Reconstruction of the Nose After Unilateral Cheilouranoplasty

Objective Congenital clefts of the maxillofacial area still remain of current interest in reconstructive facial surgery. While their frequency grows up, the issues of effective surgical primary and secondary interventions are not completely solved yet. The article presents the main problems associat...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2023-07, Vol.60 (7), p.900-907
Main Authors: Vissarionov, Vladimir A., Mustafaev, Magomet Sh, Mustafaeva, Sofiyat M., Karyakina, Irina A., Kuzhonov, Dzhambulat T., Mustafaev, Muslim Sh
Format: Article
Language:English
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Summary:Objective Congenital clefts of the maxillofacial area still remain of current interest in reconstructive facial surgery. While their frequency grows up, the issues of effective surgical primary and secondary interventions are not completely solved yet. The article presents the main problems associated with the elimination of the deformations and our modifications of methods for their correction. Setting The study was conducted based on the Centre [2] and the University [1], Russian Federation. The project was carried out within the framework of the state assignment of the Ministry of Science and Higher Education of the Russian Federation, mnemocode 0669-2020-0008. Patients, Participants The research is based on the results of complex treatment of 112 patients with unilateral clefts of the upper lip and palate from the age of 5 to 34 years, 68 patients of them also carried out secondary surgeries. Interventions The methods of performing rhinocheiloplasty by moving a “sliding” flap, of eliminating a ctenoid plica appearing after primary surgeries are presented, described, explained, and substantiated in the article. Results The proposed methods gave a good or satisfactory result in 92.8% of the operated patients, which allows them to be considered effective for eliminating congenital and postoperative nasal deformities in patients with facial clefts. Conclusions : The surgical methods of eliminating congenital and postoperative deformities of the nose in patients with facial clefts should be modified in accordance with the nature of the most frequently arising shortcomings of the surgical stages of correction.
ISSN:1055-6656
1545-1569
DOI:10.1177/10556656221099816