Cleft-Rhinoplasty constricted nasal floor reconstruction

Balaji, SM

doi:10.4103/2231-0746.147121

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…The current technique is often reserved for a patient who shows a nasal and upper labial deformity in spite of early intervention. [ 1 ] The results of the simultaneous correction show the effectiveness of this technique. However, in well-executed cases of early cleft lip repairs, this approach may not be required.…”

Section: Discussionmentioning

confidence: 95%

“…In most instances of the complete unilateral CLP cases, the deformity is often tilted to the involved side while in the complete bilateral CLP (BCLP) cases the entire columella is deformed. [ 1 ] In complete CLP rehabilitation, such a deformed, “crooked nose” poses a significant challenge. [ 2 ] In cases of deficiency, the columellar lengthening procedure (CoLP) is the most viable treatment procedure.…”

Section: Introductionmentioning

confidence: 99%

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Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

Balaji

2016

Ann Maxillofac Surg

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Introduction:A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in literature. This manuscript aims to address this lacuna through the use of rhinoplasty outcomes evaluation questionnaire (ROEQ).Materials and Methods:A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using ROEQ. This was used twice measuring the pre- and post-operative periods.Results:Twenty-one cases of bilateral cleft lip and palate who had earlier undergone (0.5–3 years back) cleft rhinoplasty and lip revision with Abbe's flap formed the study group. The mean age of the 21 subjects was 22.87 ± 4.23 years. There were 13 males and 8 females forming the study group. The mean presurgical ROEQ score was 19.8 ± 11.2, while the postsurgical score was 78.5 ± 21.2. This difference was statistically significant (P = 0.001). The difference in score between the time period was 58.7%.Discussion:From the ROEQ and other qualitative parameters, it is possible to demonstrate the impact of Abbe flap for cleft rhinoplasty and its impact on the quality of life of patients. Most of the patients and caregivers believed that this approach achieved a good or excellent postoperative result. The biological and operators factors behind such a success are discussed in light of previously published literature.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

Balaji

2016

Ann Maxillofac Surg

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“…In 2012, a triple flap was used by Bozkurt, 14 including a superior NLF, mucosal rotation flap from the inner side of the vestibule for repair of the medial defect, and boomerang‐shaped transposition flap based on the superior side of the extended lower lip. In the case of severe mass deficiency of restricted alar base in post‐cleft lip/palate rehabilitation, Balaji 15 uses a superomedially placed nasolabial full‐thickness flap to correct the alar base width and recreate the nasal lining simultaneously. However, it only works to lateralize the alar base instead of medializing it, and thus cannot narrow the alar base width.…”

Section: Discussionmentioning

confidence: 99%

A New Algorithm for Secondary Repair of Unilateral Cleft Lip Nasal Deformity

Chen,

Wang,

et al. 2023

The Laryngoscope

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ObjectivesFollowing primary surgery for unilateral cleft lip palate (UCLP), cleft lip nasal deformities (CLNDs) (nasal asymmetry, collapsed nasal alae, and a widened alar base) are generally inevitable and often require secondary rhinoplasty. However, reconstructing a cleft nose with an alar tissue deficiency remains challenging for rhinoplasty surgeons.MethodsThe manifestations of common deformities are described herein, and a secondary rhinoplasty technique for unilateral CLNDs using a nasolabial flap (NLF) has been proposed for patients with alar tissue deficiency. Secondary rhinoplasties were performed in 12 patients with unilateral CLNDs between 2020 and 2021 using a NLF. Photogrammetric measurements were performed preoperatively and postoperatively. A total of 12 flaps were successfully transferred. Ten patients were followed up for >1 year.ResultsSignificant postoperative decreases in nasal alar width were measured in both the base view (p < 0.050) and the frontal view (p < 0.050). Despite the additional facial scars that occurred in some cases, all patients were satisfied with the aesthetic effects.ConclusionsThe NLF achieved satisfactory results in secondary rhinoplasty of unilateral CLND for patients with nasal tissue deficiencies in whom the surgeon weighed the potential benefits over postoperative scarring.Level of Evidence4 Laryngoscope, 2023

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“…Therefore, some surgeons utilize composite tissue flap transplantation during the surgical procedure to revise narrow nostril deformities. To widen the alar base width during post-CLP rehabilitation, Balaji used a typical nasolabial flap to correct the narrow alar base deformity and achieve outstanding esthetic and functional outcomes ( 21 ). To restore the symmetry of bilateral nostrils, Suh et.…”

Section: Discussionmentioning

confidence: 99%

Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study

Wei

Wan

et al. 2023

Front. Pediatr.

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BackgroundCleft lip and/or palate (CLP) can lead to severe nasolabial deformities that significantly affect the appearance of the patient. Among all types of nasolabial deformities, narrow nostril deformities are the most troublesome, causing poor and unstable surgical outcomes. The purpose of this study was to develop an algorithm for surgical method selection for revision of narrow nostril deformities secondary to CLP based on retrospective clinical data.Materials and methodsPatients with narrow nostril deformities secondary to CLP were enrolled in the study. Before surgery, patients' clinical data were collected and the width of the nasal floor and the length of the alar rim were measured. Surgical methods were determined according to the measurements. After surgery, a nostril retainer was applied for 6 months to consolidate and maintain the nostril shape. The surgical method and postsurgical changes were recorded for the final summary of the algorithm to select surgical methods for narrow nostril deformities.ResultsThe data from 9 patients were analyzed. According to the width of the nasal floor and the length of the alar rim, correct surgical methods were determined. Four patients received nasolabial skin flaps to widen the soft tissue of the nasal floor. Three patients received upper lip scar tissue flaps to treat the narrow nasal floor. For the short alar rim, free alar composite tissue flap or narrowing of the nostril of the noncleft side was recommended.ConclusionThe width of the nasal floor and the length of the alar rim are critical elements to consider when selecting the correct surgical method for revising narrow nostril deformities secondary to CLP. The proposed algorithm provides a reference for selecting surgical methods in future clinical practice.

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Cleft-Rhinoplasty constricted nasal floor reconstruction

Cited by 5 publications

References 11 publications

Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

A New Algorithm for Secondary Repair of Unilateral Cleft Lip Nasal Deformity

Correction of narrow nostril deformity secondary to cleft lip: indications for different surgical methods and a retrospective study

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