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Web Uni-Limb Z-Plasty for Correction of Alar Web Deformity in Unilateral Cleft Lip Nasal Deformities: Photogrammetric Analysis  

Han, Ki-Hwan (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Kim, Dae-Jin (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Park, Mu-Shik (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Kim, Jun-Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Son, Dae-Gu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
Publication Information
Archives of Plastic Surgery / v.38, no.6, 2011 , pp. 740-746 More about this Journal
Abstract
Purpose: In the treatment of the unilateral cleft lip nasal deformities, the correction of the low-nostril height and short-columella are very difficult problems. We report the treatment outcomes of web uni-limb Z-plasty used for correction of unilateral cleft lip nasal deformities by using photographic analysis. Methods: A total of 36 patients with unilateral cleft lip nasal deformities were enrolled in this study, who underwent web uni-limb Z-plasty and were followed up for at least 6 months. First, a triangular flap was made on the medial side of alar-columella web. The nostril apex of cleft side was corrected to a higher point compared to noncleft side by 2 mm. The flap was transposed into the defect of the vestibule. To reduce the bulging of the flap, horizontal cinching sutures were added. Postoperative outcomes were evaluated by using photographic analysis. 2 indices and 1 angle were measured on their photographs taken before and after the surgery. Symmetry was also evaluated by means of the noncleft side to cleft side index. For anthropologic assessment, observers described postoperative outcomes, using Ordinary Scale Method. Results: The postoperative values obtained in photographic analysis improved compared to preoperative ones. More improving anthropologic assessment was shown in post-than pre-operative. Conclusion: Although, further long term follow up is needed, we found this technique to be an effective procedure to the symmetry of nostril apex level and the lengthening of columella in the unilateral cleft lip nasal deformities.
Keywords
Cleft lip; Alar nasal cartilage;
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Times Cited By KSCI : 2  (Citation Analysis)
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