Columellar Lengthening in Cleft Nasal Defects

Introduction: A correction of cleft lip/palate associated rhinoplasty using abbe flap is performed in this study. The outcome and perception of the abbe flap for cleft rhinoplasty at patient, surgeons, and patients caregiver evaluation questionnaire.

Materials and Method: A retrospective analysis of preoperative satisfaction and prospective analysis of postoperative satisfaction of patients who underwent cleft rhinoplasty were carried out using questionnaire.

Results: Six case of bilateral cleft lip and palate who had earlier undergone cleft rhinoplasty and lip revision with abbe’s flap formed the study group. The mean age of 6 subjects was 23.00+/-3.8 years. there were 2 males and 4 female forming the study group.the mean presurgical questionnaire score was 22.8+/-10.6 while the postsurgical score was 83.5+/-26.2. This difference was statistically significant (p = 0.001). the difference in score between the time period was 60.7%.

Discussion: From the questionnaire and other qualitative parameters, it is possible to demonstrate the impact of abbe flap of cleft rhinoplasty and its impact on the quality of life of patient. most of the patient and caregivers believed that this approach achieved agood or excellent postoperative results