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Columellar Reconstruction: A New Technique for Median Cleft Lip Repair

Livaoğlu, Murat MD; Imamoğlu, Yasemin MD

Journal of Craniofacial Surgery: March 2017 - Volume 28 - Issue 2 - p 506–507
doi: 10.1097/SCS.0000000000003300
Technical Strategies

Abstract: Median cleft lip (MCL), failure of the fusion of the medial nasal prominences in the midline resulting in vertical cleft through the center of the upper lip, can be repaired by various columellar reconstruction approaches depending on the nature of patient. The main drawback of these surgical techniques is the use of healthy neighboring structures that may compromise the process. In this report, the authors present a new approach for repairing MCL which involves simultaneous columellar reconstruction without damaging any nasal units. Briefly, columella was reconstructed with 2 lateral triangular flaps harvested from both cleft sides. They were sutured together and attached to the ventral surface of the nasal dome at the midline. The procedure was resulted in satisfactory clinical and esthetic outcome suggesting this approach may present a better alternative for this condition.

Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Trabzon, Turkey.

Address correspondence and reprint requests to Associate Professor, Dr Murat Livaoğlu, MD, Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Trabzon, Turkey; E-mail: mliva@iname.com

Received 17 May, 2016

Accepted 22 September, 2016

The authors report no conflicts of interest.

© 2017 by Mutaz B. Habal, MD.