Surgical treatment in unilateral cleft lip-nose patients: Long-term follow-up using a personal approach based on Rose and Spina techniques
Data
2003-09-01
Autores
Martins, Jose Luiz 
Tipo
Artigo
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Resumo
A 24-year follow-up with simultaneous treatment of the lip, nose, and palate in the neonatal period is presented. the first author operated on 92 patients in the neonatal period using a personal approach based on the Rose and Spina techniques. Technical details of the primary repair are described. the unilateral cleft lip-nose is operated on through a curved skin incision, with an upper third Z-plasty. Extensive detachment of the musculature is realized without incising the sulcus. Two flaps close the mucosal layer in an S-shaped position. the nose is approached through a precartilaginous incision on the cleft side, and V-Y advancement of a mucocartilaginous flap is realized to restore the normal alar cartilage shape and position. the follow-up showed normal development of the ala with position maintenance without nasal stenosis in 95% of the cases. Good lip functional results were seen in 100% of the cases. Minimal skin scar revision procedures were required in 10% of the cases.
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Citação
Journal of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 14, n. 5, p. 797-799, 2003.