Primary Overcorrection of the Unilateral Cleft Nasal Deformity: Quantifying the Results

Annals of Plastic Surgery
Daniel LonicLun-Jou Lo

Abstract

Because primary nasal correction by the time of lip repair has been incorporated into the treatment approach, many patients have benefitted from this combined procedure. However, primary nasal correction cannot guarantee an excellent result. Although overcorrection has been mentioned as a treatment rationale of the unilateral cleft lip nasal deformity, a detailed approach and quantitative evidence of the rationale are rare. This study evaluates whether overcorrection in the primary repair results in a quantitative improvement in nasal appearance. In this retrospective study, the inclusion criteria were patients with complete unilateral cleft lip and palate who underwent primary lip and nose repair by the age of 3 to 4 months. Primary nasal overcorrection was achieved by application of muscle to septal base suture, alar cinching suture and Tajima reversed U incision method. Patients were further divided into an overcorrected (n = 19) and nonovercorrected group (n = 19). The following parameters were identified on basilar photos of all patients taken at least 12 months after repair, ratios of cleft to noncleft side in each patient were taken and the mean for each parameter calculated: Ac angle (ACA/ACA'), alar height (AH/AH'), al...Continue Reading

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Citations

Jul 11, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rajshree JayarajanRavindranathan Nagamuttu
Mar 7, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rafael DenadaiLun-Jou Lo
Dec 12, 2018·Plastic and Reconstructive Surgery·Betty C J PaiLun-Jou Lo
Jul 11, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kyung Hoon ChungLun-Jou Lo
Aug 18, 2020·Journal of Maxillofacial and Oral Surgery·Krishnamurthy Bonanthaya, Jazna Jalil
Jan 12, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kyung Hoon Chung, Lun-Jou Lo
Jan 12, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Robertus Arian DatusanantyoDjohansjah Marzoeki
Dec 23, 2019·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Soyeon JungLun-Jou Lo
Feb 24, 2021·Plastic and Reconstructive Surgery·Rafael DenadaiLun-Jou Lo
Jun 3, 2021·The Journal of Craniofacial Surgery·Anil Madaree

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