Staged Abbe-Rhinoplasty Technique to Correct Bilateral Cleft Deformity

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Reconstructive Surgery

Background:

• Mature bilateral cleft nasolabial deformity presents with distinct features: prolabial and vermilion deficiency, a broad, depressed nasal tip, and a short columella.
• Existing surgical strategies for correcting these deformities yield variable results.

Purpose of the Study:

• To present a novel, sequenced surgical approach for correcting mature bilateral cleft nasolabial deformities.
• To describe the staging of an Abbe flap and rhinoplasty as a combined therapeutic strategy.
• To evaluate the outcomes of this approach using morphometric analysis.

Main Methods:

• A novel staged surgical technique involving an Abbe flap and rhinoplasty was employed.
• Morphometric analysis was utilized to assess the quantitative results of the surgical intervention.
• The study design is classified as Therapeutic, Level IV evidence.

Main Results:

• The sequenced approach demonstrated specific outcomes in correcting the prolabial and vermilion deficiency, nasal tip depression, and columella shortness.
• Morphometric data provided objective measurements of the surgical correction's success.
• Detailed results of the morphometric analysis are presented to support the efficacy of the technique.

Conclusions:

• The described sequenced Abbe flap and rhinoplasty technique offers a promising method for addressing complex bilateral cleft nasolabial deformities.
• This approach provides a structured protocol for improving aesthetic and functional outcomes.
• Further research and long-term follow-up are warranted to fully establish the benefits of this novel surgical strategy.