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Nostril sill augmentation in secondary cleft lip
1Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Annals of Plastic Surgery
|November 1, 1987
Summary
This study addresses persistent nostril sill depression after cleft lip repair. A novel surgical technique using a scar flap and suture fixation effectively augments this depression, improving outcomes for patients.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Cleft lip repair often leaves residual nostril sill depression.
- This complication requires attention for optimal aesthetic and functional outcomes.
- Limited research exists on the anatomy and augmentation of the depressed nostril sill.
Purpose of the Study:
- To review the anatomy of the depressed nostril sill.
- To present a novel surgical technique for augmenting nostril sill depression.
- To evaluate the clinical outcomes of the developed augmentation method.
Main Methods:
- Anatomical review of the depressed nostril sill and its surrounding tissues.
- Development of a surgical technique utilizing a scar flap and suture fixation.
- Clinical application of the technique in 16 patients with cleft lip deformity.
Main Results:
- The study presents a detailed anatomical understanding of the depressed nostril sill.
- A new surgical method for augmenting nostril sill depression was successfully developed.
- Clinical results from 16 patients demonstrate the efficacy of the augmentation technique.
Conclusions:
- Nostril sill depression is a significant issue post-cleft lip repair.
- The described scar flap and suture-fixation technique offers an effective solution for augmenting this depression.
- Further investigation into this surgical approach is warranted for cleft lip reconstruction.