Surgical correction of severe bifid nose
Craniofacial clefts cause severe facial disfigurement even in minor forms. The surgical reconstruction is imperative to restore function and appearance of facial structures. The presentation of Tessier number: 0 cleft patient may vary from minimal changes on median facial structures such lip, vermil...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
|
| Series: | Journal of Cleft Lip Palate and Craniofacial Anomalies |
| Subjects: | |
| Online Access: | http://www.jclpca.org/article.asp?issn=2348-2125;year=2014;volume=1;issue=2;spage=115;epage=118;aulast=Ozturk |
| _version_ | 1818614015588302848 |
|---|---|
| author | Sinan Ozturk Fatih Zor Selcuk Isik |
| author_facet | Sinan Ozturk Fatih Zor Selcuk Isik |
| author_sort | Sinan Ozturk |
| collection | DOAJ |
| description | Craniofacial clefts cause severe facial disfigurement even in minor forms. The surgical reconstruction is imperative to restore function and appearance of facial structures. The presentation of Tessier number: 0 cleft patient may vary from minimal changes on median facial structures such lip, vermilion and nose, and nose to wide clefts dividing all median craniofacial structures. The variability of expression of the unusual orofacial clefts can be challenging for the surgeon, while reconstructing affected facial structures. In this report, we present the surgical management of the case with severe bifid nose. A 27-year-old male presented with congenital midfacial disfigurement with hypertelorism. The patient had a flat nasal dorsum and a deep groove between the two alar domes. The nose was short and bifid. The patient did not accept facial bipartition surgery. We performed de-epithelialization on the skin groove between the two alar domes. We repaired lower one-third part of the nose with native nasal tissues. We reconstructed upper two-third part of the nose with the osteocartilage frame harvested from the calvarium and the nasal septum. Two superiorly based-nasolabial flaps were designed with sufficient length to provide external cover of the osteocartilage frame. In case of the severe bifid nose, osteocartilaginous and soft tissue structures of the nose must be restored separately. Following reconstruction of the osteocartilaginous framework with nasal tissues or grafts, remaining nasal soft tissue, and local flaps can be used to cover the soft tissue. |
| first_indexed | 2024-12-16T16:11:18Z |
| format | Article |
| id | doaj.art-9ce8b3e0dde1418f8857169eb2ec41c2 |
| institution | Directory Open Access Journal |
| issn | 2348-2125 2348-3644 |
| language | English |
| last_indexed | 2024-12-16T16:11:18Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cleft Lip Palate and Craniofacial Anomalies |
| spelling | doaj.art-9ce8b3e0dde1418f8857169eb2ec41c22022-12-21T22:25:12ZengWolters Kluwer Medknow PublicationsJournal of Cleft Lip Palate and Craniofacial Anomalies2348-21252348-36442014-01-011211511810.4103/2348-2125.137912Surgical correction of severe bifid noseSinan OzturkFatih ZorSelcuk IsikCraniofacial clefts cause severe facial disfigurement even in minor forms. The surgical reconstruction is imperative to restore function and appearance of facial structures. The presentation of Tessier number: 0 cleft patient may vary from minimal changes on median facial structures such lip, vermilion and nose, and nose to wide clefts dividing all median craniofacial structures. The variability of expression of the unusual orofacial clefts can be challenging for the surgeon, while reconstructing affected facial structures. In this report, we present the surgical management of the case with severe bifid nose. A 27-year-old male presented with congenital midfacial disfigurement with hypertelorism. The patient had a flat nasal dorsum and a deep groove between the two alar domes. The nose was short and bifid. The patient did not accept facial bipartition surgery. We performed de-epithelialization on the skin groove between the two alar domes. We repaired lower one-third part of the nose with native nasal tissues. We reconstructed upper two-third part of the nose with the osteocartilage frame harvested from the calvarium and the nasal septum. Two superiorly based-nasolabial flaps were designed with sufficient length to provide external cover of the osteocartilage frame. In case of the severe bifid nose, osteocartilaginous and soft tissue structures of the nose must be restored separately. Following reconstruction of the osteocartilaginous framework with nasal tissues or grafts, remaining nasal soft tissue, and local flaps can be used to cover the soft tissue.http://www.jclpca.org/article.asp?issn=2348-2125;year=2014;volume=1;issue=2;spage=115;epage=118;aulast=Ozturkbifid nosecleft 0surgical |
| spellingShingle | Sinan Ozturk Fatih Zor Selcuk Isik Surgical correction of severe bifid nose Journal of Cleft Lip Palate and Craniofacial Anomalies bifid nose cleft 0 surgical |
| title | Surgical correction of severe bifid nose |
| title_full | Surgical correction of severe bifid nose |
| title_fullStr | Surgical correction of severe bifid nose |
| title_full_unstemmed | Surgical correction of severe bifid nose |
| title_short | Surgical correction of severe bifid nose |
| title_sort | surgical correction of severe bifid nose |
| topic | bifid nose cleft 0 surgical |
| url | http://www.jclpca.org/article.asp?issn=2348-2125;year=2014;volume=1;issue=2;spage=115;epage=118;aulast=Ozturk |
| work_keys_str_mv | AT sinanozturk surgicalcorrectionofseverebifidnose AT fatihzor surgicalcorrectionofseverebifidnose AT selcukisik surgicalcorrectionofseverebifidnose |