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Subcutaneous Nasolabial Flap for Eliminating Depressed Nasal Floor in Adult Cleft Rhinoplasty: Technical Note.

Rahpeyma A, Khajehahmadi S, Torabizadeh Siraji A - Plast Reconstr Surg Glob Open (2015)

Bottom Line: Depressed nasal floor extension into the nostril in cleft patients is difficult to solve.Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients.Alar advancement and medial nasal floor triangular flap cover it.

View Article: PubMed Central - PubMed

Affiliation: Oral and Maxillofacial Diseases Research Center, Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran; Dental Research Center, Department of Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran; and Department of Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
Depressed nasal floor extension into the nostril in cleft patients is difficult to solve. Suggested ways for solving this problem need skin incisions other than routine open rhinoplasty incisions. Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients. Alar advancement and medial nasal floor triangular flap cover it.

No MeSH data available.


Related in: MedlinePlus

Postoperative photograph 6 months after surgery.
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Figure 3: Postoperative photograph 6 months after surgery.

Mentions: Suggested technique has not any extra skin incision other than those that are used for routine rhinoplasty. It can effectively restore the nostril rim equal to unaffected side, in the height (Fig. 3). The authors have another experience with this technique in alveolar cleft bone grafting when the nasal floor is difficult to reconstruct.6 The authors have operated on 3 other adult cleft patients with depressed nasal floor by this technique, without the need for further revision. There is no age limitation for this procedure because a subcutaneous alar base flap to restore symmetry of the ala in primary cleft lip-nose repair has been reported.7 The presented technique needs z-plasty in nasal floor, discarding the distal triangular mucosal flap and advancing the flared alar base over the raw surface of subcutaneous nasolabial flap.


Subcutaneous Nasolabial Flap for Eliminating Depressed Nasal Floor in Adult Cleft Rhinoplasty: Technical Note.

Rahpeyma A, Khajehahmadi S, Torabizadeh Siraji A - Plast Reconstr Surg Glob Open (2015)

Postoperative photograph 6 months after surgery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4494480&req=5

Figure 3: Postoperative photograph 6 months after surgery.
Mentions: Suggested technique has not any extra skin incision other than those that are used for routine rhinoplasty. It can effectively restore the nostril rim equal to unaffected side, in the height (Fig. 3). The authors have another experience with this technique in alveolar cleft bone grafting when the nasal floor is difficult to reconstruct.6 The authors have operated on 3 other adult cleft patients with depressed nasal floor by this technique, without the need for further revision. There is no age limitation for this procedure because a subcutaneous alar base flap to restore symmetry of the ala in primary cleft lip-nose repair has been reported.7 The presented technique needs z-plasty in nasal floor, discarding the distal triangular mucosal flap and advancing the flared alar base over the raw surface of subcutaneous nasolabial flap.

Bottom Line: Depressed nasal floor extension into the nostril in cleft patients is difficult to solve.Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients.Alar advancement and medial nasal floor triangular flap cover it.

View Article: PubMed Central - PubMed

Affiliation: Oral and Maxillofacial Diseases Research Center, Department of Oral and Maxillofacial Surgery, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran; Dental Research Center, Department of Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran; and Department of Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
Depressed nasal floor extension into the nostril in cleft patients is difficult to solve. Suggested ways for solving this problem need skin incisions other than routine open rhinoplasty incisions. Nasolabia subcutaneous flap makes the infrastructure in depressed nasal floor in cleft patients. Alar advancement and medial nasal floor triangular flap cover it.

No MeSH data available.


Related in: MedlinePlus