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Rotational Composite Flap Technique for Primary Incomplete Cleft Lip Nose Repair.

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Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity.

Percy Rossell-Perry1

  • 1School of Medicine, Post Graduate Studies, San Martin de Porres University, Peru; and Edgardo Rebagliatti Hospital, Plastic Surgery Service, Lima, Peru.

Plastic and Reconstructive Surgery. Global Open
|August 9, 2020
PubMed
Summary

This study introduces a novel rotational composite flap technique for nasal repair in unilateral incomplete cleft lip. The method effectively achieves excellent nasal symmetry, offering a valuable surgical option for these patients.

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Unilateral incomplete cleft lip presents with less severe skeletal and soft tissue deficiencies than complete cleft lip.
  • Extensive surgical approaches are generally not advised for incomplete cleft lip nasal deformities.
  • A minimally invasive technique is needed for optimal nasal reconstruction.

Purpose of the Study:

  • To describe an innovative rotational composite flap technique for nasal repair.
  • To address nasal deformities in patients with unilateral incomplete cleft lip.
  • To provide an alternative to extensive surgical interventions.

Main Methods:

  • A V-shaped composite flap, including vestibular skin and alar cartilage, is created via marginal and intercartilaginous incisions.
  • The flap is rotationally mobilized.
  • The resulting raw surface is closed by advancing vestibular skin.

Main Results:

  • The rotational composite vestibular flap technique successfully reconstructs the nose.
  • This method achieves proper symmetry in the repaired nose.

Conclusions:

  • Composite flap rhinoplasty is a viable surgical option for unilateral incomplete cleft lip nasal deformities.
  • The technique yields good overall nasal symmetry.
  • This approach offers an effective solution for improving aesthetic outcomes.