Maxillofac Plast Reconstr Surg.  2018 ;40(1):43. 10.1186/s40902-018-0182-0.

Bilateral cleft lip repair with simultaneous premaxillary setback and primary limited rhinoplasty

• Park YW
• Kim CW

• KMID: 2431966
• DOI: http://doi.org/10.1186/s40902-018-0182-0

Abstract

BACKGROUND
Functional closure of the orbicularis oris muscle and esthetic reconstruction of nasolabial components are impossible in patients with severely deformed premaxilla. Here, we review a surgical strategy for patients with unremedied premaxilla retrospectively.
RESULTS
Vomerine ostectomy and premaxillary setback with nasolabial repair were performed in 12 patients with bilateral cleft lip and palate. The mean age of patients was 21.7 months. The extent of ostectomy varied between 3 and 11 mm. There were no serious complications from defective perfusion to the premaxilla or the philtral flap. The follow-up period ranged from 2 to 25 months. Proper positioning of the premaxilla and satisfactory nasolabial esthetics were achieved in all patients.
CONCLUSIONS
We performed nasolabial repair after premaxillary setback without jeopardizing the premaxillary segment or the philtral flap. Our surgical strategy could be recommended in poor socio-economic circumstances due to the cost effectiveness of limiting the number of surgeries.

Keyword

Bilateral cleft lip and palate; Vomerine ostectomy; Premaxillary setback; Primary rhinoplasty

MeSH Terms

Cleft Lip*
Cost-Benefit Analysis
Esthetics
Follow-Up Studies
Humans
Palate
Perfusion
Retrospective Studies
Rhinoplasty*