Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity

BACKGROUND: Nasal deformities accompanying unilateral incomplete cleft lip have minor skeletal and soft tissue deficiencies compared with deformities associated with unilateral complete cleft lip. Extended dissection and surgical incisions (often required for nasal deformities in complete cleft lip)...

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Autor principal: Percy Rossell‐Perry
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Publicado: 2020
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author Percy Rossell‐Perry
author_browse Percy Rossell‐Perry
author_facet Percy Rossell‐Perry
author_sort Percy Rossell‐Perry
collection Producción científica
description BACKGROUND: Nasal deformities accompanying unilateral incomplete cleft lip have minor skeletal and soft tissue deficiencies compared with deformities associated with unilateral complete cleft lip. Extended dissection and surgical incisions (often required for nasal deformities in complete cleft lip) are not recommended to address deformities accompanying incomplete cleft lip. The purpose of this study is to describe an innovative method involving a rotational composite flap for nasal repair in patients with unilateral cleft lip. METHODS: Since 2016, 49 consecutive patients with unilateral incomplete cleft lip have undergone primary anatomical repair of accompanying nasal deformities. The technique involves a skin incision along the marginal and intercartilaginous borders to create a V-shaped composite flap consisting of vestibular skin and alar cartilage. Rotational mobilization of the composite flap creates a triangular raw surface laterally, which is closed by advancement of the vestibular skin. RESULTS: This innovative method, which is based on the use of a rotational composite vestibular flap, achieves proper symmetry of the repaired nose. CONCLUSION: The herein described composite flap rhinoplasty is a good surgical option, which provides a good overall nasal symmetry in patients with nasal deformities accompanying unilateral incomplete cleft lip.
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spelling oai:cris.upeu.edu.pe:20.500.15037/13082026-10-30T16:15:33ZRotational Composite Flap Technique for Primary Incomplete Cleft Nose DeformityPercy Rossell‐PerryDeformityNoseComposite numberPrimary (astronomy)OrthodonticsMedicineSurgeryMaterials scienceComposite materialPhysicsAstronomyDeformityNoseComposite numberPrimary (astronomy)OrthodonticsMedicineSurgeryMaterials scienceComposite materialPhysicsLife Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate ResearchHealth Sciences Medicine Surgery Nasal Surgery and Airway StudiesHealth Sciences Medicine Surgery Reconstructive Facial Surgery TechniquesBACKGROUND: Nasal deformities accompanying unilateral incomplete cleft lip have minor skeletal and soft tissue deficiencies compared with deformities associated with unilateral complete cleft lip. Extended dissection and surgical incisions (often required for nasal deformities in complete cleft lip) are not recommended to address deformities accompanying incomplete cleft lip. The purpose of this study is to describe an innovative method involving a rotational composite flap for nasal repair in patients with unilateral cleft lip. METHODS: Since 2016, 49 consecutive patients with unilateral incomplete cleft lip have undergone primary anatomical repair of accompanying nasal deformities. The technique involves a skin incision along the marginal and intercartilaginous borders to create a V-shaped composite flap consisting of vestibular skin and alar cartilage. Rotational mobilization of the composite flap creates a triangular raw surface laterally, which is closed by advancement of the vestibular skin. RESULTS: This innovative method, which is based on the use of a rotational composite vestibular flap, achieves proper symmetry of the repaired nose. CONCLUSION: The herein described composite flap rhinoplasty is a good surgical option, which provides a good overall nasal symmetry in patients with nasal deformities accompanying unilateral incomplete cleft lip.Articlehttps://pubmed.ncbi.nlm.nih.gov/32766038http://links.lww.com/PRSGO/B395https://doi.org/10.1097/gox.000000000000287010.1097/gox.0000000000002870https://hdl.handle.net/20.500.15037/1308W3048742774enPlastic & Reconstructive Surgery Global Open2169-75742020-06-012026-06-13T09:52:57Z2026-06-13T09:52:57Z
spellingShingle Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Astronomy
Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research
Health Sciences Medicine Surgery Nasal Surgery and Airway Studies
Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques
Percy Rossell‐Perry
Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title_full Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title_fullStr Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title_full_unstemmed Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title_short Rotational Composite Flap Technique for Primary Incomplete Cleft Nose Deformity
title_sort rotational composite flap technique for primary incomplete cleft nose deformity
topic Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Astronomy
Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research
Health Sciences Medicine Surgery Nasal Surgery and Airway Studies
Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques
topic_facet Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Astronomy
Deformity
Nose
Composite number
Primary (astronomy)
Orthodontics
Medicine
Surgery
Materials science
Composite material
Physics
Life Sciences Biochemistry, Genetics and Molecular Biology Genetics Cleft Lip and Palate Research
Health Sciences Medicine Surgery Nasal Surgery and Airway Studies
Health Sciences Medicine Surgery Reconstructive Facial Surgery Techniques
url https://pubmed.ncbi.nlm.nih.gov/32766038
http://links.lww.com/PRSGO/B395
https://doi.org/10.1097/gox.0000000000002870
https://hdl.handle.net/20.500.15037/1308
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