Haidong Li1* and Shikang Gao2
1Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, People’s Republic of China
2Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China
*Corresponding Author: Haidong Li, Plastic Surgery Hospital of the Chinese Academy of Medical Science and Peking Union Medical College, Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, People’s Republic of China.
Received: June 21, 2021; Published: July 07, 2021
The objective of this study is to explore the method and curative effect of secondary repairing nasal deformity of unilateral cleft lip by using guide suture. In an attempt to do so, 5 cases were put under research. The 5 cases of unilateral cleft lip with nasal deformity were repaired by using a certain method to reduce surgical intervention in the pterygoid cartilage by suspending the suture with a Guiding device after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture. The cases were followed up for 6 - 12 months, as the results revealed that all the incisions healed in the first stage after the operation. In addition to that, both the bilateral alar cartilage and nostril of 5 patients were symmetrical. Furthermore, the sum of absolute values of bilateral nasal aperture differences was less than 3 mm, as the appearance of all angles was satisfactory. The rhinoplasty incision was limited to ill side nostril margin and inside ill side the nostril. The patient's healthy side nostril and columella showed no scar incision. To sum up, the secondary repair of unilateral cleft lip nose deformity by using the Guiding device with a minimally invasive suspension suture of greater pterygoid cartilage after the lateral crus of the greater alar cartilage is fully detached from the margin of the piriform aperture is a good method for anatomic reduction of alar skin, cartilage and mucosa on the side of cleft lip with good clinical effect.
Level of Evidence: IV.
Keywords: Cleft Lip; Nasal Deformity; Repair Surgery; Surgical Flap; Rhinoplasty
Citation: Haidong Li and Shikang Gao. “Secondary Repair of Unilateral Cleft Lip Nasal Deformity with Guide Sutures".Acta Scientific Otolaryngology 3.7 (2021): 12-18.
Copyright: © 2021 Haidong Li and Shikang Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.