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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Afroze incision for functional cheiloseptoplasty.

Gosla Srinivas Reddy¹, Rajgopal R Reddy, Nilesh Pagaria

¹GSR Institute of Craniofacial Surgery Hyderabad, Andhra Pradesh, India. gosla@craniofacialinsitute.org

The Journal of Craniofacial Surgery

|October 10, 2009

Summary

The Afroze incision technique for unilateral cleft lip repair combines Millard and Pfeiffer incisions, reducing scar tension and improving nasal symmetry. This method aids balanced nasal growth and can be applied to all complete unilateral cleft lip types.

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Area of Science:

Plastic Surgery
Craniofacial Surgery
Pediatric Surgery

Background:

Unilateral cleft lip repair presents significant surgical challenges.
Existing techniques often necessitate secondary operations to achieve optimal outcomes.
The need for improved primary cheiloplasty methods is evident.

Purpose of the Study:

To introduce and evaluate the Afroze incision technique for unilateral cleft lip repair.
To assess the efficacy of this combined incision approach in improving surgical results.
To demonstrate the technique's potential for reducing scar tension and enhancing nasal symmetry.

Main Methods:

The Afroze incision combines Millard and Pfeiffer incisions.
A specific flap design involves rotating the Millard flap and positioning the Pfeiffer flap's peak.

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Primary septal repositioning is integrated into the procedure.

Main Results:

The technique results in a horizontally oriented scar, minimizing postoperative tension.
Primary septal repositioning ensures stability and balanced growth of the nasal tip.
The method is adaptable to all complete unilateral cleft lip widths.

Conclusions:

The Afroze incision offers a tension-free repair for unilateral cleft lip.
It promotes balanced nasal development and symmetry.
This technique is versatile and effective for various complete unilateral cleft lip presentations.