Application of asymmetric butterfly incision combined with vestibular V-Y advance flap in repairing unilateral secondary cleft lip nasal deformity
10.3760/cma.j.issn.1673-0860.2015.09.010
- VernacularTitle:不对称蝶形切口联合鼻前庭V-Y推进皮瓣修复单侧唇裂继发鼻畸形
- Author:
Lei LI
1
;
Zhengwen ZHANG
;
Feng XIE
;
Jun LIU
Author Information
1. 河南省人民医院整形外科
- Keywords:
Cleft lip;
Nose deformities,acquired;
Reconstructive surgical procedures;
Surgical flaps;
Rhinoplasty
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2015;50(9):749-753
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a new surgical method and its effect in repairing secondary nasal deformity of unilateral cleft lip.Methods Sixty-two patients with secondary unilateral lip and nasal deformity were treated with asymmetric butterfly incision combined with vestibular V-Y advance flap,and the subjective and objective indicators after operation were observed.Results All incisions healed with primary healing and all cases were followed up for 3-12 months.Fifty-eight cases got symmetric nostril and alar,the sum of absolute value of the nostril differences between both sides ＜ 3 mm.Two cases got symmetric nostril and alar,but the sum of absolute value of the nostril differences between both sides was 3.5 mm and 4.2 mm respectively.The alar relapsed again in 2 cases and the results were not satisfied,the sum of absolute value of the nostril differences between both sides ＞ 5 mm.Conclusions The method of using the asymmetric butterfly incision combined with vestibular V-Y mucosa flap can reset the skin,cartilages and mucosa to the anatomic position effectively.
