Summary
The best way I have found to correct the adult cleft lip nose with marked deformity is to expose the cartilaginous framework and re-align it in improved position. The anterior transcolumellar incision combined with the vestibular extensions is effective. It is important that the cleft side alar cartilage be shifted to the desired position, without any tension in the lateral vestibule, such as frequently results from an oro-nasal fistula. If the cartilaginous framework is correctly realigned, the manipulation of the soft tissue at the anterior nostril margin by elliptical excision or rolling the marginal skin into the vestibule to create the new margin is not necessary in the great majority of cases.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Erich JB (1953) A technique of correcting of a flat nostril in cases of repaired harelip. Plast Reconstr Surg 12:320
Hage, B (1960) Surgical approach to the external and internal nose: With a supplementary report on two cases of nasal glioma. Br J Plast Surg 12:327
Marcks KM, Trevaskis AE, Kicos JE (1960) Repair of nasal deformities associated with secondary cleft lip defects. In: Transaction of the 2nd Congress of the International Society of Plastic Surgeons, Livingstone, London, p 57
May, H (1951) Réthi incision in rhinoplasty. Plast Reconstr Surg 8:123
Matthews D (1968) The nose tip. Br J Plast Surg 21:153
McComb H (1975) Treatment of the unilateral cleft lip nose. Plast Reconstr Surg 55:596
Musgrave RH, Dupertuis SM (1960) Revision of the unilateral cleft lip nostril. Plast Reconstr Surg 25:223
Nishimura Y, Ogino Y (1977) The use of two V-flaps for secondary correction of the cleft lip nose. Plast Reconstr Surg 60:390
Nishimura Y, Ogino Y (1978) Autogenous septal cartilage graft for correction of cleft lip nasal deformity. Br J Plast Surg 31:222
Spira M, Hardy SB, Gerow FJ (1970) Correction of nasal deformities accompanying unilateral cleft lip. Cleft Palate J 7:112
Stenström SJ, Öberg TRH (1961) The nasal deformity in unilateral cleft lip. Plast Reconstr Surg 28:295
Stenström SJ (1977) Correction of cleft lip nasal deformity, a refinement of an older method. Plast Reconstr Surg 59:675
Skoog T (1967) The use of periosteum and surgical for bone restoration in congenital clefts of the maxilla. Scand J Plast Reconstr Surg 1:113
Tajima S, Maruyama M (1977) Reverse-U incision for secondary repair of cleft lip nose. Plast Reconstr Surg 60:256
Whitlow, Constable (1973) Crossed alar wing procedure for correction of late deformity in the unilateral cleft lip nose. Plast Reconstr Surg 52:38
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nishimura, Y. Transcolumellar incision for correction of unilateral cleft lip nose. Chir Plastica 5, 169–178 (1980). https://doi.org/10.1007/BF00264787
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00264787