First auxiliary muscle tension line group reconstruction for nostril sill repair in cleft lip patients
10.3760/cma.j.issn.1009-4598.2018.11.007
- VernacularTitle: 唇鼻肌肉第一副张力线组重建技术修复唇裂术后继发鼻槛畸形
- Author:
Chanyuan JIANG
1
;
Hengyuan MA
;
Yilue ZHENG
;
Yongqian WANG
;
Tao SONG
;
Haidong LI
;
Di WU
;
Ningbei YIN
Author Information
1. Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Postoperative secondary deformity of cleft lip;
Nostril sill;
First auxiliary muscle tension line group
- From:
Chinese Journal of Plastic Surgery
2018;34(11):918-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study is to repair nostril sill deformity in the cleft lip patients by reconstructing the first auxiliary muscle tension line group and to assess the therapeutic outcome.
Methods:437 cleft lip patients with nostril sill deformity underwent the surgery from January 1, 2012 to November 1, 2016.They were treated using the technique of first auxiliary muscle tension line group reconstruction to repair the deformity. Aesthetic correction evaluations were rated by the GAIS. Random digit was used to randomly select 24 patients during the follow-up for three-dimensional measurement and analysis. The preoperative and postoperative symmetry of the nostril sills were evaluated by paired t test.
Results:Mucosal ischemia or wound infection occurred in 11 cases, left obvious scar on the nostril floor. Surgical incisions of the other patients were primary healing. After 6 months to 3 years follow up, GAIS questionnaires of 378 patients demonstrated that 84% patients reported great or moderate improvement of nostril sills. Three-dimensional measurements of 24 patients suggested that there were no significant differences of the nostril sill and the nasal ala between the cleft side and the normal side.
Conclusions:First auxiliary tension line group reconstruction, which is to restore biomechanical balance rather than merely increase muscle volume, is an effective method of nostril sill repair in the cleft lip patients. Post-operatively, the patients achieved a stable and natural nostril sill, a middle columella, as well as a narrowed nasal ala.
