Surgical Correction of Nostril Base and Nostril Sill Depression in Unilateral Secondary Cleft Lip Nose Deformity
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 637-641, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-174596
ABSTRACT
PURPOSE:
Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression.METHODS:
A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients' charts and photography with special reference to the height difference of the nostrils between the cleft side and the non-cleft side. Patients were divided into three groups based on the difference and operated with various techniques(1) mild degree( 3mm) with graft, C-flap and suspension suture. Follow-up period averaged 21.3 months.RESULTS:
Forty-six patients(40 percent) were in mild group, and forty-two(37 percent) were in moderate. In twenty-seven patients(23 percent), nostril recession was more than 3mm. The elevated nostril base and sill were maintained without height alteration during follow-up.CONCLUSION:
The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Suturas
/
Anormalidades Congênitas
/
Fotografação
/
Nariz
/
Seguimentos
/
Fenda Labial
/
Transplantes
/
Depressão
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Ano de publicação:
2009
Tipo de documento:
Artigo
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