A modification of the primary nasal correction in the rotation- advancement unilateral cleft lip repair

Gregory Armstrong, Robert W. Burk, Donald W. Griffin, Paul S. Howard

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Primary correction of the unilateral cleft lip nasal deformity remains a challenge to the cleft surgeon. We wish to present a method of primary nasal correction utilizing presurgical orthopedics with the Latham dentomaxillary advancement appliance, concomitant rotation-advancement cleft lip repair, gingivoperiosteoplasty, and immediate correction of the nasal cartilage distortion with an 'open technique' utilizing the rotation-advancement incisions. Direct elevation and suture fixation of the cleft side alar cartilage is performed as well as recreation of the normal upper lateral/lower lateral cartilage relationship, repair of nasal web, and release of the vestibular lining utilizing an L-flap pedicled to the alar base. Details of the operative technique, observations of unilateral cleft nasal anatomy as visualized with the 'open technique,' and preliminary results are illustrated in patients followed as long as 5 years.

Original languageEnglish (US)
Pages (from-to)236-245
Number of pages10
JournalAnnals of plastic surgery
Volume38
Issue number3
DOIs
StatePublished - Jan 1 1997

Fingerprint

Cleft Lip
Nose
Cartilage
Nasal Cartilages
Recreation
Surgical Flaps
Sutures
Orthopedics
Anatomy
daminozide

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

A modification of the primary nasal correction in the rotation- advancement unilateral cleft lip repair. / Armstrong, Gregory; Burk, Robert W.; Griffin, Donald W.; Howard, Paul S.

In: Annals of plastic surgery, Vol. 38, No. 3, 01.01.1997, p. 236-245.

Research output: Contribution to journalArticle

Armstrong, Gregory ; Burk, Robert W. ; Griffin, Donald W. ; Howard, Paul S. / A modification of the primary nasal correction in the rotation- advancement unilateral cleft lip repair. In: Annals of plastic surgery. 1997 ; Vol. 38, No. 3. pp. 236-245.
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