The nose is the most prominent feature on the face, any
asymmetry or irregularity in the nasal contour assumes a great significance.
Craniofacial clefts other than cleft lip & palate are reported to be 1.4 to
4.9 per 100,000 live births. Of these, clefts of the nose are usually
associated with other clefts. Isolated cleft of Ala is rare, 0.7% of all clefts
reported by Monasterio. In an analysis of photographic records of 3,500
consecutive patients with craniofacial clefts including cleft lip & palate
registered with us between 1985-2012 which were accessed through our database,
13 patients with nasal clefts were identified, seven out of which had Isolated
cleft of Ala. All the patients were
treated by the same technique of a posteriorly based full-thickness flap of the
ala rotated into the defect and a Z plasty. Six of the seven patients healed
without incident. One had a minor wound dehiscence which was managed
conservatively. The study has emphasized how uncommon the ailment is and has
provided a straightforward surgical method for its treatment. The authors
believe that this relatively easy treatment, which even a junior surgeon can
do, has good long-term results in the management of cleft Ala.
Author(s) Details:
J. Rajesh Jinka
Department of Plastic Surgery,
Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, India.
Harikiran Chekuri
Department of Plastic Surgery,
Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, India.
Dr. Gopalakrishna
Annavarapu,
Department of Plastic Surgery, Deccan College of Medical Sciences
and Allied Hospitals, Hyderabad, India.
Please see the link here: https://doi.org/10.9734/bpi/nvmms/v8/12522F
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