One Stage Correction of the Severe Secondary Cleft Lip Nasal Deformities in Foreigners
Journal of the Korean Cleft Palate-Craniofacial Association
; : 102-106, 2011.
Article
em En
| WPRIM
| ID: wpr-48660
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
It is accepted universally that correction of the cleft lip nasal deformity requires multiple stages of surgery. Following primary lip repair in infancy or early childhood, secondary surgery to improve the deformity of the lip and nose is frequently necessary. A suitable surgical procedure to correct the accompanying deformity, such as cleft palate and alveolus, must be carried out at an appropriate age. In developing countries, it is common for patients with cleft lip nasal deformity to present severe secondary deformities in adolescence, because of poor follow-up and inappropriate surgery.METHODS:
The first patient was a 12 year old Mongolian boy. He presented prominent lip scar, short lip, wide columella, asymmetric nostril, palatal fistula, cleft alveolus, and velopharyngeal incompetence. He underwent cheilorhinoplasty, transpositional flap, alveoloplasty by iliac bone graft, and sphincter pharyngoplasty. On follow-up, a bilateral maxillary hypoplasia and a class III malocclusion developed. He underwent LeFort I osteotomy and maxillary advancement at the age of 16 years. The second patient was an 18 year old Eastern Russian girl. She presented with a deviated nose, right alar base depression, short lip, protrusion on vermilion, large palatal fistula, and severe VPI due to short palate. She underwent the combined procedure of cheilorhinoplasty, corrective rhinoplasty, tongue flap for palatal fistula, and superiorly based pharyngeal flap. And the tongue flap was detached at postoperative 3 weeks.RESULTS:
The overall results have been extremely pleasing and satisfactory to patients. There were no postoperative complications.CONCLUSION:
We discovered the one stage operation for radical correction was sufficient procedure to provide excellent clinical outcomes in patients with severe cleft lip nose deformity.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Osteotomia
/
Palato
/
Rinoplastia
/
Succinatos
/
Anormalidades Congênitas
/
Língua
/
Insuficiência Velofaríngea
/
Nariz
/
Seguimentos
/
Fenda Labial
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Humans
Idioma:
En
Revista:
Journal of the Korean Cleft Palate-Craniofacial Association
Ano de publicação:
2011
Tipo de documento:
Article