Secondary correction of bilateral cleft lip nose deformity – Clinical and three-dimensional observations on pre- and postoperative outcome

Nakamura, Norifumi; Sasaguri, Masaaki; Okawachi, Takako; Nishihara, Kazuhide; Nozoe, Etsuro

doi:10.1016/j.jcms.2010.05.008

Cited by 33 publications

(19 citation statements)

References 24 publications

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“…In the present report, a lion's share of children with congenital fissure experience repairs somewhere around 10 and 12 weeks of age, perhaps because of wellbeing and the presence of acceptable lip tissue connected with this later intervention [8] . Most of the respondents have heard and seen CLP, which is not surprise, since it was taken in a big college that have a high treatment facility for CLP.…”

Section: Discussionmentioning

confidence: 57%

Knowledge and attitude on surgical procedures in management of cleft palate

Kuppusamy¹,

Dhanraj²

2017

Int j curr adv res

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Background : The birth defect, and lack of tissue joining during development, leads to cleft palate and lip. Treating facial clefts is a highly challenging reconstructive problem in rhinoplasty. There are several surgical procedures and evaluations but these do not offer the ideal and standard procedure for surgeons. A questionnaire was performed to suggest the best surgical procedures from dentists, to treat the patients.Aim : The purpose of this questionnaire, is to spread the knowledge about the treatment of cleft palate and at the same time indicates the corrections if the primary surgery failed. Method : A questionnaire was taken from100 dental post graduate studentsin 1 month. A questionnaire with 10 questions was set to assess the knowledge about cleft palate.Results : They believed that the main reason for development of cleft palate is genetic with a percentage of 36.6%. The failure of cleft palate is 57.3% and it is caused by a secondary procedure. The most commonly seen cleft palate is cleft of soft palate only, with 40.8% chance. The routine repair of cleft palate does not come with repair of nose also. The desired method for cleft palate is hard and soft palate as a single procedure. The type of method used to identity cleft palate during pregnancy is by ultrasonography. Conclusion :The purpose of this study was to provide administrations to patients, staff improvement, and the ideal utilisation of constrained assets and experts. We trust that the discoveries in this review will give preparatory data to possibly accomplish a standardised reason to invite more queries for more knowledge regarding cleft palate. INTRODUCTIONCleft palate is the most commonest congenital deformity. The incidence of cleft lip is 1in 1000 live births in USA [1] . But cleft palate is 3 per 1000 live births and Cleft palate occurrence is more common in females than males [2] The birth rate of clefts in Indiawas found out to be 1.09 of every 1000 births. A study found that 65% of children born with clefts were males.Any surgical procedures for correction should be performed within the first year of age, mainly between 3-6 months, before speech development [3] . The purpose of this surgery is to restore all the tissues, and reposition the nasal septumto separate the nasal and oral cavity. The major role is to restore valve function. If the primary surgery fails, the nasal deformity along with the cleft palate becomes a more complicated surgery to correct [2] The different procedures used were von Langenbeck, palatial pushback and doubleopposing z-plasty.If the surgery is not performed there are two problems that occur, one is the difficulty in breathing and impaired nasal function and the other problem is the aesthetic look. Both can plunge the patient into negative life and put a social burden on them [4] Nasal deformities are mainly characterised by depressed nasal tip, shortened columella and dislocation of alar cartilage [5] . In a study conducted in the university of Szeged, their aim was to standardise the secondary rhin...

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Section: Discussionmentioning

confidence: 57%

Knowledge and attitude on surgical procedures in management of cleft palate

Kuppusamy¹,

Dhanraj²

2017

Int j curr adv res

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“…In bilateral cleft nose deformity although confronted with almost symmetric deformities the lengthening of the columella, correction of the depressed nasal tip, bilateral dislocation of alar cartilage and eversion of the alar bases are on the top of the clinician's concern. There are many ways to elongate the shortness of the columella such as forked flap, v-y advancement, prolabium advancement flap combined with an Abbe flap, composite graft and skin rim rotation flap [26]. Using strong and proper struts, repositioning and reshaping lower lateral cartilages, supraperiosteal dissection of the pyriform area to allow the reposition of nasal correcting alar component, use of different suturing methods and augmentation with autogenous grafts can help to achieve almost ideal results ( Figure 6).…”

Section: Release Depressor Septi Musclesmentioning

confidence: 99%

Rhinoplasty in Adult Patients with Cleft — Lip Nasal Deformities

Pourdanesh¹,

Bohluli²

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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“…The bicoronal flap is a popular and versatile surgical approach that provides excellent exposure to the upper and middle third of the face and also provides an aesthetic and low morbidity repair (Fox and Tatum, 2003;Nakamura et al, 2010). It allows ample exposure of the frontonasal area; upper, medial and lateral orbital walls; zygomatic arch; temporal fossa; temporomandibular joint and even the upper portion of the mandibular ramus (Ellis et al, 1985;Ellis and Zide, 1995).…”

Section: Introductionmentioning

confidence: 99%