Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique
OBJECTIVE: Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores the efficacy of the vestibular Z-plasty technique for primary...
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| Formato: | Artículo |
| Lenguaje: | inglés |
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2025
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| _version_ | 1881508848096772096 |
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| author | Rossell Perry, Percy Eduardo |
| author_browse | Rossell Perry, Percy Eduardo |
| author_facet | Rossell Perry, Percy Eduardo |
| author_sort | Rossell Perry, Percy Eduardo |
| collection | Producción científica |
| description | OBJECTIVE: Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores the efficacy of the vestibular Z-plasty technique for primary nasal deformity repair. METHODS: Since 2023, a single surgeon has operated on 12 consecutive unilateral cleft lip and palate patients with associated nasal deformities. The method involves nasal vestibule lengthening using a lateral Z plasty to reshape the nostril, improving symmetry. The outcomes were evaluated through anthropometric measurements of the repaired nose during at least 1 year of follow-up. RESULTS: Total nostril symmetry has been achieved in 9/12 (75%) of cases for 1 year or more of follow-up. A major revision requirement (more than 3 mm of asymmetry in any of the studied parameters) was observed in 8.3% of cases. CONCLUSIONS: Proposed vestibular Z plasty cleft rhinoplasty is a good approach to improve the nostril appearance in patients with unilateral cleft-lip nasal deformities. Longer follow-up time and comparative studies are needed to evaluate its efficacy. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1255 |
| institution | UPeU |
| language | English |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/12552026-10-30T16:15:27ZPrimary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty TechniqueRossell Perry, Percy EduardoPrimary Cleft RhinoplastyBerkeley Cleft RhinoplastyUnilateral Cleft-lip–noseOBJECTIVE: Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores the efficacy of the vestibular Z-plasty technique for primary nasal deformity repair. METHODS: Since 2023, a single surgeon has operated on 12 consecutive unilateral cleft lip and palate patients with associated nasal deformities. The method involves nasal vestibule lengthening using a lateral Z plasty to reshape the nostril, improving symmetry. The outcomes were evaluated through anthropometric measurements of the repaired nose during at least 1 year of follow-up. RESULTS: Total nostril symmetry has been achieved in 9/12 (75%) of cases for 1 year or more of follow-up. A major revision requirement (more than 3 mm of asymmetry in any of the studied parameters) was observed in 8.3% of cases. CONCLUSIONS: Proposed vestibular Z plasty cleft rhinoplasty is a good approach to improve the nostril appearance in patients with unilateral cleft-lip nasal deformities. Longer follow-up time and comparative studies are needed to evaluate its efficacy.Articlehttps://pubmed.ncbi.nlm.nih.gov/4092965310.1097/scs.0000000000011938https://hdl.handle.net/20.500.15037/125540929653W4414108393enJournal of Craniofacial Surgery1049-22751536-37322025-09-102026-06-13T09:51:32Z2026-06-13T09:51:32Z |
| spellingShingle | Primary Cleft Rhinoplasty Berkeley Cleft Rhinoplasty Unilateral Cleft-lip–nose Rossell Perry, Percy Eduardo Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title | Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title_full | Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title_fullStr | Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title_full_unstemmed | Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title_short | Primary Cleft-Lip Rhinoplasty Using the Vestibular Z-Plasty Technique |
| title_sort | primary cleft lip rhinoplasty using the vestibular z plasty technique |
| topic | Primary Cleft Rhinoplasty Berkeley Cleft Rhinoplasty Unilateral Cleft-lip–nose |
| topic_facet | Primary Cleft Rhinoplasty Berkeley Cleft Rhinoplasty Unilateral Cleft-lip–nose |
| url | https://pubmed.ncbi.nlm.nih.gov/40929653 https://hdl.handle.net/20.500.15037/1255 |
| work_keys_str_mv | AT rossellperrypercyeduardo primarycleftliprhinoplastyusingthevestibularzplastytechnique |