Single-stage repair of secondary unilateral cleft lip-nose deformity in adults |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China;2. Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China;1. Department of Oral and Maxillofacial Surgery, School of Medicine, Technische Universität München, Germany;2. Department of Anesthesiology, Technische Universität München, Germany;3. Department of Oral and Maxillofacial Surgery Krefeld, Malteser Kliniken Rhein-Ruhr, Germany;4. Department of Oral and Maxillofacial Plastic Surgery, Helios Klinikum München West, Academic Teaching Hospital of Ludwig-Maximilians-Universität München, Germany;1. Department of Oral and Craniomaxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Martinist. 52, D-20246, Hamburg, Germany;2. Neurofibromatosis Laboratory, Hamburg-Lokstedt, Lottest. 55, D-22529, Hamburg, Germany;3. Centre for Psychosocial Medicine, Health Services Research in Dermatology and Health Care Research (IVDP), Eppendorf University Hospital, University of Hamburg, Martinist. 52, D-20246, Hamburg, Germany;4. Orthodontic Practice, Lottest. 55, D-22529, Hamburg, Germany;1. Division of Research and Treatment for Oral and Maxillofacial Congenital Anomalies, School of Dentistry, Aichi-Gakuin University, Japan;2. Section of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Science, Faculty of Dental Science, Kyushu University, Japan;3. Department of Anatomy and Cell Biology, Faculty of Medicine, Osaka Medical College, Japan;4. Department of Anatomy, School of Dentistry, Aichi-Gakuin University, Japan;1. Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Zuyderland Medical Center, Heerlen, The Netherlands;3. Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands;4. Mathematical Institute, Leiden University, Leiden, The Netherlands;5. Department of Oral and Maxillofacial Surgery, Amphia Hospital, Breda, The Netherlands;1. Necmettin Erbakan University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara Cd. No:74A, 42050, Karatay, Konya, Turkey;2. Medipol Mega University Hospital, Department Orthodontics, TEM Avrupa Otoyolu Göztepe Çıkışı No:1, 34214, Bağcılar, Istanbul, Turkey;3. Bezmialem Vakif University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Adnan Menderes Bulvarı (Vatan Cd.), 34093, Fatih, Istanbul, Turkey |
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| Abstract: | Correction of cleft lip-nose deformity in adult patients is different from that in children. One-stage correction has proved to be a suitable technique for patients with cleft-lip nose deformity. This study aimed to explore a particular single-stage method and evaluate the effect of simultaneous reparation of secondary unilateral cleft lip-nose deformities.Cleft lip patients who had previously undergone nasolabial surgery with residual poor nasal/lip appearance were included. The alveolar bone defect was repaired with granular costal cortical bone. Lip revision and rhinoplasty were performed using diced costal cartilage. The lip, nose, and alveolar deformities were corrected in one stage.From 2011 to 2017, 53 cases were treated. The vermilion discrepancy was corrected in all cases. Fifty-one patients were successfully treated, with primary healing in the bony recipient area. Cancellous bone exposure occurred in two cases. The wounds were healed after debridement and drainage. Appearances were improved in all patients. The mean change in columella–labial angle ranged from 82.50 to 92.78° (p < 0.001).This one-stage correction appears to have led to a distinct improvement in the nasal tip projection and lip. The method is considered to be effective and reliable in patients with secondary unilateral cleft lip-nose deformities. |
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| Keywords: | Unilateral cleft lip Rhinoplasty Deformity Diced cartilage |
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