548) Which of the following statements is FALSE about Rhinoplasty done for a Bilateral Cleft Lip-Nasal Deformity?
A. An open approach is advisable.
B. A Columellar approach using an inverted V incision or bilateral forked flaps is advisable.
C. Septoplasty to correct any nasal obstruction and to obtain grafting material is advisable.
D. A Cartilaginous Columellar Strut Graft to enhance projection is advisable.
E. The Lower Lateral Cartilages are divided and inverted but not reconstructed or sutured to the columellar strut.
REFERENCES & ANSWER
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 66 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 840-841, 2002
Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 1079-1093, 2009
548) E The Lower Lateral Cartilages are divided and inverted but not reconstructed or sutured to the columellar strut.
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