DOUBLE BURIED SUTURE METHOD FOR CORRECTION OF SECONDARY MILD UNILATERAL CLEFT LIP NOSE DEFORMITY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

QINGYong ,  CENYing , XUXuewen , KEShuangchen

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding author：

CENYing, Email: cenying0141@163.com

Keywords：

Cleft lip; Nose deformity; Double buried suture method

DOI：

10.7507/1002-1892.20140019

Video：

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Objective To investigate the effectiveness of double buried suture method for correction of secondary mild unilateral cleft lip nose deformity. Methods Between June 2010 and June 2012, 20 patients with secondary mild unilateral cleft lip nose deformity were treated with double buried suture method. Among 20 patients, 12 were male and 8 were female, with an average age of 21 years (range, 14-44 years). All patients had unilateral cleft lip nose deformity after unilateral cleft lip repair, including 9 cases of left deformity and 11 cases of right deformity. The time between first repair and double buried suture was 11-42 years (mean, 19 years). Results Incisions healed by first intention, and no related complication occurred. The patients were followed up 6-12 months (mean, 8 months). All patients were satisfied with the nasal contour, symmetrical projection of the alar dome, a central columella, symmetry of nasal floor, and no obvious scar. No recurrence was observed during follow-up. Conclusion Double buried suture method not only can correct secondary mild unilateral cleft lip nose deformity completely, but also can avoid obvious scarring and recurrence of nose deformity.

Citation： QINGYong, CENYing, XUXuewen, KEShuangchen. DOUBLE BURIED SUTURE METHOD FOR CORRECTION OF SECONDARY MILD UNILATERAL CLEFT LIP NOSE DEFORMITY. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(1): 85-87. doi: 10.7507/1002-1892.20140019 Copy

1.	Tamada I,Nakajima T,Ogata H,et al.Secondary repair of cleft lip nose deformity using subcutaneous pedicle flaps from the unaffected side.Br J Plast Surg,2005,58(3):312-317.
2.	王苗苗,蔡景龙,公茂来,等.单侧唇裂鼻畸形的临床分型和修复方法的研究.中国美容整形外科杂志,2009,20(11):650-653.
3.	Wang TD,Madorsky SJ.Secondary rhinoplasty in nasal deformity associated with the unilateral cleft lip.Arch Facial Plast Surg,1999,1(1):40-45.
4.	Shih CW,Sykes JM.Correction of the cleft-lip nasal deformity.Facial Plast Surg,2002,18(4):253-262.
5.	Stal S,Hollier L.Correction of secondary deformities of the cleft lip nose.Plast Reconstr Surg,2002,109(4):1386-1393.
6.	Guyuron B.Late cleft lip nasal deformity.Plast Reconstr Surg,2008,121(4 Suppl):1-11.
7.	Cho BC,Baik BS.Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty.Br J Plast Surg,2001,54(7):588-596.
8.	Kim SK,Cha BH,Lee KC,et al.Primary correction of unilateral cleft lip nasal deformity in Asian patients:anthropometric evaluation.Plast Reconstr Surg,2004,114(6):1373-1381.
9.	Mulliken JB.Correction of the bilateral cleft lip nasal deformity:evolution of a surgical concept.Cleft Palate Craniofac J,1992,29(6):540-545.
10.	Park BY,Lew DH,Lee YH.A comparative study of the lateral crus of alar cartilages in unilateral cleft lip nasal deformity.Plast Reconstr Surg,1998,101(4):915-920.
11.	石冰.中国人唇裂鼻畸形整复的思路与术式设计.华西口腔医学杂志,2012,30(2):111-114,118.
12.	Coghlan BA,Boorman JG.Objective evaluation of the Tajima secondary cleft lip nose correction.Br J Plast Surg,1996,49(7):457-461.
13.	Rider MA,Watson AC.Outcome analysis of a modified Tajima procedure.Br J Plast Surg,1997,50(8):590-594.
14.	Flores RL,Sailon AM,Cutting CB.A novel cleft rhinoplasty procedure combining an open rhinoplasty with the Dibbell and Tajima techniques:a 10-year review.Plast Reconstr Surg,2009,124(6):2041-2047.
15.	Tajima S,Maruyama M.Reverse-U incision for secondary repair of cleft lip nose.Plast Reconstr Surg,1977,60(2):256-261.
16.	Cho BC.Correction of unilateral cleft lip nasal deformity in preschool and school-aged children with refined reverse-U incision and V-Y plasty:long-term follow-up results.Plast Reconstr Surg,2007,119(1):267-275.
17.	Fujimoto T,Imai K,Hatano T,et al.Follow-up of unilateral cleft-lip nose deformity after secondary repair with a modified reverse-U method.J Plast Reconstr Aesthet Surg,2011,64(6):747-753.
18.	李增健,张蕾,张斌,等.鼻翼软骨埋没悬吊法在儿童唇裂鼻畸形矫治中的应用.中国美容整形外科杂志,2009,20(11):644-646.

1. Tamada I,Nakajima T,Ogata H,et al.Secondary repair of cleft lip nose deformity using subcutaneous pedicle flaps from the unaffected side.Br J Plast Surg,2005,58(3):312-317.
2. 王苗苗,蔡景龙,公茂来,等.单侧唇裂鼻畸形的临床分型和修复方法的研究.中国美容整形外科杂志,2009,20(11):650-653.
3. Wang TD,Madorsky SJ.Secondary rhinoplasty in nasal deformity associated with the unilateral cleft lip.Arch Facial Plast Surg,1999,1(1):40-45.
4. Shih CW,Sykes JM.Correction of the cleft-lip nasal deformity.Facial Plast Surg,2002,18(4):253-262.
5. Stal S,Hollier L.Correction of secondary deformities of the cleft lip nose.Plast Reconstr Surg,2002,109(4):1386-1393.
6. Guyuron B.Late cleft lip nasal deformity.Plast Reconstr Surg,2008,121(4 Suppl):1-11.
7. Cho BC,Baik BS.Correction of cleft lip nasal deformity in Orientals using a refined reverse-U incision and V-Y plasty.Br J Plast Surg,2001,54(7):588-596.
8. Kim SK,Cha BH,Lee KC,et al.Primary correction of unilateral cleft lip nasal deformity in Asian patients:anthropometric evaluation.Plast Reconstr Surg,2004,114(6):1373-1381.
9. Mulliken JB.Correction of the bilateral cleft lip nasal deformity:evolution of a surgical concept.Cleft Palate Craniofac J,1992,29(6):540-545.
10. Park BY,Lew DH,Lee YH.A comparative study of the lateral crus of alar cartilages in unilateral cleft lip nasal deformity.Plast Reconstr Surg,1998,101(4):915-920.
11. 石冰.中国人唇裂鼻畸形整复的思路与术式设计.华西口腔医学杂志,2012,30(2):111-114,118.
12. Coghlan BA,Boorman JG.Objective evaluation of the Tajima secondary cleft lip nose correction.Br J Plast Surg,1996,49(7):457-461.
13. Rider MA,Watson AC.Outcome analysis of a modified Tajima procedure.Br J Plast Surg,1997,50(8):590-594.
14. Flores RL,Sailon AM,Cutting CB.A novel cleft rhinoplasty procedure combining an open rhinoplasty with the Dibbell and Tajima techniques:a 10-year review.Plast Reconstr Surg,2009,124(6):2041-2047.
15. Tajima S,Maruyama M.Reverse-U incision for secondary repair of cleft lip nose.Plast Reconstr Surg,1977,60(2):256-261.
16. Cho BC.Correction of unilateral cleft lip nasal deformity in preschool and school-aged children with refined reverse-U incision and V-Y plasty:long-term follow-up results.Plast Reconstr Surg,2007,119(1):267-275.
17. Fujimoto T,Imai K,Hatano T,et al.Follow-up of unilateral cleft-lip nose deformity after secondary repair with a modified reverse-U method.J Plast Reconstr Aesthet Surg,2011,64(6):747-753.
18. 李增健,张蕾,张斌,等.鼻翼软骨埋没悬吊法在儿童唇裂鼻畸形矫治中的应用.中国美容整形外科杂志,2009,20(11):644-646.

Chinese Journal of Reparative and Reconstructive Surgery

DOUBLE BURIED SUTURE METHOD FOR CORRECTION OF SECONDARY MILD UNILATERAL CLEFT LIP NOSE DEFORMITY

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