Objective To explore an ideal method for the correction of the secondary nasolabial deformities of bilateral cleft lip. Methods From January 2013 to December 2018 ,repairing nose and lip in median of the median upper ...Objective To explore an ideal method for the correction of the secondary nasolabial deformities of bilateral cleft lip. Methods From January 2013 to December 2018 ,repairing nose and lip in median of the median upper lip flap and lower lip Abbe flap in 13 patients with secondary nasolabial deformity of cleft lip, implanting artificial nose prosthesis when necessary. Results All the flaps were survived and nose appearance was greatly improved. The shape of the upper lip turned more similar to normal. Coordination between upper lip and lower lip was appropriate. Conclusion The median upper lip flap combined with lower lip Abbe flap to repair the secondary nasolabial deformities of bilateral cleft lip is effective . Goo d cosmetic results can be obtained.展开更多
Congenital cleft lip is a common congenital defect.At present,surgical treatment is the only effective treatment for congenital cleft lip.Currently,there are many surgical methods for cleft lip.Many scholars continue ...Congenital cleft lip is a common congenital defect.At present,surgical treatment is the only effective treatment for congenital cleft lip.Currently,there are many surgical methods for cleft lip.Many scholars continue to the improvement of surgical methods,and the immediate effect after surgery is significantly improved.However,despite the continuous improvement of surgical methods,lip and nose deformities are inevitably left after cleft lip.Because the lip occupies an important aesthetic position in the face,the restoration of secondary lip deformity after cleft lip surgery has important clinical significance.There are individual differences in secondary lip deformities in patients with cleft lip,and there are various methods of rehabilitation.There is no uniform treatment standard.This article mainly focuses on the current treatment progress of secondary lip deformities after cleft lip,especially autologous fat transplantation in secondary lip deformity after cleft lip is reviewed as follows.展开更多
Objective To investigate the functional repair of secondary deformity of unilateral cleft lip. Methods The nasal branch,nasolabial branch,and labial branch of orbicularis oris muscle were dissected and repositioned pr...Objective To investigate the functional repair of secondary deformity of unilateral cleft lip. Methods The nasal branch,nasolabial branch,and labial branch of orbicularis oris muscle were dissected and repositioned precisely to correct the secondary deformity of unilateral cleft lip. Results 96 parients were treated展开更多
Objective To investigate the effect of a modified technique for reparing secondary unilateral cleft nasal deformity. Methods Nasal alar cartilage was explosed through dish - like incision,and base of naris was cut to ...Objective To investigate the effect of a modified technique for reparing secondary unilateral cleft nasal deformity. Methods Nasal alar cartilage was explosed through dish - like incision,and base of naris was cut to loosening and replacing the orbicularis oris,releasing展开更多
The cleft lip nasal deformity accounts for 84% of nasal deformities, which is one of the most common diseases in plastic surgery. The Unilateral cleft lip nasal deformity ,which has a high incidence,had many treatment...The cleft lip nasal deformity accounts for 84% of nasal deformities, which is one of the most common diseases in plastic surgery. The Unilateral cleft lip nasal deformity ,which has a high incidence,had many treatments but not very effective.In this article, we will focus on the repair of unilateral cleft lip nasal deformity, embryology and etiology, anatomy and pathology, classification, preoperative evaluation and repair timing strategies, surgical goals and surgical techniques, postoperative care and effect evaluation . I hope to bring some useful information for clinicians to further guide clinical work.展开更多
Background The columella, nasal tip, lip relationship in the bilateral cleft lip nasal deformity remains a great challenge for plastic surgeon. An esthetically satisfying result is difficult to obtain. A subset of pat...Background The columella, nasal tip, lip relationship in the bilateral cleft lip nasal deformity remains a great challenge for plastic surgeon. An esthetically satisfying result is difficult to obtain. A subset of patients with bilateral cleft lip nasal deformity still require columellar lengthening and nasal correction and philtrial construction. This study aimed to provide a new method based on the forked flap to improve the final appearance of these patients. Methods A technique to correct this deformity is described. This consists of (1) a newly modified forked flap including the orbicularis oris muscle and nasalis muscle along the whole flap for columellar lengthening, (2) a reverse V shaped flap from the lower portion of the columella and the prolabium for normal size phitrum construction, (3) inserting the vermilion portion of the forked flap and advancing the nasal floor medially and anteriorly to lengthen and maintain the nasal septum side of the columella for proper tip positioning, (4) open rhinoplasty, allowing definitive repositioning of the lower lateral cartilages, (5) reconstruction of the orbicularis orismuscle as required, and (6) the flaring nostril floor advancing medially and constructing the sill. Results This technique was applied to 15 cases of secondary bilateral cleft lip nasal deformity. All the flaps took without signs of partial necrosis. In all cases, the nasal tip was projected forward with adequate columella elongation, and the height of the prolabium was added with normal size philtrial dimensions. Conclusions This method makes maximum use of the tissue containing the scar in the lip and limits tissues in the lower portion of the columella and the prolabium for adequate columella elongation and reconstruction with normal size philtrial dimensions. It is a very reasonable and useful method in correction of secondary bilateral cleft lip nasal deformities.展开更多
Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,ful...Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,fully thick section was taken from the nostril sill at the midpoint of the columella base and ala base,and stained with Masson-Trichrome.In eight patients,circumferential incision along the nostril sill and alar base freed the alar base from the upper lip.At the columellar base,fresh epithelium was shaved on the medial side of the incision line.The widened scar on the upper lip was excised.The de-epithelialized tip of the columellar base was pulled under the medial tip of the alar base flap and sutured tightly.Four anthropometric distances were measured preoperatively and postoperatively.Results:Histologically the nostril sill was composed of thickened dermis.Just below the dermis,the depressor septi nasi muscle ran obliquely,augmenting the nostril sill.The nostril floor width,alar distance,and alar curvature distance decreased on the cleft side after the operation.Conclusion:A medially based de-epithelialized flap narrows the alar base and augments the nostril sill simultaneously,since the de-epithelialized part of the excess skin augments the depressed nostril sill.展开更多
文摘Objective To explore an ideal method for the correction of the secondary nasolabial deformities of bilateral cleft lip. Methods From January 2013 to December 2018 ,repairing nose and lip in median of the median upper lip flap and lower lip Abbe flap in 13 patients with secondary nasolabial deformity of cleft lip, implanting artificial nose prosthesis when necessary. Results All the flaps were survived and nose appearance was greatly improved. The shape of the upper lip turned more similar to normal. Coordination between upper lip and lower lip was appropriate. Conclusion The median upper lip flap combined with lower lip Abbe flap to repair the secondary nasolabial deformities of bilateral cleft lip is effective . Goo d cosmetic results can be obtained.
文摘Congenital cleft lip is a common congenital defect.At present,surgical treatment is the only effective treatment for congenital cleft lip.Currently,there are many surgical methods for cleft lip.Many scholars continue to the improvement of surgical methods,and the immediate effect after surgery is significantly improved.However,despite the continuous improvement of surgical methods,lip and nose deformities are inevitably left after cleft lip.Because the lip occupies an important aesthetic position in the face,the restoration of secondary lip deformity after cleft lip surgery has important clinical significance.There are individual differences in secondary lip deformities in patients with cleft lip,and there are various methods of rehabilitation.There is no uniform treatment standard.This article mainly focuses on the current treatment progress of secondary lip deformities after cleft lip,especially autologous fat transplantation in secondary lip deformity after cleft lip is reviewed as follows.
文摘Objective To investigate the functional repair of secondary deformity of unilateral cleft lip. Methods The nasal branch,nasolabial branch,and labial branch of orbicularis oris muscle were dissected and repositioned precisely to correct the secondary deformity of unilateral cleft lip. Results 96 parients were treated
文摘Objective To investigate the effect of a modified technique for reparing secondary unilateral cleft nasal deformity. Methods Nasal alar cartilage was explosed through dish - like incision,and base of naris was cut to loosening and replacing the orbicularis oris,releasing
文摘The cleft lip nasal deformity accounts for 84% of nasal deformities, which is one of the most common diseases in plastic surgery. The Unilateral cleft lip nasal deformity ,which has a high incidence,had many treatments but not very effective.In this article, we will focus on the repair of unilateral cleft lip nasal deformity, embryology and etiology, anatomy and pathology, classification, preoperative evaluation and repair timing strategies, surgical goals and surgical techniques, postoperative care and effect evaluation . I hope to bring some useful information for clinicians to further guide clinical work.
文摘Background The columella, nasal tip, lip relationship in the bilateral cleft lip nasal deformity remains a great challenge for plastic surgeon. An esthetically satisfying result is difficult to obtain. A subset of patients with bilateral cleft lip nasal deformity still require columellar lengthening and nasal correction and philtrial construction. This study aimed to provide a new method based on the forked flap to improve the final appearance of these patients. Methods A technique to correct this deformity is described. This consists of (1) a newly modified forked flap including the orbicularis oris muscle and nasalis muscle along the whole flap for columellar lengthening, (2) a reverse V shaped flap from the lower portion of the columella and the prolabium for normal size phitrum construction, (3) inserting the vermilion portion of the forked flap and advancing the nasal floor medially and anteriorly to lengthen and maintain the nasal septum side of the columella for proper tip positioning, (4) open rhinoplasty, allowing definitive repositioning of the lower lateral cartilages, (5) reconstruction of the orbicularis orismuscle as required, and (6) the flaring nostril floor advancing medially and constructing the sill. Results This technique was applied to 15 cases of secondary bilateral cleft lip nasal deformity. All the flaps took without signs of partial necrosis. In all cases, the nasal tip was projected forward with adequate columella elongation, and the height of the prolabium was added with normal size philtrial dimensions. Conclusions This method makes maximum use of the tissue containing the scar in the lip and limits tissues in the lower portion of the columella and the prolabium for adequate columella elongation and reconstruction with normal size philtrial dimensions. It is a very reasonable and useful method in correction of secondary bilateral cleft lip nasal deformities.
基金supported by Inha University(INHA-Research Grant).
文摘Aim:The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation.Methods:In cadaver,fully thick section was taken from the nostril sill at the midpoint of the columella base and ala base,and stained with Masson-Trichrome.In eight patients,circumferential incision along the nostril sill and alar base freed the alar base from the upper lip.At the columellar base,fresh epithelium was shaved on the medial side of the incision line.The widened scar on the upper lip was excised.The de-epithelialized tip of the columellar base was pulled under the medial tip of the alar base flap and sutured tightly.Four anthropometric distances were measured preoperatively and postoperatively.Results:Histologically the nostril sill was composed of thickened dermis.Just below the dermis,the depressor septi nasi muscle ran obliquely,augmenting the nostril sill.The nostril floor width,alar distance,and alar curvature distance decreased on the cleft side after the operation.Conclusion:A medially based de-epithelialized flap narrows the alar base and augments the nostril sill simultaneously,since the de-epithelialized part of the excess skin augments the depressed nostril sill.