2011, Number 3
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Cir Plast 2011; 21 (3)
Resection of nasal soft triangle to eliminate the stigma in the cleft nose
Lino OHG, Duarte SA, Valencia ELC, Domínguez RB, Villalobos MOA, Lino BHJ
Language: Spanish
References: 27
Page: 149-159
PDF size: 434.44 Kb.
ABSTRACT
The author´s purpose is to reduce or eliminate nasal stigmata in preschool and elementary school-age patients who suffer being pointed out, stigmatization, discrimination and innocent violence due to the naso labial palate fissure sequel they show. A procedure that had been previously rejected for creating more problems than solutions is presented. If we consider that during womb growth with a cleft present causes deviation and underdevelopment of soft tissues are oriented and extended due to bony infrastructure growth, we can conclude that the soft triangle area created a larger than normal surface which continues growing after birth. The technique is very simple and easy to reproduce, but requires being used with others at the same time to reorganize and change the alar cartilages size and shape and the rest of the nostril´s appearance, it is then that the resection of the nostril´s soft triangle shows a great difference and benefit as a result of the procedure.
REFERENCES
Bardach J, Salyer KE, Noordhoff MS. Correction of nasal deformity associated with unilateral cleft lip. En: Bardach J, Salyer KE, Ed. Surgical techniques in cleft lip and palate. St. Louis: Mosby Year Book 1991: 74-112.
Guerrero-Santos J, Ramirez M, Castaneda A, Torres A. Crossed-denuded flap as a complement to the Millard technique in the correction of cleft lip. Plast Reconstr Surg 1971; 48(5): 506-508.
Lilja J. Cleft lip and palate surgery. Scand J Surg 2003; 92: 269-273.
Sabry A, Mahmoud M. Correction of secondary deformities of the cleft lip nose. Suez Canal Univ Med J 2008; 11: 1-7.
McComb H. Primary repair of the bilateral cleft lip rinse: a 15-year review and a new treatment plan. Plast Reconstr Surg 1990; 86: 882-889.
Cutting CB, Bardach J, Pang R. A comparative study of the skin envelope of the unilateral cleft lip nose subsequent to rotation-advancement and triangular flap lip repairs. Plast Reconstr Surg 1989; 84: 409-417.
Matsuo K, Hirose T, Otagin T et al. Repair of cleft lip with non-surgical correction of nasal deformity in the early neonatal period. Plast Reconstr Surg 1989; 83: 25-31.
Noordhoff MS. Bilateral cleft lip reconstruction. Plast Reconstr Surg 1986; 78: 45-54.
Salyer KE. Primary correction of the unilateral cleft/lip nose: a 15-year experience. Plast Reconstr Surg 1986; 77: 558-566.
Bardach J, Bakowska J, McDermott-Murray J, Mooney M, Dusdieker L. Lip pressure changes following lip repair in infants with unilateral clefts of the lip and palate. Plast Reconstr Surg 1984; 74: 476-479.
Bardach J. New method of reconstruction of deformed nasal alae in adolescents and adults following unilateral cleft lip repair. Acta Chir Orthop Traumatol 1957; 6: 72-78.
Bardach J. Unilateral repair of cleft lip. En: Cohen M, Ed. Mastery of Plastic and Reconstructive Surgery. Boston: Little Brown 1994: 548-565.
Salyer KE. Primary correction of time nasal deformity associated with cleft lip. En: Colien M, Ed. Mastery of Plastic and Reconstructive Surgery. Boston: Little Brown 1994: 581-594.
Trott JA. Mohair N. A preliminary report on one stage open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate: the Alor Setar experience. Br J Plast Surg 1993; 46: 215-222.
Trott JA, Mohair N. A preliminary report on open tip rhinoplasty at the time of lip repair in unilateral cleft lip and palate: the Alor Setar experience. Br J Plast Surg 1993; 46: 363-370.
Mulligan JB, Penslet JM, Kozakewich HP. The anatomy of Cupid´s bow in normal and cleft lip. Plast Reconstr Surg 1993; 92: 395-403.
Grayson B, Cutting C, Wood R. Preoperative columela lengthening in bilateral cleft lip and palate. Brief communication. Plast Reconstr Surg 1993; 92: 1422-1423.
Salyer KE. Early and late treatment of unilateral cleft deformity. Cleft Palate Craniofac J 1992; 29: 556-569.
Bardach J, Noordhoff MS. Correction of secondary bilateral cleft lip deformities. En: Bardach J, Salyer KE, Ed. Surgical Techniques in Cleft Lip and Palate. St. Louis: Mosby Year Book 1991: 58-73.
Quijano MC, Rivas J, Salas I, Salazar M, Sánchez B y cols. Aspectos sociodemográficos y clínicos del labio leporino y paladar fisurado en una población del suroccidente colombiano. Rev Facultad Ciencias de la Salud 2009; 11: 25-30.
Bardach J, Noordhoff MS. Correction of secondary bilateral cleft lip deformities. En: Bardach J, Salyer KE, Ed. Surgical Techniques in Cleft Lip and Palate. St. Louis: Mosby Year Book 1991: 173-196.
Bardach J, Salyer KE, Noordhoff MS. Bilateral cleft lip repair. En: Bardach J, Salyer KE, Ed. Surgical Techniques in Cleft Lip and Palate. St. Louis: Mosby Year Book 1991: 113-172.
Bardach J, Cutting C. Anatomy of unilateral and bilateral cleft nose. En: Bardach J, Morris HL, Ed. Multidisciplinary management of cleft lip and palate. Philadelphia: WB Saunders 1990: 150-159.
Bardach J. Correction of secondary unilateral and bilateral nasal deformity. En: Bardach J, Morris HL, Ed. Multidisciplinary management of cleft lip and palate. Philadelphia: WB Saunders 1990: 274-287.
Salyer KE. Unilateral cleft lip and cleft lip nasal reconstruction. En: Bardach J, Morris H, Ed. Multidisciplinary management of cleft lip and palate. Philadelphia: WB Saunders 1989: 173-189.
Noordhoff MS. Reconstruction of vermilion in unilateral and bilateral cleft lips. Plast Reconstr Surg 1984; 73: 52-60.
Secretaría de Salud (México, 2006). Prevención, tratamiento, manejo y rehabilitación de niños con labio y paladar hendido. Lineamiento técnico. Disponible en Internet en: http://www.salud.gob.mx/unidades/cdi/documentos/DOCSAL7805.pdf