CC BY-NC-ND 4.0 · Indian J Plast Surg 2014; 47(03): 340-345
DOI: 10.4103/0970-0358.146588
Original Article
Association of Plastic Surgeons of India

Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts

Srinivas Gosla Reddy
1   GSR Institute of Craniofacial Surgery, Hyderabad, Telangana, India
,
Rajgopal R. Reddy
1   GSR Institute of Craniofacial Surgery, Hyderabad, Telangana, India
,
Joachim Obwegeser
2   Children Hospital Zurich, University Zurich, Zurich, Switzerland
,
Maurice Y. Mommaerts
3   Bruges Cleft and Craniofacial Centre, GH St. Jan, Bruges, Belgium
› Author Affiliations
Further Information

Publication History

Publication Date:
26 August 2019 (online)

ABSTRACT

Background: Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques have been considered to repair these cleft defects. Aim: We present two surgical options to repair such facial clefts. Materials and Methods: A nasal dorsum rotational flap was used to treat patients with Tessier no. 2 clefts. This is a local flap that uses tissue from the dorsal surface of the nose. The advantage of this flap design is that it helps move the displaced ala of a Tessier no. 2 cleft into its normal position. A forehead-eyelid-nasal transposition flap design was used to treat patients with Tessier no. 3 clefts. This flap design includes three prongs that are rotated downward. A forehead flap is rotated into the area above the eyelid, the flap from above the eyelid is rotated to infra-orbital area and the flap from the infraorbital area that includes the free nasal ala of the cleft is rotated into place. Results and Conclusions: These two flap designs show good results and can be used to augment the treatment options for repairing Tessier no. 2 and 3 facial clefts.