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How to obtain symmetry in a unilaterally cleft nose

A new technique

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Summary

In cleft lip and palate patients primarily the asymmetry of the nasal vestibules is conspicuous. Besides that there is always a septal deviation, which usually results in a deviated nasal axis. One experience gained between 1980 and 1989 on 274 cleft noses is presented. A new technique of nasal alar correction is described: After moulding of the cartilagenous framework, the soft tissue is corrected: The shortened cleft sided columella is prolonged by a triangular flap which is turned inwards. The surplus of skin of the overhanging ala is rolled in to achieve a symmetrical rim configuration. A resulting gap between these two flaps is covered by the surplus of vestibular skin.

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Authors and Affiliations

  1. Klinik für Plastische und Wiederherstellungschirurgie, Marienhospital, Böheirastrasse 37, W-7000, 10, Stuttgart, FRG

    W. Gubisch

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  1. W. Gubisch
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Gubisch, W. How to obtain symmetry in a unilaterally cleft nose. Eur J Plast Surg 13, 241–246 (1990). https://doi.org/10.1007/BF00208323

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  • DOI: https://doi.org/10.1007/BF00208323

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