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Triangular with Ala Nasi (TAN) II repair of unilateral cleft lips with severe nasal deformity.
Ann Plast Surg 2014; 73(4):393-7AP

Abstract

BACKGROUND/INTRODUCTION

With our previous technique called triangular with ala nasi (TAN) repair, we combined the superiorities of these 2 popular techniques by approaching the skin, as in Tennison-Randall, and the muscle and nose, as in Millard. Although good results have been obtained in most patients, cleft lip nose (CLN) deformity could not entirely be corrected particularly in serious cleft patients. Therefore, we revised the technique, called the TAN II repair, by adding some nasal maneuvers including the bivectoral suspension sutures, alar buckling resection, and alar web resection.

METHODS

Forty-two consecutive patients (26 male and 16 female) with unilateral cleft lips were operated on using the TAN II technique in the last 5 years. The mean age at repair was 11.95 months (range, 3 to 120). The postoperative outcomes were assessed subjectively by Williams test and objectively by Lindsay-Farkas method.

RESULTS

The mean follow-up time was 16.3 months. No early complication involving hematoma, infection, wound dehiscence, or partial or total flap loss was encountered. The recoveries of 92.42% and 88.89% on average, when compared with the noncleft side, were obtained postoperatively.

CONCLUSIONS

With these modifications, the TAN II technique was able to correct the severe unilateral CLN deformities. We obtained good to excellent outcomes in late postoperative follow-up by means of a long-term suspension effect.

Authors+Show Affiliations

From the Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

Pub Type(s)

Evaluation Studies
Journal Article

Language

eng

PubMed ID

24051467

Citation

Tan, Onder. "Triangular With Ala Nasi (TAN) II Repair of Unilateral Cleft Lips With Severe Nasal Deformity." Annals of Plastic Surgery, vol. 73, no. 4, 2014, pp. 393-7.
Tan O. Triangular with Ala Nasi (TAN) II repair of unilateral cleft lips with severe nasal deformity. Ann Plast Surg. 2014;73(4):393-7.
Tan, O. (2014). Triangular with Ala Nasi (TAN) II repair of unilateral cleft lips with severe nasal deformity. Annals of Plastic Surgery, 73(4), pp. 393-7. doi:10.1097/SAP.0b013e31827fb008.
Tan O. Triangular With Ala Nasi (TAN) II Repair of Unilateral Cleft Lips With Severe Nasal Deformity. Ann Plast Surg. 2014;73(4):393-7. PubMed PMID: 24051467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Triangular with Ala Nasi (TAN) II repair of unilateral cleft lips with severe nasal deformity. A1 - Tan,Onder, PY - 2013/9/21/entrez PY - 2013/9/21/pubmed PY - 2015/5/29/medline SP - 393 EP - 7 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 73 IS - 4 N2 - BACKGROUND/INTRODUCTION: With our previous technique called triangular with ala nasi (TAN) repair, we combined the superiorities of these 2 popular techniques by approaching the skin, as in Tennison-Randall, and the muscle and nose, as in Millard. Although good results have been obtained in most patients, cleft lip nose (CLN) deformity could not entirely be corrected particularly in serious cleft patients. Therefore, we revised the technique, called the TAN II repair, by adding some nasal maneuvers including the bivectoral suspension sutures, alar buckling resection, and alar web resection. METHODS: Forty-two consecutive patients (26 male and 16 female) with unilateral cleft lips were operated on using the TAN II technique in the last 5 years. The mean age at repair was 11.95 months (range, 3 to 120). The postoperative outcomes were assessed subjectively by Williams test and objectively by Lindsay-Farkas method. RESULTS: The mean follow-up time was 16.3 months. No early complication involving hematoma, infection, wound dehiscence, or partial or total flap loss was encountered. The recoveries of 92.42% and 88.89% on average, when compared with the noncleft side, were obtained postoperatively. CONCLUSIONS: With these modifications, the TAN II technique was able to correct the severe unilateral CLN deformities. We obtained good to excellent outcomes in late postoperative follow-up by means of a long-term suspension effect. SN - 1536-3708 UR - https://www.unboundmedicine.com/medline/citation/24051467/Triangular_with_Ala_Nasi__TAN__II_repair_of_unilateral_cleft_lips_with_severe_nasal_deformity_ L2 - http://Insights.ovid.com/pubmed?pmid=24051467 DB - PRIME DP - Unbound Medicine ER -