sion. When placing the sutures in the deep site through 17. Salyer K (1990) In discussion to McComb H; Prmary repair of the bilateral cleft lip nose: a 15-year review and a new the small reverse U incision, a little trick is helpful. The treatment plan. Plast Reconstr Surg 86:890 nasal fascia where the needle should bite is pulled for- 18. Sumiya N, Onizuka T (1990) Primary columella lengthening ward by a skin hook and a 8 mm needle with 5-0 nylon in bilateral cleft lip, Jpn J Plast Reconstr Surg 33:747 bites the nasal fascia. Then a mosquito forceps catches 19. Tajima S, Maruyama M (1977) Reverse U incision for second- the tip of the needle while the needle holder is still hold- ary repair of cleft lip nose. Plast Reconstr Surg 60:256 ing the needle. In this way we find little difficulties in 20. Tajima S (1983) The importance of the musculus nasalis and the use of the cleft margin flap in the repair of complete uni- placing the sutures even in a baby's nose. The reverse U lateral cleft lip. J Maxillofac Surg l 1:51 incision has some columella lengthening effects (Fig. 6). 21. Tajima S
European Journal of Plastic Surgery – Springer Journals
Published: Jan 1, 1997
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