Abstract
Analysis of published data on primary and secondary cleft lip plastic in children testified that their primary basic plastic surgical techniques do not exclude the development of deformities of the lip and nose. There remains the search for effective methods of primary surgery of cleft lip and secondary plastic. In 83 patients with malformations of upper lip we applied the method of cleft closure based on the double-Z-flap as a primary and secondary surgery. Accompanying the deformation of the nose of the 15 children were eliminated through nasal surgery via open approach by Rettinger and O'Connel. There were no significant intra- and perioperative complications. Long received good cosmetic and functional result in all cases.
Keywords: cleft lip, nasal deformity, reconstructive plastic.
References
Topol'nitskiy O. Z. Atlas po detskoy khirurgicheskoy stomatologii i chelyustno-litsevoy khirurgii : ucheb. posobiye / O. Z. Topol'nitskiy, A. YU. Vasil'yev. – Moskva : GEOTAR-Media, 2011. – 264 p. : il. [In Russian].
Vyshpinsʹkyy I. M. Porivnyalʹna kharakterystyka metodiv khirurhichnoho likuvannya nezroshchenʹ verkhnʹoyi huby ta pidnebinnya v ditey riznoho viku / I. M. Vyshpinsʹkyy // Khirurhiya dytyachoho viku. – 2014. – No. 3–4. – P. 26–34. [In Ukrainian].
Vosstanovitel'naya khirurgiya myagkikh tkaney chelyustno-litsevoy oblasti: ruk-vo dlya vrachey /[P. Z. Arzhantsev, V. A. Vissarionov, B. N. Davydov i dr.] ; pod red. A. I. Nerobeyeva, N. A. Plotnikova. – Moskva : Meditsina, 1997. – 228 p. [In Russian].
Tetrueva N. A. Opyt prymenenyya pervychnoy kheylorynoplastyky po Delaire u detey s odno- y dvustoronnymy nesrashchenyyamy verkhney huby / N. A. Tetrueva, A. V. Tymoshenko, A. V. Pronoza // Materialy 1-ho zʺyizdu cherepno-shchelepno-lytsevykh khirurhiv Ukrayiny. – Kyyiv, 2009. – С. 218–223. [In Ukrainian].
Laberge L. C. Unilateral cleft lip and palate: Simultaneous early repair of the nose, anterior palate and lip / L. C. Laberge // Can. J. Plast. Surg. – 2007. – Vol. 15, No. 1. – P. 13–18.
Long-term comparison of four techniques for obtaining nasal symmetry in unilateral complete cleft lip patients: a single surgeon experience / Chang C.-S., Por Y. C., Liou E. J.-W., Chang C.-J. et al. // Plast. Reconstr. Surg. – 2010. – Vol.126, No. 4. – P. 1276–1284.
Long-term theratment outcome of presurgical nasoalveolar molding in patients with unilateral cleft lip and palate / Clark S. L., Teichgraeberg J. F., Fleshman R. G. et al. // J. Craniofac. Surg. – 2011. – Vol. 22, No. 1. – P. 333–336.
Matic D. B. The effects of gingivoperiosteoplasty following alveolar molding with a pin-retained Latham appliance versus secondary bone grafting of midfacial growth in patient with unilateral clefts and bilateral complete cleft lip / D. B. Matic, S. M. Power // Scand. J. Plast. Reconstr. Surg. Hand Surg. – 2010. – V. 44, No. 2. – P. 88–95.
Onizuka T. Cleft lip / T. Onizuka. – Kanehara, Tokyo, 1972 – Р. 50.
Randall P. A triangular flap operation for the primary repair of unilateral clefts of the lip / P. Randall // Plast. Reconstr. Surg. – 1959. – Vol. 23. – P. 331–347.
Raymond T. Unilateral cleft lip: principles and practice of surgical management / T. Raymond // Semin. Plast. Surg. – 2012. – Vol. 26, No. 4. – P. 145–155.
Rettinger G. The nasal base in cleft lip rhinoplasty / G. Rettinger, M. O'Connel // Facial Plast. Surg. – 2002. – Vol. 16. – P. 165–178.
Salyer K. E. Unilateral cleft lip and nose repair, close approach Dallas protocol completed patients / K. E. Salyer, H. Xu, E. R. Genecov // J. Craniofac. Surg. – 2009. – Vol. 20, No. 2. – P. 1939–1955.
Bardach J. Surgical Techniques in Cleft Lip and Palate / J. Bardach, K. E. Salyer. – Chicago : Year Book Medical Publishers, Inc., 1987. – 272 p.