Effect of one stitch technique of transverse incision and longitudinal suture in repairing secondary nasal deformity of cleft lip
10.3760/cma.j.issn.1671-0290.2025.01.011
- VernacularTitle:横切纵缝一针法修复唇裂二期鼻畸形的效果
- Author:
Bin LI
1
;
Ping JIANG
1
;
Yong LUO
1
;
Jianhua GAO
1
Author Information
1. 南方医科大学南方医院整形美容外科，广州 510515
- Publication Type:Journal Article
- Keywords:
Cleft lip;
Nasal deformity;
Nasal base collapse;
Secondary repair of cleft lip
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(1):60-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effect of one stitch technique of transverse incision and longitudinal suture in repairing secondary nasal deformity of cleft lip.Methods:A retrospective study was conducted on 127 patients who underwent the one stitch technique of transverse incision and longitudinal suture for repairing secondary nasal deformities after unilateral cleft lip surgery in the Department of Plastic and Aesthetic Surgery at Southern Hospital of Southern Medical University from October 2010 to December 2022. There were 58 males and 69 females with a median age of 26 (18-42) years. After removing the scar on the upper lip and the cartilage of the nasal septum during surgery, the affected nasal basal area was extensively separated. The lateral groove of the nasal wing and the tail edge of the nasal septum cartilage were sutured using one stitch technique with silk thread. Subsequently, the constricted affected nostril was enlarged by M-T flap. Outpatient follow-up visits were conducted at 1, 3, 6, 12 and 18 months after surgery. Two physicians and patients subjectively evaluated the postoperative outcomes, including very satisfied, satisfied, average, and poor, and the final evaluation results were included in statistical analysis.Results:During the treatment process, the patient did not experience any complications such as infection, hematoma, or incision rupture. A total of 116 cases were followed up for more than 3 months after surgery, of which 35.3% (41/116) were very satisfied, 38.8% (45/116) were satisfied, 24.2% (28/116) were generally satisfied, and 1.7% (2/116) were not satisfied. The two patients with poor results underwent another one stitch technique for adjustment, both achieving satisfactory results.Conclusion:The effect of one stitch technique of transverse incision and longitudinal suture for repairing cleft lip and secondary nasal deformities is stable and the satisfaction of patients is high.
