THE NASAL DEFORMITY IN UNILATERAL CLEFT LIP Some Notes on Its Anatomic Bases and Secondary Operative Treatment

Oberg, T; Stenström, Sten

doi:10.1097/00006534-196109000-00009

Cited by 70 publications

(15 citation statements)

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“…This causes flattening of the nasal tip and inferior displacement of the soft triangle. [22] The nasal septum is twisted, slanted and dislocated out of the vomerine groove, resulting in a twist to the nasal tip. [23] The columella is deflected by the deviation of the nasal septum and is vertically deficient on the cleft side.…”

Section: Discussionmentioning

confidence: 99%

Presurgical nasoalveolar moulding in unilateral cleft lip and palate

Zuhaib

Bonanthaya

Parmar

et al. 2016

Indian J Plast Surg

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Context:Presurgical nasoalveolar moulding (PNAM) is a non-surgical method of reshaping the cleft lip, alveolus, palate and the nose to minimize the severity of the cleft deformity, before primary cheiloplastyand palatoplasty. In this context, PNAM proves to be an invaluable asset in the management of unilateral cleft lip and palate.Aims:The study was conducted to evaluate the efficacy of PNAM in the management of unilateral cleft lip and palate with the following objectives: (1) To assess and compare the degree of reduction in the size of cleft palate and alveolus (pre-PNAM and post-PNAM). (2) To evaluate and compare the improvement in columellar length and correction of columellar deviation (pre-PNAM and post-PNAM). (3) To assess the changes in the position of the alar base and the alar cartilages.Settings and Design:Prospective study.Subjects and Methods:A prospective study consisting of, which included 20 patients with complete unilateral cleft lip and palate was conducted. The age at the start of PNAM treatment of the infants ranged from 2 to 44 days of age reporting to our institute between December 2011 and August 2013. All the patients underwent PNAM therapy before primary cheiloplasty at 6 months of age; clinical parameters were assessed pre- and post-therapy using photographs and dental study models of the maxilla.Statistical Analysis Used:Student's t-test for paired comparisons.Results:Results of the study showed a promising reduction in the cleft size before the surgery, significant improvement in nasal symmetry, including the columellar length on the cleft side.Conclusions:PNAM is a valuable adjunct to our surgical armamentarium in dealing with the challenges of primary closure of unilateral cleft lip and palate thereby enhancing the overall surgical outcome. The advantages of this method include the simplicity of the procedure and improving the quality of surgical repair, particularly in obtaining tension free muscle closure in unilateral clefts.

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Section: Discussionmentioning

confidence: 99%

Presurgical nasoalveolar moulding in unilateral cleft lip and palate

Zuhaib

Bonanthaya

Parmar

et al. 2016

Indian J Plast Surg

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“…Separation of the nasal base elements results in collapse of the arch forms that normally define the nose. 7,8 Classification/Clinical Spectrum Kernahan proposed a system to classify cleft lip and palate with the incisive foramen as the central landmark and a Y-shaped diagram where components could be stippled (complete) or striped (incomplete) to indicate the extent of clefting (►Fig. 1a).…”

Section: Anatomymentioning

confidence: 99%

Unilateral Cleft Lip: Principles and Practice of Surgical Management

Tse

2013

Seminars in Plastic Surgery

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Management of cleft lip and palate requires a unique understanding of the various dimensions of care to optimize outcomes of surgery. The breadth of treatment spans multiple disciplines and the length of treatment spans infancy to adulthood. Although the focus of reconstruction is on form and function, changes occur with growth and development. This review focuses on the surgical management of the primary cleft lip and nasal deformity. In addition to surgical treatment, the anatomy, clinical spectrum, preoperative care, and postoperative care are discussed. Principles of surgery are emphasized and controversies are highlighted.

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“…In our modern lifestyle, there is a considerable emphasis on how we look, with fashion and the media placing a major focus on the contours and shapes of our bodies. Not surprisingly, leg shape has become an increasingly important element of body aesthetics [3], leading to a growing interest in calf augmentation. Silicone implantation and autologous fat grafting are the most frequently used techniques for calf augmentation.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of an Extensive Atrophic Scar in the Calf Using a Free Deep Inferior Epigastric Perforator Flap

Lee

2018

Arch Aesthetic Plast Surg

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Recently, increasing interest has emerged in contouring of the lower leg. Harmonious legs are considered one of the most important elements of women's beauty. Calf augmentation is routinely performed using silicone implants or autologous fat grafting. However, such surgical options may be unsuitable for some patients with specific medical conditions or preferences. Herein, we report a rare case of a 36-year-old woman who selected the use of a free deep inferior epigastric perforator (DIEP) flap to correct a left calf contour deformity caused by a previous gunshot injury. The free DIEP flap procedure was carried out successfully without any postoperative complications. Moreover, the patient obtained good aesthetic improvements and was satisfied with the outcome. We therefore recommend the free DIEP flap as an option for the correction of large and irregularly shaped atrophic scars in the lower leg, whether caused by injury, illness, or congenital conditions.

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THE NASAL DEFORMITY IN UNILATERAL CLEFT LIP Some Notes on Its Anatomic Bases and Secondary Operative Treatment

Cited by 70 publications

References 0 publications

Presurgical nasoalveolar moulding in unilateral cleft lip and palate

Presurgical nasoalveolar moulding in unilateral cleft lip and palate

Unilateral Cleft Lip: Principles and Practice of Surgical Management

Reconstruction of an Extensive Atrophic Scar in the Calf Using a Free Deep Inferior Epigastric Perforator Flap

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