Bilateral Cleft Nose / Columella Lengthening
Procedure of columella lengthening (i) Extraoral incision ďƒ transfixation to prepare the anterior septum border
Position for 1st dome suture !!! Dissection of the nasal septum and the medial crura of the alar cartilages. Note: dissect the tissue between medial crura slightly cranial. Retract tightly for adequate dissection Dissect mucosa from the lateral crus of the alar cartilage ďƒ thereafter a suture is set to form the nostril. Nostril shape is achieved by suturing the lateral crus of the alar cartilage and the nasal mucosa Extranasal stitch through the same cutaneous hole ďƒ invisible from outside, as knot lies intranasally
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...