Construction of the congenitally missing columella in midline clefts

Show simple item record Butow, Kurt-Wilhelm 2008-01-17T12:15:07Z 2008-01-17T12:15:07Z 2007-09
dc.description.abstract BACKGROUND: Repair of the rare median cleft lip occurring with agenesis of the columella is a challenge as there is a major deficiency of skin and underlying structures. MATERIAL AND METHODS: Over a 23- year period, five children underwent construction of a columella. A new surgical technique was designed for this: an internal dorsal nasal flap was used to create a cutaneous-cartilaginous flap inside the nasal dome, and was then sutured inferiorly against a superior triangle of the repaired median cleft lip. RESULTS:Projective nasal growth could be seen in three of the five surgically constructed columellae in whom the medium-term results could be evaluated. CONCLUSION:Five holoprosencephaly cases, all with a median cleft lip and agenesis of the columella, underwent a median cleft lip repair and the creation of a columella by means of an internal nasal dorsal skin flap procedure. en
dc.format.extent 502811 bytes
dc.format.mimetype application/pdf
dc.identifier.citation Butow, KW 2007, ‘Construction of the congenitally missing columella in midline clefts’, Journal of Cranio-Maxillofacial Surgery, vol. 35, no. 6-7, pp. 287-292. [] en
dc.identifier.issn 1010-5182
dc.identifier.other 10.1016/j.jcms.2007.05.003
dc.language.iso en en
dc.publisher Elsevier en
dc.rights Elsevier en
dc.subject Columella agenesis en
dc.subject Absent columella en
dc.subject Internal nasal dorsal flap en
dc.subject Median cleft en
dc.subject Nasal growth en
dc.subject Holoprosencephaly en
dc.subject.lcsh Cleft palate -- Surgery
dc.subject.lcsh Surgery, Plastic
dc.subject.lcsh Nose -- Surgery
dc.subject.lcsh Surgery, Operative
dc.title Construction of the congenitally missing columella in midline clefts en
dc.type Postprint Article en

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