Double-layered reconstruction of the nasal floor in complete cleft deformity of the primary palate using superfluous lip tissue.
10.1186/s40902-015-0035-z
- Author:
Young Wook PARK
1
;
Kwang Jun KWON
;
Min Keun KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-gil, Gangneung, 210-702 South Korea. omfsmk@gwnu.ac.kr
- Publication Type:Case Report
- MeSH:
Cicatrix;
Cleft Lip;
Cleft Palate;
Congenital Abnormalities*;
Constriction, Pathologic;
Contracture;
Fistula;
Fungi;
Humans;
Lip*;
Palate*;
Wounds and Injuries
- From:Maxillofacial Plastic and Reconstructive Surgery
2015;37(10):35-
- CountryRepublic of Korea
- Language:English
-
Abstract:
After cleft lip repair, many patients suffer from nasolabial fistulas, asymmetrical nasal floor, or an indistinct nostril sill, as well as intraoral wound dehiscence and subsequent scar contracture of surgical wounds leading to vestibular stenosis. For successful primary nasolabial repair of complete cleft deformity of the primary palate, cleft surgeons need special care in reconstructing the sound nasal floor. Especially when the cleft gap is wide or when any type of nasoalveolar molding therapy was not performed, three-dimensional reconstruction of the nasal floor is critical for a balanced nasal shape. In this study, the author describes an effective method for reconstructing a double-layered nasal floor using two mucosal flaps from both sides of the fissured upper lip. This is a report of six patients with unilateral or bilateral complete cleft of the primary palate with a detailed description of the surgical technique and a literature review.
