الفهرس | Only 14 pages are availabe for public view |
Abstract Treatment of the cleft lip-nose is a challenge of long standing. For fear of interfering with growth, it has been thought that correction of the nose should be postponed until development is complete. Consequently, these children suffer a good deal of embarrassment from their appearance during childhood. Furthermore, the established deformity is dif ficult to treat. The deformity of the nose may be summarized in : devia- tion of dorsum of nose and nasal tip, the alar cartilage is tipped caudally, the angle between the medial and lateral crura is more obtuse and the dome is displaced dorsally bukling of the lateral crus and deficiency of the maxillary plafceform, the columella and caudal septum are deviated to the non-cleft side. The septum on the convex side causes varying degrees of obstruction and also accentuates the ten ency to bifidity. Although methods of approach have differed among sur reons, the basic plan of reconstruction has been similar; The ala Kust be freed, repositioned and fixed. If underdevelop Bent-is also present, then an additional transplant or tissue shift must be added. The aim of this work was to study the anatomy of the nose md lip in normal subjects in order to make a normal standard that will be helpful in surgical correction of cleft lip-nose |