Importance of correcting alar base ptosis during primary cleft lip repair

DOI 機関リポジトリ Web Site オープンアクセス
  • Inukai Maki
    Department of Plastic and Reconstructive Surgery, Fujita Health University, School of Medicine
  • Inoue Yoshikazu
    Department of Plastic and Reconstructive Surgery, Fujita Health University, School of Medicine
  • Sano Yoshimi
    Division of Pediatric Dentistry and Orthodontics, Department of Plastic Surgery, Fujita Health University, School of Medicine
  • Onishi Satoko
    Department of Plastic and Reconstructive Surgery, Ehime Rosai Hospital
  • Okumoto Takayuki
    Department of Plastic and Reconstructive Surgery, Fujita Health University, School of Medicine
  • Uyama Ichiro
    Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University, School of Medicine

この論文をさがす

抄録

<p>Objectives: Until 1999 at our hospital, primary cleft lip repair was performed by the straight-line method and external rhinoplasty was performed by the inverted trapezoidal suture method with bilateral reverse-U incisions for children with cleft lip and palate. Subsequently, repeated surgical corrections of the external nasal morphology became necessary during the growth period, often with unsatisfactory results because repeated external rhinoplasty results in a stronger scar contracture. From 2000 to 2004, we performed external rhinoplasty after patients had stopped growing; however, delaying surgery created a psychological burden for patients. Therefore, since 2005, we have focused on improving alar base ptosis and forming the nostril sill during the primary surgery. This study was performed to subjectively and objectively evaluate whether the current surgical method or the earlier technique produces a better treatment outcome.</p><p>Methods: We subjectively and objectively evaluated alar base asymmetry after primary cleft lip repair but before bone grafting for alveolar cleft repair. For the objective evaluation, we measured the angle of alar base ptosis in frontal view photographs taken at the age of 6 or 7 years in patients who underwent repair before 1999 (Group A) and after 2005 (Group B).</p><p>Results: The median angle was 2.75° in Group A and 1.50° in Group B, demonstrating a significant difference (P=0.04).</p><p>Conclusions: The current surgical method, which reflects our focus on improving alar base ptosis and forming the nostril sill, subjectively and objectively improved the external nasal morphology.</p>

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ