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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2016
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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. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4979346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT balajism cleftrhinoplastycolumellarlengtheningprolabialreconstructionwithabbeflap |