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Correction of Retracted Ala Using Spacer Graft in Secondary Cleft Lip and Nose Deformity
Journal of the Korean Society of Plastic and Reconstructive Surgeons ; : 376-382, 2011.
Artigo em Inglês | WPRIM | ID: wpr-224766
ABSTRACT

PURPOSE:

In patients with unilateral cleft lip and nose deformity, alar retraction is commonly seen on the non-cleft side after cleft side is corrected. Spacer graft was used to drag down the inferior border of the alar cartilage of the non-cleft side so as to match the cleft side. By performing spacer graft and septal extension graft together, symmetry and cosmetic improvements were achieved.

METHODS:

Seven unilateral cleft lip and nose deformity patients underwent surgery for alar retraction correction. The median age was 24 years (ranged from 15 to 34 years), and the median follow-up period was 7.4 months (ranged from 6 to 12 months). The perpendicular length from the longitudinal axis of the nostril to the alar rim, the nasolabial angle and the ala-labial angle were measured in the lateral view photo. The longest perpendicular length from the cephalic border of the alar rim to the parallel line of the alar base was measured in the frontal view photo.

RESULTS:

Improvement in alar retraction was seen after the surgery. There were no specific complications during the follow-up and the symmetry of both nostrils was satisfactory. No increase in the nasolabial angle or exposure of the nostrils was seen after the tip projection via tip plasty.

CONCLUSION:

The fundamental factor in correcting alar retraction with secondary cleft lip and nose deformity is repositioning the alar rim with spacer graft, which seems to be more physiologic than other methods. The method combining spacer graft with septal extension graft will bring symmetry as well as more cosmetic improvement in correction of alar retraction with secondary cleft lip and nose deformity.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Succinatos / Vértebra Cervical Áxis / Anormalidades Congênitas / Cartilagem / Nariz / Seguimentos / Fenda Labial / Transplantes / Cosméticos Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Succinatos / Vértebra Cervical Áxis / Anormalidades Congênitas / Cartilagem / Nariz / Seguimentos / Fenda Labial / Transplantes / Cosméticos Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Journal of the Korean Society of Plastic and Reconstructive Surgeons Ano de publicação: 2011 Tipo de documento: Artigo