Sohag Cleft-Craniofacial Unit, Plastic Surgery Department, Sohag University Hospital, Sohag, Egypt.
Cleft Palate Craniofac J. 2021 Oct;58(10):1326-1330. doi: 10.1177/1055665620980229. Epub 2020 Dec 21.
Post-cheiloplasty nostril floor stenosis is a scarcely reported secondary deformity. The aim of the current study was to assess the outcome of para-alar flap for management of nostril floor stenosis post-unilateral cleft lip repair. This is a retrospective case series study reviewing consecutive patients presenting with nostril floor stenosis following repair of unilateral cleft lip who were managed by the inferiorly based para-alar flap and lip revision. Differential nostril width was measured preoperative, immediate, and late postoperative. We reported 8 patients (3 boys and 5 girls) with an average age of 9.8 years (range: 4.5-19). Satisfactory results with good nostril symmetry measures were achieved, and no restenosis has been observed during the follow-up periods. The donor site scars were negligible. There was no reported partial or total flap loss. Para-alar flap was found to be an effective reconstructive option for patients with nostril floor stenosis post-unilateral cleft lip repair and can be combined safely with cleft lip revision.
唇裂术后鼻孔底狭窄是一种罕见报道的继发畸形。本研究旨在评估鼻翼外侧瓣在单侧唇裂修复后鼻孔底狭窄治疗中的效果。这是一项回顾性病例系列研究，对接受基于下鼻甲的鼻翼外侧瓣和唇修复术治疗的单侧唇裂修复后出现鼻孔底狭窄的连续患者进行了评估。术前、即刻和术后晚期分别测量了鼻孔的差异宽度。我们报告了 8 名患者（3 名男孩和 5 名女孩），平均年龄为 9.8 岁（范围：4.5-19 岁）。获得了满意的结果，鼻孔对称性测量良好，随访期间无再狭窄。供区瘢痕可忽略不计。无部分或全部皮瓣坏死的报道。鼻翼外侧瓣是治疗单侧唇裂修复后鼻孔底狭窄的有效重建方法，可与唇裂修复安全结合。
