Abstracts

MODIFIED FORKED-FLAP FOR COLUMELLA LENGTH CONTROL IN CLEFT-LIP OPEN RHINOPLASTY.

Dr. Franco Carlino,
Section of Maxillo-Facial Surgery - Unit of ENT - Hospital S. Camillo - Forte dei Marmi (LU)

Purpose
Repositioning columellar flap for suture in open rhinoplasty always decreases tip projection (supratip break), particularly in cleft-lip patients with short columella.
A modification of the Millard forked-flap for columella lengthening is presented.

Method
Columellar incision is designed in the classic tepee fashion with central inverted-V extremely narrow and long.
The arms of the inverted-V go down beyond the columella rims and stop at the base of vestibule, make extremely narrow angles and head vertically for the nostril tip, continuing as normal marginal incision in the two nostrils.
A complete W is done, whose lateral angles and arms lay in the nostrils, while the central inverted-V is in the columella.
Suture is performed with three V-Y, one for each angle of the W-formed incision.

Discussion and conclusions
The technique lengthens columella and/or allows to close the columellar open incision without tension.
All the incisions lay either in the columella or in the nostrils.
The technique has the advantage of the forked flap (columella lengthening) without creating additional scars in the lip.


« Back

 
Organising Secretariat
CQ Travel s.r.l.
Via Pagliano, 37 – 20149 Milano, Italy
Fax : +39 02 43 91 16 50
Phone: +39 02 48 04 951
Email congress@cq-travel.com