxillofac Chir Orale. 2013;114(5):322-6.
Pausch, N. C., Hemprich, A., Subbalekha, K., Dhanuthai, K., Neff, A., & Pitak-Arnnop, P. (2013). Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar. Revue De Stomatologie, De Chirurgie Maxillo-faciale Et De Chirurgie Orale, 114(5), 322-6. https://doi.org/10.1016/j.revsto.2013.07.008
Pausch NC, et al. Columellar Flap for Secondary Cleft Rhinoplasty With Esthetic Improvement of Millard's Unilateral Cheiloplasty Scar. Rev Stomatol Chir Maxillofac Chir Orale. 2013;114(5):322-6. PubMed PMID: 23992887.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar. AU - Pausch,N C, AU - Hemprich,A, AU - Subbalekha,K, AU - Dhanuthai,K, AU - Neff,A, AU - Pitak-Arnnop,P, Y1 - 2013/08/27/ PY - 2012/07/03/received PY - 2013/02/08/revised PY - 2013/07/15/accepted PY - 2013/9/3/entrez PY - 2013/9/3/pubmed PY - 2014/7/6/medline KW - Cicatrice KW - Cleft lip KW - Fente labiale KW - Rhinoplastie KW - Rhinoplasty KW - Scar SP - 322 EP - 6 JF - Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale JO - Rev Stomatol Chir Maxillofac Chir Orale VL - 114 IS - 5 N2 - INTRODUCTION: Columellar cartilage graft helps improve esthetic results in secondary cleft rhinoplasty for patients presenting with cleft lips. However, inadequate skin coverage of the cartilaginous graft can result in columellar necrosis and graft loss. Moreover, the scar after Millard's primary cheiloplasty may not be esthetic. The aim of this article was to present the columellar flap technique to cover the columellar graft and to improve the scar after unilateral Millard's cheiloplasty. TECHNICAL NOTE: The triangular flap is drawn on the edge of Millard's cheiloplasty scar. It is then moved in a V-Y fashion so as to cover the cartilaginous graft and improve the esthetic aspect of the new columella. DISCUSSION: Four hundred and twelve teenage/adult rhinoplasties were performed in our department over 10 years (October 2001 to October 2011). This flap was used in 10 patients who were followed-up for at least 1 year. There were no severe postoperative complications. Millard's unilateral cheiloplasty scar was less visible. A prospective study is ongoing. SN - 2213-6541 UR - https://www.unboundmedicine.com/medline/citation/23992887/Columellar_flap_for_secondary_cleft_rhinoplasty_with_esthetic_improvement_of_Millard's_unilateral_cheiloplasty_scar_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2213-6533(13)00195-X DB - PRIME DP - Unbound Medicine ER -