Abstract
The reconstruction of a symmetrical bilateral cleft lip and a natural looking nose with adequate columella length is a difficult challenge. The integrated multidisciplinary approach with presurgical nasoaveolar molding, modification of surgical techniques, and postoperative scar management and maintenance of the reconstructed nasal shape can give a more consistent better result. Better understandings of the primary pathology and refined surgical technique have resulted in a decrease of severity in secondary deformities and the classic stigmata of the repaired cleft. The key surgical principles and steps are presented in this chapter.
| Original language | English |
|---|---|
| Title of host publication | Operative Dictations in Plastic and Reconstructive Surgery |
| Publisher | Springer International Publishing AG |
| Pages | 227-230 |
| Number of pages | 4 |
| ISBN (Electronic) | 9783319406312 |
| ISBN (Print) | 9783319406299 |
| DOIs | |
| Publication status | Published - Jan 1 2016 |
| Externally published | Yes |
Keywords
- Bilateral cleft lip
- Bilateral cleft lip nose
- Columellar lengthening
- Nasoalveolar molding
- Rotation-advancement
- Tajima reverse-U incision
ASJC Scopus subject areas
- General Medicine