Construction of the congenitally missing columella in midline clefts

Bütow, Kurt-Wilhelm

doi:10.1016/j.jcms.2007.05.003

Cited by 13 publications

(6 citation statements)

References 19 publications

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“…In addition, the type of surgical repair and at what age it is performed also has a significant influence on the aesthetic (Carlino, 2008) and functional (Li et al, 2006) outcomes. The major challenge is not only understanding the genetics involved (Dostal et al, 2009), but also the design of the surgical procedure required in the uncommon types of clefts (Bütow, 2007).…”

Section: Introductionmentioning

confidence: 99%

A classification and construction of congenital lateral facial clefts

Bütow

Botha

2010

Journal of Cranio-Maxillofacial Surgery

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SUMMARY. Background: The repair of the lateral or transverse facial cleft is a surgical challenge on the account of the abnormal positioning and appearance of the cleft. Materials and methods: Over a twenty-seven year period, 22 lateral facial cleft cases were evaluated at a cleft lip (CL) and palate clinic and seven children underwent reconstruction of the lateral CL. Results: Twenty-two of 3187 (0.69%) cases presented with a lateral CL. Five of these 22 cases (23%) had a bilateral, eight (36%) had a right-sided and nine (41%) had a left-sided cleft. The evaluation of these cases resulted in a new classification (namely an extension of the Tessier 7 cleft) classification for the cutaneous and muscle involvement: a superior (T7.1), middle (T7.2), inferior (T7.3) and agenetic (T7.4) lateral CL. The altered surgical construction: an internal mucosal straight-line closure, a curved cutaneousemucosal red-lip/vermilion-lined flap for the lip commissure, muscle reconstruction at the modiolus and a positional cutaneous z-plasty for the rare lateral cutaneous cleft. Conclusion: The paper introduced a new classification for the lateral CL, as well as an altered surgical reconstructive technique for the most natural functioning of the lateral part of the face. Ó 2010 European Association for Cranio-Maxillo-Facial Surgery

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Section: Introductionmentioning

confidence: 99%

A classification and construction of congenital lateral facial clefts

Bütow

Botha

2010

Journal of Cranio-Maxillofacial Surgery

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“…The need for advanced imaging technique is highly recognized, especially for the first patient that had an additional orbital hypertelorism, but such facilities were not yet available in a resource challenged setting like ours. An attempt was however made to improve the nasal contour of third patient by constructing the columella with internal nasal dorsal skin flap 11 and conchal cartilage which was harvested from left ear lobe. Rubber stents were inserted into the nostrils for more nasal support, but the patient was lost to follow-up which is a common practice among patients in this part of the country.…”

Section: Discussionmentioning

confidence: 99%

Rare craniofacial cleft in a dark-skinned African population

Adeosun

Ogah

2017

Niger Med J

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Background:Craniofacial clefts are congenital anomalies which pose a management challenge to cleft surgeons, especially in developing countries. The aim of this study is to share our experience regarding the management of these atypical facial clefts.Patients and Methods:This prospective study was carried out from May 2009 to May 2014 at Federal Medical Centre, Nguru, Nigeria. Diagnosis was based on clinical examination and Tessier classification was used to describe these clefts.Results:A total of seven patients with rare facial clefts were seen. There were four cases of midline clefts, two cases of bilateral clefts, and one case of multiple facial clefts. All cases were surgically treated, except one case of premaxillary agenesis type holoprosencephaly.Conclusion:To achieve an optimal management of patients with rare facial cleft, a well-equipped craniofacial center must be established which is still lacking in low-resource centers

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“…Alternatively, superiorly pedicled intranasal composite skin flaps might be utilised, as described already in children suffering from holoprosencephaly with complete median cleft,8 type IV according to the classification of DeMyer and colleagues 9…”

Section: Discussionmentioning

confidence: 99%

Columella pressure necrosis: a method of surgical reconstruction and its long-term outcome

Jayaratne

Zwahlen²,

Htun

et al. 2014

BMJ Case Reports

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Nasal continuous positive airway pressure (nCPAP) in premature babies may rarely lead to necrosis of the columella. Subsequent functional and cosmetic impairments require surgical corrections to restore nasal anatomy and architecture. The objective of this report is to document the technique of reconstruction in a baby with columella necrosis due to nCPAP treatment. A 21-month-old baby was referred to the oral and maxillofacial unit with a necrotic columella following nCPAP ventilation in a neonatal intensive care unit. Nearly 75% of the vertical columella length was affected. A neocolumella was created using tissues mobilised from the nasal sill region. This report provides a detailed description of a columella reconstruction technique which is valuable to restore aesthetics and function.

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Construction of the congenitally missing columella in midline clefts

Cited by 13 publications

References 19 publications

A classification and construction of congenital lateral facial clefts

A classification and construction of congenital lateral facial clefts

Rare craniofacial cleft in a dark-skinned African population

Columella pressure necrosis: a method of surgical reconstruction and its long-term outcome

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