Combined correction of the nasal tip and upper lip in bilateral cleft lip patients: A novel approach

Atheer B Ujam; Navin Vig; Nasser Nasser

doi:10.1016/j.ijporl.2019.109593

Combined correction of the nasal tip and upper lip in bilateral cleft lip patients: A novel approach

Int J Pediatr Otorhinolaryngol. 2019 Nov:126:109593. doi: 10.1016/j.ijporl.2019.109593. Epub 2019 Jul 17.

Authors

Atheer B Ujam¹, Navin Vig², Nasser Nasser³

Affiliations

¹ University College London, Great Ormond Street Institute of Child Health, Department of Stem cells and Regenerative Medicine, 30 Guilford Street, London, WC1N 1EH, UK. Electronic address: Atheer.ujam.15@ucl.ac.uk.
² Barts and The London School of Medicine and Dentistry, Blizard Institute, London, UK.
³ Department of Oral and Maxillofacial surgery, Barts NHS trust, Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, London, UK.

PMID: 31473479
DOI: 10.1016/j.ijporl.2019.109593

Abstract

Secondary nasal deformity in bilateral cleft lip is one of the great surgical challenges. The problems are an under projected tip, an infra-tip lobule merging with the pro-labium and a short columella. Upper lip vermillion border deformity is a further significant problem. We demonstrate our novel approach to management by classifying patients into 3 groups depending on the status of important features such as the anatomy of the prolabial skin island, length of columella and upper lip width and fullness. We demonstrate that cleft patients with nasal deformity and poor upper lip aesthetics can be managed with a single operation.

Keywords: Abbe flap; Cleft lip; Costochondral graft; Prolabium; Rhinoplasty.

MeSH terms

Cleft Lip / surgery*
Female
Humans
Lip / abnormalities
Lip / surgery*
Male
Nose / abnormalities
Nose / surgery*
Plastic Surgery Procedures / methods*
Rhinoplasty / methods*
Surgical Flaps*