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Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap

INTRODUCTION: A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in...

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Autor principal: Balaji, S. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979346/
https://www.ncbi.nlm.nih.gov/pubmed/27563610
http://dx.doi.org/10.4103/2231-0746.186146
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author Balaji, S. M.
author_facet Balaji, S. M.
author_sort Balaji, S. M.
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description INTRODUCTION: A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in literature. This manuscript aims to address this lacuna through the use of rhinoplasty outcomes evaluation questionnaire (ROEQ). MATERIALS AND METHODS: A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using ROEQ. This was used twice measuring the pre- and post-operative periods. RESULTS: Twenty-one cases of bilateral cleft lip and palate who had earlier undergone (0.5–3 years back) cleft rhinoplasty and lip revision with Abbe's flap formed the study group. The mean age of the 21 subjects was 22.87 ± 4.23 years. There were 13 males and 8 females forming the study group. The mean presurgical ROEQ score was 19.8 ± 11.2, while the postsurgical score was 78.5 ± 21.2. This difference was statistically significant (P = 0.001). The difference in score between the time period was 58.7%. DISCUSSION: From the ROEQ and other qualitative parameters, it is possible to demonstrate the impact of Abbe flap for cleft rhinoplasty and its impact on the quality of life of patients. Most of the patients and caregivers believed that this approach achieved a good or excellent postoperative result. The biological and operators factors behind such a success are discussed in light of previously published literature.
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spelling pubmed-49793462016-08-25 Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap Balaji, S. M. Ann Maxillofac Surg Original Article - Retrospective Study INTRODUCTION: A single center's experience of correction of cleft lip/palate associated rhinoplasty using Abbe flap is relatively rare in literature. The outcome and perception of the Abbe flap for cleft rhinoplasty at patient, surgeons, and patient's caregiver level have not been found in literature. This manuscript aims to address this lacuna through the use of rhinoplasty outcomes evaluation questionnaire (ROEQ). MATERIALS AND METHODS: A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using ROEQ. This was used twice measuring the pre- and post-operative periods. RESULTS: Twenty-one cases of bilateral cleft lip and palate who had earlier undergone (0.5–3 years back) cleft rhinoplasty and lip revision with Abbe's flap formed the study group. The mean age of the 21 subjects was 22.87 ± 4.23 years. There were 13 males and 8 females forming the study group. The mean presurgical ROEQ score was 19.8 ± 11.2, while the postsurgical score was 78.5 ± 21.2. This difference was statistically significant (P = 0.001). The difference in score between the time period was 58.7%. DISCUSSION: From the ROEQ and other qualitative parameters, it is possible to demonstrate the impact of Abbe flap for cleft rhinoplasty and its impact on the quality of life of patients. Most of the patients and caregivers believed that this approach achieved a good or excellent postoperative result. The biological and operators factors behind such a success are discussed in light of previously published literature. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4979346/ /pubmed/27563610 http://dx.doi.org/10.4103/2231-0746.186146 Text en Copyright: © Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article - Retrospective Study
Balaji, S. M.
Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title_full Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title_fullStr Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title_full_unstemmed Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title_short Cleft Rhinoplasty- Columellar lengthening prolabial reconstruction with Abbe flap
title_sort cleft rhinoplasty- columellar lengthening prolabial reconstruction with abbe flap
topic Original Article - Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979346/
https://www.ncbi.nlm.nih.gov/pubmed/27563610
http://dx.doi.org/10.4103/2231-0746.186146
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