Secondary cleft lip nasal reconstruction : State of the art

This paper summarizes the state of the art in secondary cleft lip nasal reconstruction, distilled from the many papers written on the subject and from the author's experience with many of those procedures over the past 25 years. The evaluation starts with the skeletal base and the need for LeFo...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2000-11, Vol.37 (6), p.538-541
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description This paper summarizes the state of the art in secondary cleft lip nasal reconstruction, distilled from the many papers written on the subject and from the author's experience with many of those procedures over the past 25 years. The evaluation starts with the skeletal base and the need for LeFort 1 or alveolar bone grafting is discussed. The boney dorsum is next evaluated and a "monobloc" osteotomy considered. The cartilaginous dorsum follows and a "spreader-strut" graft is entertained. The tip cartilages are approached with either an open Potter or Dibbell preferred or replacement conchal graft if the tip has been destroyed by previous surgery. The skin envelope is then adjusted using methods described by Tajima, Dibbell, and Bardach.
doi_str_mv 10.1597/1545-1569(2000)037<0538:SCLNRS>2.0.CO;2
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subjects Alveoloplasty - methods
Biological and medical sciences
Bone Transplantation
Cartilage - transplantation
Cleft Lip - surgery
Dentistry
Dermatologic Surgical Procedures
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Nasal Bone - surgery
Nasal Septum - surgery
Nose - abnormalities
Nose - surgery
Osteotomy
Rhinoplasty - methods
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Turbinates - surgery
title Secondary cleft lip nasal reconstruction : State of the art
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