A ten-year surgical experience in patients of Tessier No.0 cleft with a bifid nose

作者：Wang, Xin; Wang, Huan; You, Jianjun; Han, Ri; Zheng, Ruobing; Xu, Yihao; Zhang, Xulong; Guo, Junsheng; Fan, Fei^*

来源：International Journal of Pediatric Otorhinolaryngology, 2023, 164: 111399.

DOI：10.1016/j.ijporl.2022.111399

• Bifid nose
• Nose construction
• Tessier No
• 0 cleft
• Expanded forehead flap

Background: Tessier No.0 cleft with a bifid nose is a rare malformation. Reconstruction of the nose is essential for children/adults to correct facial cosmetic defects and contribute to developing patients' mental health. The aim of the study was to present the 10-year clinical results using local flaps or expanded forehead flaps in bifid nose patients.Methods: A retrospective review was performed between January of 2010 and August of 2021 in our department. Sex, age at surgery, associated anomalies, and type of operation were reviewed.Results: A total of 33 patients were retained. The median duration of follow-up was 5.5 years. Fourteen patients underwent multi-stage nasal reconstruction using expanded forehead flap with costal cartilage as a framework, and 16 patients were operated with local skin flap with silicone while the other three were operated with local skin flap with costal cartilage. There were six cases (18.18%) of complications in our study. During follow-up, 28 patients (84.85%) had satisfactory outcomes, four patients (12.12%) had partially satisfactory results, and one patient (3.03%) had an unsatisfactory outcome.Conclusion: Using local skin flap with silicone or costal cartilage rhinoplasty and nasal reconstruction using expanded forehead flap with costal cartilage for patients with a bifid nose of Tessier No.0 cleft showed that it was safe and effective, and had satisfying results in the long-term follow-up.

• 单位
  南方医科大学; 中国医学科学院