Surgical Correction of Bifid Nose Due to Tessier’s No. 0 Cleft
OPEN ACCESS MPS
active ostetomy should not be perfomed, in order to
avoid an adverse effect on nasal growth.
In this case we planned replacement of the alar carti-
lages and designed a forked flap to narrow the columella
and heighten the nasal tip because the nasal deformity
was mild. After incision, we removed the redundant soft
tissue between the alar cartilages, and then sutured them
to each other. In view of the patient’s age, we did not
perform osteotomy or cartilage grafting. Although the
timing of surgery is controversial, we think it should not
be performed before one year of age in consideration of
the risk of general anesthesia.
4. Conclusion
We performed rhinoplasty with a type of forked flap for
bifid nose patient at one year one month of age and
achieved relatively good results. Patients with bifid nose
are classified into No.0 or 14 cleft by Tessier’s classifi-
cation and we should plan a surgery for each patient in-
dividually because nasal malformations are different in
each case.
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