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Seven fundamental procedures for definitive correction of unilateral secondary cleft lip nasal deformity in soft tissue aspects.

Authors
 Dong Won Lee  ;  Bong-Kyoon Choi  ;  Be-Young Yun Park 
Citation
 JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, Vol.69(11) : e420-e430, 2011 
Journal Title
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN
 0278-2391 
Issue Date
2011
MeSH
Adolescent ; Adult ; Cephalometry/methods ; Child ; Child, Preschool ; Cleft Lip/surgery* ; Facial Muscles/surgery ; Female ; Follow-Up Studies ; Humans ; Infant ; Lip/anatomy & histology ; Lip/surgery ; Male ; Mouth Mucosa/surgery ; Nasal Bone/surgery ; Nasal Cartilages/anatomy & histology ; Nasal Cartilages/surgery ; Nasal Septum/surgery ; Nose/anatomy & histology ; Nose/surgery ; Nose Deformities, Acquired/classification ; Nose Deformities, Acquired/surgery* ; Patient Satisfaction ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies ; Subcutaneous Tissue/surgery ; Treatment Outcome ; Young Adult
Abstract
PURPOSE: It is accepted that patients who undergo appropriate primary repair for cleft lip will have secondary deformities. Because these deformities are caused by complex and diverse patterns, the deformities were categorized to provide a standardized treatment for each category.

PATIENTS AND METHODS: Pathologic characteristics of 1,170 patients were classified into 7 categories. Corrections were performed using 7 fundamental procedures corresponding to the surgical resolution of each deformity: 1) transposition of the caudal septum; 2) release of the septal-cartilaginous junction; 3) medial crus elevation; 4) lateral crus elevation; 5) release of the orbicularis oris muscle from the lip elevators; 6) anchoring of the orbicularis oris muscle to the anterior nasal spine; and 7) philtral column formation. A satisfaction survey was performed to evaluate the overall outcomes in 171 patients and an anthropometric analysis was performed in 38 patients.

RESULTS: Satisfactory scores obtained through postoperative follow-up were higher than preoperative scores, and there was no difference between postoperative scores obtained over the short and long term. All preoperative anthropometric measurements were different from the postoperative measurements, indicating that the fundamental procedure achieved effective outcomes.

CONCLUSIONS: These proposed 7 fundamental procedures can be used as guidelines that can always be applied for the correction of any secondary cleft lip nasal deformity to obtain ideal treatment outcomes.
Full Text
http://www.sciencedirect.com/science/article/pii/S0278239111007762
DOI
10.1016/j.joms.2011.04.022
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Beyoung Yun(박병윤)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95256
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