GRADUATED APPROACH TO LENGTHENING COLUMELLA IN CLEFT RHINOPLASTY
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Abstract
The purpose of this article was to present a graduated approach to lengthening columella in cleft rhinoplasty based on antropometric features. This was a retrospective cohort study of patients treated at the Hanoi Medical University Hospital from 2017 to 2021. 18 patients underwent rhinoplasty with four approaches include: V-Y plasty (10 patients), rotation-advancement flap (3 patients), Forked flap (3 patients) and Abbé flap (2 patients). Outcomes were assessed by using a Rhinoplasty Outcome Evaluation (ROE) questionnaire and the Mortier scoring system. 8 parameters of anthropometric measurement were collected for objective evaluation. Of the 18 patients enrolled in the study, 10 were women and 8 were men. Mean follow-up period was 9 months. The average degree of initial deformity was 22.72 ± 5.99 and postoperative result was 72.58 ± 11.45 according to the “Rhinoplasty Outcome Evaluation (ROE)”. The graduated approach has shown excellent outcomes, a high rate of patient satisfaction, and a low rate of complication.
Article Details
Keywords
Cleft lip and palate, rhinoplasty, columella lengthenning
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