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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal Entrance Correction in Unilateral Cleft Lip Repair
Alexander St F Metz1, Roman Pförtner1, Claus Schmeling1
1Consultant, Kliniken Essen-Mitte, Evang; Huyssens-Stiftung/Knappschaft GmbH; Department of Oral and Craniomaxillofacial Surgery, University Hospital of Essen, Essen, Germany.
Purpose:
Correction of cleft nose deformity in patients with unilateral cleft lip is challenging and involves primarily the nasal cartilage and the nasal entrance. No consensus on the most effective surgical technique has been reached. This article describes a surgical procedure for nasal entrance correction.
Patients And Methods:
In this retrospective study, 30 adult patients underwent secondary nasal entrance corrections. According to a modified Van der Meulen technique, a nasal alar rim flap with anatomic repositioning of the alar cartilage was applied. Symmetry and esthetic results were evaluated by semiquantitative photographic analysis.
Results:
In all patients, the nasal tip was narrowed considerably, and a lifting of the nasal tip was achieved. Columellar elongation averaged 40%, and the form of the nostril was changed from horizontally oval to longitudinally oval.
Conclusion:
The described technique is well suited for a sustainable correction of complex cleft-induced deformities without visible scars in adult patients.
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