Haidong Li¹* and Shikang Gao²

¹Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, People’s Republic of China
²Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China

*Corresponding Author: Haidong Li, Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, People’s Republic of China.

Received: June 21, 2021; Published: July 07, 2021

Abstract

  The objective of this study is to explore the method and curative effect of secondary repairing nasal deformity of unilateral cleft lip by using guide suture. In an attempt to do so, 5 cases were put under research. The 5 cases of unilateral cleft lip with nasal deformity were repaired by using a certain method to reduce surgical intervention in the pterygoid cartilage by suspending the suture with a Guiding device after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture. The cases were followed up for 6 - 12 months, as the results revealed that all the incisions healed in the first stage after the operation. In addition to that, both the bilateral alar cartilage and nostril of 5 patients were symmetrical. Furthermore, the sum of absolute values of bilateral nasal aperture differences was less than 3 mm, as the appearance of all angles was satisfactory. The rhinoplasty incision was limited to ill side nostril margin and inside ill side the nostril. The patient's healthy side nostril and columella showed no scar incision. To sum up, the secondary repair of unilateral cleft lip nose deformity by using the Guiding device with a minimally invasive suspension suture of greater pterygoid cartilage after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture is a good method for anatomic reduction of alar skin, cartilage and mucosa on the side of cleft lip with good clinical effect.

Level of Evidence: IV.

Keywords: Cleft Lip; Nasal Deformity; Repair Surgery; Surgical Flap; Rhinoplasty

References

1. Rothermel A., et al. “Patient-Centered Satisfaction After Secondary Correction of the Cleft Lip and Nasal Defect”. The Cleft Palate-Craniofacial Journal7 (2020): 895-899.
2. Seo HJ., et al. “Primary Rhinoplasty Does Not Interfere with Nasal Growth: A Long-Term Three-Dimensional Morphometric Outcome Study in Patients with Unilateral Cleft”. Plastic and Reconstructive Surgery5 (2020): 1223-1236.
3. Shanbhag G., et al. “A Virtual Noninvasive Way of Constructing a Nasoalveolar Molding Plate for Cleft Babies, Using Intraoral Scanners, CAD, and Prosthetic Milling”. The Cleft Palate-Craniofacial Journal2 (2020): 263-266.
4. Tse RW., et al. “Unilateral Cleft Lip Nasal Deformity: Three-Dimensional Analysis of the Primary Deformity and Longitudinal Changes following Primary Correction of the Nasal Foundation”. Plastic and Reconstructive Surgery1 (2020): 185-199.
5. Agrawal R., et al. “Orthopaedic traction with passive nasoalveolar moulding in a bilateral cleft lip and palate patient - Rediscovering the old”. JPRAS Open 19 (2019): 50-55.
6. Ayeroff JR., et al. “Component Restoration in the Unilateral Intermediate Cleft Tip Rhinoplasty: Technique and Long-Term Outcomes”. Plastic and Reconstructive Surgery3 (2019): 572e-580e.
7. Chapchay K., et al. “Surgical Technique for Nasal Cleft Repair”. Annals of Plastic Surgery3 (2019): 289-291.
8. Isaac KV., et al. “Beware the Alar Base Optical Illusion in Assessment of Unilateral Cleft Lip Nasal Deformity”. Plastic and Reconstructive Surgery4 (2019): 1157-1162.
9. Kehrer A., et al. “An Analysis of Aesthetic Refinements in 120 Secondary Cleft Rhinoplasties”. Annals of Plastic Surgery4 (2019): 429-435.
10. Kornmann N., et al. “Defining the Aesthetic Range of Normal Symmetry for Lip and Nose Features in 5-Year-Old Children Using the Computer-Based Program SymNose”. The Cleft Palate-Craniofacial Journal6 (2019): 799-805.
11. Li Senkai. “Buried guided suture technology”. Guangdong science and Technology Press (2005): 113-125.

Citation

Citation: Haidong Li and Shikang Gao. “Secondary Repair of Unilateral Cleft Lip Nasal Deformity with Guide Sutures".Acta Scientific Otolaryngology 3.7 (2021): 12-18.

Copyright

Copyright: © 2021 Haidong Li and Shikang Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.