Bilateral cleft lip repair with simultaneous premaxillary setback and primary limited rhinoplasty
10.1186/s40902-018-0182-0
- Author:
Young Wook PARK
1
;
Chan Woo KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-Gil, Gangneung, Gangwondo 25457, Korea. ywpark@gwnu.ac.kr
- Publication Type:Original Article
- Keywords:
Bilateral cleft lip and palate;
Vomerine ostectomy;
Premaxillary setback;
Primary rhinoplasty
- MeSH:
Cleft Lip;
Cost-Benefit Analysis;
Esthetics;
Follow-Up Studies;
Humans;
Palate;
Perfusion;
Retrospective Studies;
Rhinoplasty
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):43-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Functional closure of the orbicularis oris muscle and esthetic reconstruction of nasolabial components are impossible in patients with severely deformed premaxilla. Here, we review a surgical strategy for patients with unremedied premaxilla retrospectively. RESULTS: Vomerine ostectomy and premaxillary setback with nasolabial repair were performed in 12 patients with bilateral cleft lip and palate. The mean age of patients was 21.7 months. The extent of ostectomy varied between 3 and 11 mm. There were no serious complications from defective perfusion to the premaxilla or the philtral flap. The follow-up period ranged from 2 to 25 months. Proper positioning of the premaxilla and satisfactory nasolabial esthetics were achieved in all patients. CONCLUSIONS: We performed nasolabial repair after premaxillary setback without jeopardizing the premaxillary segment or the philtral flap. Our surgical strategy could be recommended in poor socio-economic circumstances due to the cost effectiveness of limiting the number of surgeries.
