Cleft Lip, Flap Design, Nose; Anomaly, Repair
Conditions
Keywords
Secondary Cleft Lip,, Scar,, Hypoplasia,, Alar Base Projection,, Dermal Roll Flap
Brief summary
Dermal Roll flap for alar base support
Detailed description
Background: Unilateral secondary cleft lip and nasal deformity is almost always associated with under projected cleft side alar base for which augmentation with autologous grafts or synthetic material has been described. Many of such cases with secondary cleft lip and nasal deformity require revision surgery for wide lip scar or vermillion disparities. Objective: During lip revision surgery, some vascularized lip tissue can be spared in the area of previous repair and can be utilized as dermal roll flap for augmentation of alar base. Methodology: This prospective study was conducted on forty-three patients requiring lip scar revision with unilateral secondary cleft lip and nasal deformity having difference of alar base projection of 2 to 5mm measured on basal view photograph. Dermal roll flap was marked, de-epithelized and incised. Tunnel under the alar base was made, insetting of flap was done and lip repair completed. Measurements repeated after 6 months to find out improvement in the projection.
Interventions
PROCEDUREsurgery
Dermal Roll flap from the lip to support alar base
Sponsors
King Edward Medical University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Secondary cleft lip and nasal deformity with wide lip scar need revision
Exclusion criteria
* Bilateral cleft lip secondary deformity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alar base projection | 6 months | Pre and post operative alar base projection will be measured by by drawing horizontal line extending from normal alar base towards columella and crossing towards to cleft side alar base making perpendicular to the vertical line passing through the height of columella. Difference of cleft side alar base projection will be determined by measuring the distance of alar base central point from the horizontal line. |
Countries
Pakistan
Outcome results
None listed