Maxillofacial Plastic and Reconstructive Surgery

  • Volume 37
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  • Pages.35.1-35.7
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  • 2015
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Double-layered reconstruction of the nasal floor in complete cleft deformity of the primary palate using superfluous lip tissue

  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kwon, Kwang-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Min-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • Received : 2015.08.12
  • Accepted : 2015.10.06
  • Published : 2015.12.31
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Abstract

After cleft lip repair, many patients suffer from nasolabial fistulas, asymmetrical nasal floor, or an indistinct nostril sill, as well as intraoral wound dehiscence and subsequent scar contracture of surgical wounds leading to vestibular stenosis. For successful primary nasolabial repair of complete cleft deformity of the primary palate, cleft surgeons need special care in reconstructing the sound nasal floor. Especially when the cleft gap is wide or when any type of nasoalveolar molding therapy was not performed, three-dimensional reconstruction of the nasal floor is critical for a balanced nasal shape. In this study, the author describes an effective method for reconstructing a double-layered nasal floor using two mucosal flaps from both sides of the fissured upper lip. This is a report of six patients with unilateral or bilateral complete cleft of the primary palate with a detailed description of the surgical technique and a literature review.

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References

  1. Gorney M (1988) Rehabilitation of the post-cleft nasolabial stigma. Clin Plast Surg 15:73-82
  2. Shih CW, Sykes JM (2002) Correction of the cleft-lip nasal deformity. Fac Plast Surg 18:253-62 https://doi.org/10.1055/s-2002-36493
  3. Dec W, Shetye PR, Grayson BH, Brecht LE, Cutting CB, Warren SM (2013) Incidence of oronasal fistula formation after nasoalveolar molding and primary cleft repair. J Craniofac Surg 24:57-61 https://doi.org/10.1097/SCS.0b013e31826d09b5
  4. Chang L, Wang J, Yu L, Zhang B, Zhu C (2012) Closure of nasal floor by mucosal flaps on the upper lip margin in wide unilateral complete cleft lip. J Craniofac Surg 23:866-68 https://doi.org/10.1097/SCS.0b013e31824ddc43
  5. Millard DR (1976) How to rotate and advance in a complete cleft. In: Cleft craft: the evolution of its surgery, Ith edn. Little, Brown, and Co, Boston, pp 454-5
  6. Millard DR (1976) How to rotate and advance in a complete cleft. In: Cleft craft: the evolution of its surgery, Ith edn. Little, Brown, and Co, Boston, pp 456-7
  7. Cutting C, Grayson B (1993) The prolabial unwinding flap method for one-stage repair of bilateral cleft lip, nose, and alveolus. Plast Reconstr Surg 91:37-47 https://doi.org/10.1097/00006534-199301000-00006
  8. Trigos M, Garcia C, Ortiz M (1979) Early treatment in primary palate. Rev Latinoam Cir Plast 3:251-60
  9. Clavin HD, Owsley JQ Jr (1978) A lining vomer flap for palatal pushback in unilateral cleft palate repair. Cleft Palate J 15:30-2
  10. Cutting CB, Bardach J, Pang R (1989) A comparative study of the skin envelope of the unilateral cleft lip nose subsequent to rotation-advancement and triangular flap lip repairs. Plast Reconstr Surg 84:409-17 https://doi.org/10.1097/00006534-198909000-00004
  11. Noordhoff MS (1986) Bilateral cleft lip reconstruction. Plast Reconstr Surg 78:45-54 https://doi.org/10.1097/00006534-198607000-00006
  12. Thomas C (2009) Primary rhinoplasty by open approach with repair of bilateral complete cleft lip. J Craniofac Surg 20:1715-8 https://doi.org/10.1097/SCS.0b013e3181b3ef2c
  13. Khosla RK, Mcgregor J, Kelley PK, Gruss JS (2012) Contemporary concepts for the bilateral cleft lip and nasal repair. Seminar Plast Surg 26:156-63
  14. Gudis DA, Patel KG (2014) Update on primary cleft lip rhinoplasty. Cur Opin Otolaryngol Head Neck Surg 22:260-6 https://doi.org/10.1097/MOO.0000000000000066

Cited by

  1. Repair of the Nasal Floor by the Cleft Margin Flap in Bilateral Complete Cleft Lip vol.29, pp.2, 2015, https://doi.org/10.1097/scs.0000000000004187
  2. Rare Median Cleft-Lip Repair With Novel Surgical Procedures Using Bilateral Cleft Margin Flaps vol.30, pp.1, 2015, https://doi.org/10.1097/scs.0000000000004891
  3. Nasal sill augmentation: an overlooked concept in rhinoplasty-a technical note and review of the literatures vol.43, pp.1, 2015, https://doi.org/10.1186/s40902-021-00298-3