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CC BY-NC-ND 4.0 · Indian J Plast Surg 2014; 47(01): 20-24
DOI: 10.4103/0970-0358.129619
Original Article
Association of Plastic Surgeons of India

Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap

Nitin J. Mokal
Department of Plastic Surgery, G.T. Hospital, Consultant Bombay Hospital, Shushrusha Hospital, Consultant Plastic Surgery and Cosmetic Surgery, Golden Touch Clinic, Mumbai, Maharashtra, India
,
Manpreet Juneja
Department of Plastic Surgery, G.T. Hospital, Consultant Bombay Hospital, Shushrusha Hospital, Consultant Plastic Surgery and Cosmetic Surgery, Golden Touch Clinic, Mumbai, Maharashtra, India
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Publication History

Publication Date:
26 August 2019 (online)

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ABSTRACT

Aim: The purpose of this article is to review modification and outcome of secondary rhinoplasty along with Abbι flap for correction of secondary bilateral cleft lip deformity. Materials and Methods: A total of thirteen patients of secondary bilateral cleft lip-nose deformity having tight upper lip, lack of acceptable philtral column, Cupid′s bow definition, irregular lip scars, and associated nasal deformity were selected. All the patients received Abbι flap and simultaneous nasal correction. All cases were treated during a period of three years. Mean patient age at the time of the operation was 21 years, and ranged from 16 to 27 years. The average follow-up period was three years. Results: Assessment of results was based on comparing preoperative and postoperative clinical photographs done by surgeon and patient relatives and patient satisfaction questionnaires. The columellar lengthening and upper lip vermillion correction achieved was satisfactory. There were no perioperative complications such as airway obstruction, bleeding, infection, wound disruption, or flap necrosis.

KEY WORDS

Abbe flap - bilateral cleft lip - rhinoplasty
 
  • 1 Millard Jr DR. Closure of bilateral cleft lip and elongation of columella by two operations in infancy. Plast Reconstr Surg 1971; 47: 324-31
    CrossrefPubMedGoogle Scholar
  • 2 Ahmed SA, Mohammed MR. Correction of Secondary Deformities of the Cleft Lip Nose Suez Canal University Medical Journal. 2008; 11: 1-7
    PubMedGoogle Scholar
  • 3 Mokal NJ, Kale C. Composite correction of a unilateral cleft lip nose deformity and alveolar bone grafting. Indian J Plast Surg 2009; 42: 71-8
    CrossrefPubMedGoogle Scholar
  • 4 Stal S, Hollier L. Correction of secondary deformities of the cleft lip nose. Plast Reconstr Surg 2002; 109: 1386-92
    CrossrefPubMedGoogle Scholar
  • 5 Akguner M, Barutcu A, Karaca C. Adolescent growth patterns of the bony and cartilaginous framework of the nose: A cephalometric study. Ann Plast Surg 1998; 41: 66-8
    CrossrefPubMedGoogle Scholar
  • 6 Jackson IT. Repair of secondary cleft lip and nose deformities. In McCarthy JG. Current therapy in plastic Surgery, 1st ed Vol. 11. Philadelphia: Saunders Elsevier; 2006: p. 458-61
    Google Scholar
  • 7 Bardach J, Salyer KE. Correction of nasal deformities associated with unilateral cleft lip. In Bardach J, Salyer KE. editors Surgical Techniques in cleft lip and palate. Chicago: Year Book Medical publisher; 1987
    Google Scholar
  • 8 Salyer KE. Primary correction of the unilateral cleft lip nose: A 15-year experience. Plast Reconstr Surg 1986; 77: 558-66
    CrossrefPubMedGoogle Scholar
  • 9 Mulliken JB. Primary repair of the bilateral cleft lip and nasal deformity. In Georgiade GS. Editors Textbook of Plastic, Maxillofacial and Reconstructive Surgery, 3 rd ed Vol. 2.. London: Williamsand Wilkins; 1997: p. 230
    Google Scholar
  • 10 Pigott RW. Aesthetic considerations related to repair of the bilateral cleft lip nasal deformity Br. J Plast Surg 1988; 41: 593-607
    CrossrefPubMedGoogle Scholar
  • 11 Cutting CB. Secondary cleft lip nasal reconstruction: State of the art. Cleft Palat Craniofac J 2000; 37: 538-40
    Google Scholar
  • 12 Lo LJ, Kane AA, Chen YR. Simultaneous Reconstruction of the Secondary Bilateral Cleft Lip and Nasal Deformity: Abbé Flap Revisited. Plast Reconstr Surg 2003; 112: 1219-27
    CrossrefPubMedGoogle Scholar
  • 13 Abbe R. A new plastic operation for the relief of deformity due to double harelip. Plast Reconstr Surg 1968; 42: 481-3
    PubMedGoogle Scholar
  • 14 Takato T, Yonehara Y, Susami T, Uoshima K. Modification of the Abbé flap for reconstruction of the vermilion tubercle and Cupid′s bow in cleft lip patients. J Oral Maxillofac Surg 1996; 54: 256-9
    CrossrefPubMedGoogle Scholar
  • 15 Kinnebrew MC. Use of the Abbé flap in revision of the bilateral cleft lip-nose deformity. Oral Surg Oral Med Oral Pathol 1983; 56: 12-4
    CrossrefPubMedGoogle Scholar
  • 16 Tessier P. Tulasne JF Secondary repair of cleft lip deformity. Clin Plast Surg 1984; 11: 747-9
    CrossrefPubMedGoogle Scholar
  • 17 Yoshimura Y, Nakajima T, Nakanishi Y, Yoneda K. Secondary correction of bilateral cleft lip deformity with simultaneous Abbé flap and nasal repair. J Craniomaxillofacial Surg 1998; 26: 17-21
    CrossrefPubMedGoogle Scholar
  • 18 Millard Jr DR, McLaughlin CA. Abbé flap on mucosal pedicle. Ann Plast Surg 1979; 3: 544-6
    CrossrefPubMedGoogle Scholar
  • 19 Holmstrom H. The Abbé flap converted to an island flap. Scand J Plast Reconstr Surg 1986; 20: 51-4
    Google Scholar
  • 20 Millard Jr DR. The sandwich Abbé flap in secondary cleft lip deformity (Discussion). Plast Reconstr Surg 1980; 66: 45-7
    CrossrefGoogle Scholar