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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

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Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

Cleft Ultimate Treatment  

Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...

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