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  Contents > Previous page > Article detail print Order
o Issue N# 2 - 2017 o

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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