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 |
format | Article |
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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.</description><subject>Alveoloplasty - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation</subject><subject>Cartilage - transplantation</subject><subject>Cleft Lip - surgery</subject><subject>Dentistry</subject><subject>Dermatologic Surgical Procedures</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Nasal Bone - surgery</subject><subject>Nasal Septum - surgery</subject><subject>Nose - abnormalities</subject><subject>Nose - surgery</subject><subject>Osteotomy</subject><subject>Rhinoplasty - methods</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Turbinates - surgery</subject><issn>1055-6656</issn><issn>1545-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFFLIzEQx4N4XLXeVzgCgujD1kmyk81WOTgWT4VyBavPIZsm3Mp2tybpw317d2mpTzMwP_4z8yPklsGMYVncMswxYyjLaw4ANyCKe0Ch5qtq8fdl9YvPYFYt7_gJOTuSp0MPiJmUKCfkPMZ3AI6Mq-9kwhgDhZyfkbuVs323NuE_ta3zibbNlnYmmpaGcRJT2NnU9B2d01UyydHe0_TPURPSBfnmTRvdj0Odkrc_D6_VU7ZYPj5XvxeZ5WWZMmmwFmvPBJfDAcKqnNU1WlnkQ1vWAKYWToGqfSHXaBVKlRtkkvvcO8aEmJKrfe429B87F5PeNNG6tjWd63dRFzxH5AIG8HEP2tDHGJzX29Bsht80Az161KMdPdrRo0c9eNSjR733qLkGXS01H5J-Hlbu6o1bf-UcxA3A5QEw0ZrWB9PZJh45xQqlSvEJn5B8aQ</recordid><startdate>20001101</startdate><enddate>20001101</enddate><creator>CUTTING, Court B</creator><general>American Cleft Palate-Craniofacial Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001101</creationdate><title>Secondary cleft lip nasal reconstruction : State of the art</title><author>CUTTING, Court B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299t-6a5b3df13260253c841bb5c674c849b00ab3e808bf76d5c85684a5162f4fe1133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Alveoloplasty - methods</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation</topic><topic>Cartilage - transplantation</topic><topic>Cleft Lip - surgery</topic><topic>Dentistry</topic><topic>Dermatologic Surgical Procedures</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Nasal Bone - surgery</topic><topic>Nasal Septum - surgery</topic><topic>Nose - abnormalities</topic><topic>Nose - surgery</topic><topic>Osteotomy</topic><topic>Rhinoplasty - methods</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Turbinates - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CUTTING, Court B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CUTTING, Court B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Secondary cleft lip nasal reconstruction : State of the art</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2000-11-01</date><risdate>2000</risdate><volume>37</volume><issue>6</issue><spage>538</spage><epage>541</epage><pages>538-541</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><abstract>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.</abstract><cop>Chapel, Hill, NC</cop><pub>American Cleft Palate-Craniofacial Association</pub><pmid>11108522</pmid><doi>10.1597/1545-1569(2000)037<0538:SCLNRS>2.0.CO;2</doi><tpages>4</tpages></addata></record> |
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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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