Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity
BACKGROUND: Unilateral cleft lip secondary nasal deformities are common and require surgical correction frequently. The nasal dome on the cleft side is depressed, and the nasal ala is in an extended and flattened position compared with the noncleft side. In addition, the nasal septum is deviated int...
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2024
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| author | Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes |
| author_browse | Gavino-Gutierrez, Arquimedes Rossell Perry, Percy Eduardo |
| author_facet | Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes |
| author_sort | Rossell Perry, Percy Eduardo |
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| description | BACKGROUND: Unilateral cleft lip secondary nasal deformities are common and require surgical correction frequently. The nasal dome on the cleft side is depressed, and the nasal ala is in an extended and flattened position compared with the noncleft side. In addition, the nasal septum is deviated into the cleft nostril. Intermediate cleft rhinoplasty is frequently performed during preschool age to address nasal deformities in cleft patients before the most critical period of psychosocial development. The purpose of this study is to describe an innovative method involving a minimal incision and tip dissection for secondary nasal repair in patients with unilateral cleft lip. METHODS: This is a prospective cohort study. Since 2019, a single surgeon has operated on 25 consecutive unilateral cleft lip and palate patients with minor secondary nasal deformities. The method involves vestibular marginal skin excision and nasal tip dissection to reshape the affected nostril, improving symmetry. The outcomes were evaluated through anthropometric measurements of the repaired nose during at least 3 years of follow-up. RESULTS: A single surgeon has operated on 25 unilateral cleft lip and palate patients with minor secondary nasal deformities using the proposed technique. Total nostril symmetry was achieved in 84% of cases during follow-up at the time of alveolar bone graft. CONCLUSIONS: Proposed secondary cleft rhinoplasty is a good approach to improve nostril appearance in patients with minor secondary unilateral nasal deformities. However, longer follow-up time and comparative studies are required to evaluate its efficacy. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/1259 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/12592026-10-30T16:15:27ZVestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose DeformityRossell Perry, Percy EduardoGavino-Gutierrez, ArquimedesSecondary Cleft RhinoplastyNasal ReconstructiomUnilateral Cleft Lip NoseBACKGROUND: Unilateral cleft lip secondary nasal deformities are common and require surgical correction frequently. The nasal dome on the cleft side is depressed, and the nasal ala is in an extended and flattened position compared with the noncleft side. In addition, the nasal septum is deviated into the cleft nostril. Intermediate cleft rhinoplasty is frequently performed during preschool age to address nasal deformities in cleft patients before the most critical period of psychosocial development. The purpose of this study is to describe an innovative method involving a minimal incision and tip dissection for secondary nasal repair in patients with unilateral cleft lip. METHODS: This is a prospective cohort study. Since 2019, a single surgeon has operated on 25 consecutive unilateral cleft lip and palate patients with minor secondary nasal deformities. The method involves vestibular marginal skin excision and nasal tip dissection to reshape the affected nostril, improving symmetry. The outcomes were evaluated through anthropometric measurements of the repaired nose during at least 3 years of follow-up. RESULTS: A single surgeon has operated on 25 unilateral cleft lip and palate patients with minor secondary nasal deformities using the proposed technique. Total nostril symmetry was achieved in 84% of cases during follow-up at the time of alveolar bone graft. CONCLUSIONS: Proposed secondary cleft rhinoplasty is a good approach to improve nostril appearance in patients with minor secondary unilateral nasal deformities. However, longer follow-up time and comparative studies are required to evaluate its efficacy.Articlehttps://pubmed.ncbi.nlm.nih.gov/3978750510.1097/scs.0000000000010714https://hdl.handle.net/20.500.15037/125939787505W4403487538enJournal of Craniofacial Surgery1049-22751536-37322024-10-172026-06-13T09:51:39Z2026-06-13T09:51:39Z |
| spellingShingle | Secondary Cleft Rhinoplasty Nasal Reconstructiom Unilateral Cleft Lip Nose Rossell Perry, Percy Eduardo Gavino-Gutierrez, Arquimedes Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title | Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title_full | Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title_fullStr | Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title_full_unstemmed | Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title_short | Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity |
| title_sort | vestibular marginal skin excision technique for minor secondary unilateral cleft nose deformity |
| topic | Secondary Cleft Rhinoplasty Nasal Reconstructiom Unilateral Cleft Lip Nose |
| topic_facet | Secondary Cleft Rhinoplasty Nasal Reconstructiom Unilateral Cleft Lip Nose |
| url | https://pubmed.ncbi.nlm.nih.gov/39787505 https://hdl.handle.net/20.500.15037/1259 |
| work_keys_str_mv | AT rossellperrypercyeduardo vestibularmarginalskinexcisiontechniqueforminorsecondaryunilateralcleftnosedeformity AT gavinogutierrezarquimedes vestibularmarginalskinexcisiontechniqueforminorsecondaryunilateralcleftnosedeformity |