Cleft-Rhinoplasty constricted nasal floor reconstruction

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Reconstructive Surgery

Background:

• Alar base widening is a common requirement in post-cleft lip and palate rehabilitation.
• Existing methods may have limitations in addressing both width and nasal lining simultaneously.

Purpose of the Study:

• To present a specific author's design for alar base widening in cleft patients.
• To describe the qualitative outcomes of this surgical approach.
• To evaluate the efficacy of the nasolabial flap for nasal reconstruction.

Main Methods:

• Retrospective analysis of cleft cases undergoing alar base widening using the author's technique.
• Utilized a superomedially placed, full-thickness nasolabial flap.
• Outcome assessment at baseline, 3 months, and 6 months post-procedure.

Main Results:

• The procedure was performed on nine cleft patients.
• Qualitative observations of outcomes and postoperative changes were documented.
• Resultant nasal alar base width was assessed.

Conclusions:

• The nasolabial flap is effective for alar base widening and nasal lining reconstruction in cleft patients.
• The flap design considers aesthetic, functional, and anatomical aspects.
• Experience from this cohort supports the flap's utility.