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Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

View Article: PubMed Central - PubMed

ABSTRACT

Introduction:: A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in literature. This manuscript aims to address this lacuna through the use of rhinoplasty outcomes evaluation questionnaire (ROEQ).

Materials and methods:: A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using ROEQ. This was used twice measuring the pre- and post-operative periods.

Results:: Twenty-one cases of bilateral cleft lip and palate who had earlier undergone (0.5–3 years back) cleft rhinoplasty and lip revision with Abbe's flap formed the study group. The mean age of the 21 subjects was 22.87 ± 4.23 years. There were 13 males and 8 females forming the study group. The mean presurgical ROEQ score was 19.8 ± 11.2, while the postsurgical score was 78.5 ± 21.2. This difference was statistically significant (P = 0.001). The difference in score between the time period was 58.7%.

Discussion:: From the ROEQ and other qualitative parameters, it is possible to demonstrate the impact of Abbe flap for cleft rhinoplasty and its impact on the quality of life of patients. Most of the patients and caregivers believed that this approach achieved a good or excellent postoperative result. The biological and operators factors behind such a success are discussed in light of previously published literature.

No MeSH data available.


(a) Preoperative frontal view. (b) Surgical outline marked. (c) Open rhinoplasty and graft employed to lengthen the columella. (d) Lateral margins of the lip flap are approximated to the columella base. (e-g) The width of deficiency measured and Abbe flap design marked. (h) Abbe flap with mucosa, muscle, and arterial supply raised and rotated, donor site closed. (i) Flap fixed to reconstruct deficient philtrum. (j) Postoperative frontal view
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Figure 1: (a) Preoperative frontal view. (b) Surgical outline marked. (c) Open rhinoplasty and graft employed to lengthen the columella. (d) Lateral margins of the lip flap are approximated to the columella base. (e-g) The width of deficiency measured and Abbe flap design marked. (h) Abbe flap with mucosa, muscle, and arterial supply raised and rotated, donor site closed. (i) Flap fixed to reconstruct deficient philtrum. (j) Postoperative frontal view

Mentions: The representative preoperative and postoperative pictures of the nose are given in Figures 1 and 2.


Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
(a) Preoperative frontal view. (b) Surgical outline marked. (c) Open rhinoplasty and graft employed to lengthen the columella. (d) Lateral margins of the lip flap are approximated to the columella base. (e-g) The width of deficiency measured and Abbe flap design marked. (h) Abbe flap with mucosa, muscle, and arterial supply raised and rotated, donor site closed. (i) Flap fixed to reconstruct deficient philtrum. (j) Postoperative frontal view
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4979346&req=5

Figure 1: (a) Preoperative frontal view. (b) Surgical outline marked. (c) Open rhinoplasty and graft employed to lengthen the columella. (d) Lateral margins of the lip flap are approximated to the columella base. (e-g) The width of deficiency measured and Abbe flap design marked. (h) Abbe flap with mucosa, muscle, and arterial supply raised and rotated, donor site closed. (i) Flap fixed to reconstruct deficient philtrum. (j) Postoperative frontal view
Mentions: The representative preoperative and postoperative pictures of the nose are given in Figures 1 and 2.

View Article: PubMed Central - PubMed

ABSTRACT

Introduction:: A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in literature. This manuscript aims to address this lacuna through the use of rhinoplasty outcomes evaluation questionnaire (ROEQ).

Materials and methods:: A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using ROEQ. This was used twice measuring the pre- and post-operative periods.

Results:: Twenty-one cases of bilateral cleft lip and palate who had earlier undergone (0.5–3 years back) cleft rhinoplasty and lip revision with Abbe's flap formed the study group. The mean age of the 21 subjects was 22.87 ± 4.23 years. There were 13 males and 8 females forming the study group. The mean presurgical ROEQ score was 19.8 ± 11.2, while the postsurgical score was 78.5 ± 21.2. This difference was statistically significant (P = 0.001). The difference in score between the time period was 58.7%.

Discussion:: From the ROEQ and other qualitative parameters, it is possible to demonstrate the impact of Abbe flap for cleft rhinoplasty and its impact on the quality of life of patients. Most of the patients and caregivers believed that this approach achieved a good or excellent postoperative result. The biological and operators factors behind such a success are discussed in light of previously published literature.

No MeSH data available.