Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts
Background: Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques h...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2014-09-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146588 |
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| author | Srinivas Gosla Reddy Rajgopal R. Reddy Joachim Obwegeser Maurice Y. Mommaerts |
| author_facet | Srinivas Gosla Reddy Rajgopal R. Reddy Joachim Obwegeser Maurice Y. Mommaerts |
| author_sort | Srinivas Gosla Reddy |
| collection | DOAJ |
| description | Background: Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques have been considered to repair these cleft defects. Aim: We present two surgical options to repair such facial clefts. Materials and Methods: A nasal dorsum rotational flap was used to treat patients with Tessier no. 2 clefts. This is a local flap that uses tissue from the dorsal surface of the nose. The advantage of this flap design is that it helps move the displaced ala of a Tessier no. 2 cleft into its normal position. A forehead-eyelid-nasal transposition flap design was used to treat patients with Tessier no. 3 clefts. This flap design includes three prongs that are rotated downward. A forehead flap is rotated into the area above the eyelid, the flap from above the eyelid is rotated to infra-orbital area and the flap from the infraorbital area that includes the free nasal ala of the cleft is rotated into place. Results and Conclusions: These two flap designs show good results and can be used to augment the treatment options for repairing Tessier no. 2 and 3 facial clefts. |
| format | Article |
| id | doaj-art-2a7894de6fab4e95b57627e5dc2a32f5 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2014-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-2a7894de6fab4e95b57627e5dc2a32f52025-08-20T03:17:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2014-09-01470334034510.4103/0970-0358.146588Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial cleftsSrinivas Gosla Reddy0Rajgopal R. Reddy1Joachim Obwegeser2Maurice Y. Mommaerts3GSR Institute of Craniofacial Surgery, Hyderabad, Telangana, IndiaGSR Institute of Craniofacial Surgery, Hyderabad, Telangana, IndiaChildren Hospital Zurich, University Zurich, Zurich, SwitzerlandBruges Cleft and Craniofacial Centre, GH St. Jan, Bruges, BelgiumBackground: Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques have been considered to repair these cleft defects. Aim: We present two surgical options to repair such facial clefts. Materials and Methods: A nasal dorsum rotational flap was used to treat patients with Tessier no. 2 clefts. This is a local flap that uses tissue from the dorsal surface of the nose. The advantage of this flap design is that it helps move the displaced ala of a Tessier no. 2 cleft into its normal position. A forehead-eyelid-nasal transposition flap design was used to treat patients with Tessier no. 3 clefts. This flap design includes three prongs that are rotated downward. A forehead flap is rotated into the area above the eyelid, the flap from above the eyelid is rotated to infra-orbital area and the flap from the infraorbital area that includes the free nasal ala of the cleft is rotated into place. Results and Conclusions: These two flap designs show good results and can be used to augment the treatment options for repairing Tessier no. 2 and 3 facial clefts.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146588facial cleftstessier cleftstessier no. 2 clefttessier no. 3 cleft |
| spellingShingle | Srinivas Gosla Reddy Rajgopal R. Reddy Joachim Obwegeser Maurice Y. Mommaerts Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts Indian Journal of Plastic Surgery facial clefts tessier clefts tessier no. 2 cleft tessier no. 3 cleft |
| title | Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts |
| title_full | Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts |
| title_fullStr | Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts |
| title_full_unstemmed | Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts |
| title_short | Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts |
| title_sort | options for the nasal repair of non syndromic unilateral tessier no 2 and 3 facial clefts |
| topic | facial clefts tessier clefts tessier no. 2 cleft tessier no. 3 cleft |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146588 |
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