Issue N# 2 - 2017
PAEDIATRICS
Bilateral cleft lip and cleft nose. A rare association: Our experience
Authors : Clarós P, Clarós A. (Barcelona)
Ref. : Rev Laryngol Otol Rhinol. 2017;138,2:57-61.
Article published in english 
Downloadable PDF document english
Summary :
Introduction: The nasal columella is an important midfacial anatomic structure. Its lesions arise mostly from trauma or infection. Its congenital anomalies are very rare. Objective: The objective of this study is to report our experience dealing with that rare combination of lip and nasal cleft read in light of the literature. Methods: The observations of 4 cases of congenital anomalies of the nasal columella associated to bilateral cleft lip in African children attended during humanitarian outreaches of Claros Foundation in Africa were studied retrospectively. The management of some cases was based on columella reconstruction surgery. The epidemiological parameters, clinical history, therapeutic and outcome were studied. Results: We recorded one case of absence of nasal columella in a polymalformative syndrome; Two cases of hypoplasia of columella associated with an absence of nasal septum and medial cleft lip palate and one case of hypoplasia of nasal columella. Reconstructive surgery was done for one case by chrondrocartilagenous graft taking from the ear. Conclusions: Bilateral cleft lip and cleft nose is a rare association. After-clinical assessment to rule out others malformations, the reconstruction must be envisaged which is a challenge because of taking to consideration the age and the presence of functional outcomes.
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