The Isolated Cleft Lip Nose Report of Five Cases in Adults

Boo-Chai, Khoo; Tange, Ichiro

doi:10.1097/00006534-196801000-00005

Cited by 12 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of a microform cleft lip in cases of isolated nasal deformity should be made very cautiously. A critical review of the previous reports on the cleft lip nasal deformity without labial cleft (Onizuka's first degree cleft [Onizuka et al, 1991]) often reveals the presence of a tongue-like projection of skin onto the vermilion and/or the ridge replacing the normal philtral column (Boo-Chai and Tange, 1968 Tulenko, 1968). Farkas and Cheung (1979) found 184 nostril asymmetries (14%) in 1312 healthy Caucasian subjects and considered over 88% of them as normal variation.…”

Section: Discussionmentioning

confidence: 99%

Clinical Features of the Microform Cleft Lip and the Ultrastructural Characteristics of the Orbicularis Oris Muscle

Kim

Khang

Lee

et al. 2010

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

The typical gross morphology of the microform cleft lip is a surface manifestation of muscular defect, and the disruption of the muscle further extends down to the ultrastructural level. The clinical features, taken together with the ultrastructural defects of the musculature, might help with a more precise delineation of the microform cleft lip, and provide better understanding of cleft lip in general.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Features of the Microform Cleft Lip and the Ultrastructural Characteristics of the Orbicularis Oris Muscle

Kim

Khang

Lee

et al. 2010

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Although the development of the nose is rather complicated, congenital anomalies are rare, the incidence being 1 in 20,000 to 40,000 live births. [12]…”

Section: Introductionmentioning

confidence: 99%

“…Orofacial clefts have been discussed in detail by Tessier and Boo-Chai. [2] There are several classification systems of craniofacial clefts. The Tessier's classification is most commonly used.…”

Section: Introductionmentioning

confidence: 99%

Isolated cleft of alar rim

Kannan

John

Rethish

2012

Ann Maxillofac Surg

View full text Add to dashboard Cite

Alar rim defects are most commonly acquired as a result of trauma, burns, tumor excision or sometimes accompanying craniofacial clefts. However, isolated congenital alar defects are extremely rare occurring in about 1 in 20,000 to 40,000 live births. We are presenting a case report of an isolated congenital cleft of the alar rim. The defect was closed by the use of a rotation advancement full-thickness flap. With this technique, both symmetry and desired thickness of the nostrils were achieved. The skin color and texture of the alar rim were good with minimal scars.

show abstract

“…Congenital alar rim defects are rare, with an incidence of 1 in 20,000 to 40,000 live births. 1,2 Tessier classification is the most commonly used classification system for craniofacial defects. Facial clefts involving the nose are categorized as types 0, 1, 2, and 3, whereas cranial clefts with nose lesions are categorized as types 11, 12, 13, and 14.…”

mentioning

confidence: 99%

“…Alar rim defects develop in most cases as a result of burns, trauma, or tumor excision. Congenital alar rim defects are rare, with an incidence of 1 in 20,000 to 40,000 live births 1,2 …”

mentioning

confidence: 99%

Reconstruction of Congenital Alar Rim Defects (Tessier Number 1 Cleft) Using Laterally Based Alar Subunit Rotation Advancement Flap

Aldabaany¹

2021

Ann Plast Surg

View full text Add to dashboard Cite

Background Alar rim defects develop in most cases as a result of burns, trauma, or tumor excision. Congenital alar rim defects are rare, with an incidence of 1 in 20,000 to 40,000 live births. Tessier classification is the most commonly used classification system for craniofacial defects. Facial clefts involving the nose are categorized as types 0, 1, 2, and 3, whereas cranial clefts with nose lesions are categorized as types 11, 12, 13, and 14. The patterns of nasal clefts are extremely variable, ranging from a simple notch of alar margin to complex craniofacial cleft involving the lip, nose, eyelid, brow, forehead, and underlying bone. Patients and Methods This study was conducted at Fayoum University Hospital on 8 male patients who present with congenital alar rim defects (Tessier number 1 cleft). Surgeries were performed under general anesthesia with orotracheal intubation. A full-thickness incision was created along the whole alar subunit, keeping the ala attached only laterally (laterally based alar full-thickness flap). The alar flap was advanced and rotated medially and inferiorly and sutured to the anatomical place in 2 layers, skin and mucosa. Follow-up was done at least 1.5 years postoperatively. Results The study was conducted on 8 male patients presenting with congenital alar rim defects (Tessier number 1 cleft). The mean age of patients was 14.2 years, and the cleft was unilateral in 4 patients (50%) and bilateral in 4 patients (50%). The patients were assessed both aesthetically and functionally and followed at 1.5 years postoperatively. The aesthetic outcome was assessed according to both patients' and author's evaluations of the scar appearance, alar symmetry, nostril symmetry, and general satisfaction. Conclusions Laterally based alar subunit rotation advancement flap is a reliable option for reconstruction of congenital alar rim defects (Tessier number 1 cleft) with the advantages of being an easy single-stage procedure with good tissue matching and nostril symmetry and only limitation of extremely wide defects with deficient tissues between the ala and tip.

show abstract

The Isolated Cleft Lip Nose Report of Five Cases in Adults

Cited by 12 publications

References 0 publications

Clinical Features of the Microform Cleft Lip and the Ultrastructural Characteristics of the Orbicularis Oris Muscle

Clinical Features of the Microform Cleft Lip and the Ultrastructural Characteristics of the Orbicularis Oris Muscle

Isolated cleft of alar rim

Reconstruction of Congenital Alar Rim Defects (Tessier Number 1 Cleft) Using Laterally Based Alar Subunit Rotation Advancement Flap

Contact Info

Product

Resources

About