Radical correction of secondary nasal deformity in unilateral cleft lip patients presenting late

Plastic and Reconstructive Surgery
Rajeev B Ahuja

Abstract

It is universally acknowledged that correction of a cleft lip nasal deformity continues to be a difficult problem. In developing countries, it is common for patients with cleft lip deformities to present in their early or late teens for correction of severe secondary lip and nasal deformities retained after the initial repairs were carried out in infancy or early childhood. Such patients have never had the benefit of primary nasal correction, orthodontic management, or alveolar bone grafting at an appropriate age. Along with a severe nasal deformity, they present with alveolar arch malalignments and anterior fistulae. In the study presented here, a strategy involving a complete single-stage correction of the nasal and secondary lip deformity was used. In this study, 26 patients (nine male and 17 female) ranging in age from 13 to 24 years presented for the first time between June of 1996 and December of 1999 with unilateral cleft lip nasal deformity. Eight patients had an anterior fistula (diameter, 2 to 4 mm) and 12 patients had a secondary lip deformity. An external rhinoplasty approach was used for all patients. The corrective procedures carried out in a single stage in these patients included lip revision; columellar lengthe...Continue Reading

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Citations

Jun 28, 2002·Plastic and Reconstructive Surgery·Rajeev B Ahuja
Feb 3, 2011·Plastic and Reconstructive Surgery·Ross I S Zbar, John W Canady
Oct 1, 2013·Plastic and Reconstructive Surgery·Jarred M McDanielArun K Gosain
Sep 25, 2008·The Journal of Craniofacial Surgery·Tayfun TurkaslanZafer Ozsoy
Sep 6, 2012·The Journal of Craniofacial Surgery·Rajiv Agarwal, Ramesh Chandra
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Mar 4, 2006·International Journal of Oral and Maxillofacial Surgery·G K B Sàndor, L P Ylikontiola
Jul 21, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Rajeev B Ahuja
Apr 14, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Hong ChenLi-Yun Zhang
Nov 28, 2007·Plastic and Reconstructive Surgery·Rajiv Agarwal, Ramesh Chandra
Dec 20, 2007·Plastic and Reconstructive Surgery·Daichi MoriokaAstushige Yoshikawa
Feb 20, 2018·Bio-medical Materials and Engineering·Jinfeng YaoZhigang Liang

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