Reconstructive

526) Which of the following is INCORRECT about a Rhinoplasty done for correction of a unilateral cleft lip nasal deformity?

A. Open approach is advisable.
B. Modified columellar incision using bilateral forked flaps is advisable.
C. Septoplasty by removing a strip of cartilage inferiorly to allow the “swing” over the nasal spine is advisable.
D. Cartilaginous columellar strut graft to enhance projection is advisable.
E. Lower lateral cartilages are divided lateral to the dome, reconstructed and 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. 837-839, 2002

Coleman Jr. J. R., Sykes J. M.: Cleft Lip Rhinoplasty, Chapter 77 in Facial Plastic and Reconstructive Surgery (Papel, I. editor), Thieme, Third Edition, 2009, pp. 1079-1093


526) B          Modified columellar incision using bilateral forked flaps is advisable.