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Paper Details

Secondary Repair of Unilateral Cleft Lip Nasal Deformity with Guide Sutures

Secondary Repair of Unilateral Cleft Lip Nasal Deformity with Guide Sutures

Haidong Li and Shikang Gao

Journal Title:Acta Scientific Otolaryngology
Abstract


The objective of this study is to explore the method and curative effect of secondary repairing nasal deformity of unilateral cleft lip by using guide suture. In an attempt to do so, 5 cases were put under research. The 5 cases of unilateral cleft lip with nasal deformity were repaired by using a certain method to reduce surgical intervention in the pterygoid cartilage by suspending the suture with a Guiding device after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture. The cases were followed up for 6 - 12 months, as the results revealed that all the incisions healed in the first stage after the operation. In ad- dition to that, both the bilateral alar cartilage and nostril of 5 patients were symmetrical. Furthermore, the sum of absolute values of bilateral nasal aperture differences was less than 3 mm, as the appearance of all angles was satisfactory. The rhinoplasty incision was limited to ill side nostril margin and inside ill side the nostril. The patient’s healthy side nostril and columella showed no scar incision. To sum up, the secondary repair of unilateral cleft lip nose deformity by using the Guiding device with a minimally invasive suspension suture of greater pterygoid cartilage after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture is a good method for anatomic reduction of alar skin, cartilage and mucosa on the side of cleft lip with good clinical effect. Level of Evidence: IV. Keywords: Cleft Lip; Nasal Deformity; Repair Surgery; Surgical Flap; Rhinoplasty