38

EXAMPLES OF COMPLETE CASES

CLEFT

TI

SAME CODE

WITH

IS

USED

AS

IN

INCOMPLETE

FROM THE PRIMARY SURGERY IN

NOTED RESULTING BE DEALT

UNILATERAL

IN

THE

CLEFTS

DISCREPANCIES

COMPLETE

CLEFTS

WILL

SECONDARY SECTION

TO CODE ON CASES

KEY

NOSE BIRTH

J3D

DATE

FAMILY FIRST

CA

NASALFLOOR

HISTORY LIP

TRIMESTER

OTHER

CONGENITAL

ANOMALIES

OPERATION

AD

ADHESION

ADV

ADVANCEMENT

ROT

ROTATION

RA

ROTATIONADVANCEMENT

HP

HARD PALATE

SP

SO FT PALATE

BONE GRAFT BACKCUT WHITE

ROLL

FLAP

FLAP COL

COLUMELLA

CLEFT

IS

SUBMUCOUS TOTTION

INDICATED CLEFT

OR

BY HORIZONTAL

BY

STIPPLING

SUBMUCOUS DIS LINES

A1VEOLUS

GENERAL STATISTICS THE

IN

UNSELECTED

MIAMI 35

AND PRESENTED

IN

IN

LEFT

THE

FIRST

HAD

16

29 CLEFT

HAD INCIDENTS

15

HAD OTHER

ASSOCIATED

IN

59 MALE 29 RIGHT

FEMALE

OF CLEFTS

HISTORY

OF PREGNANCY

TRIMESTER

21

NEGRO

FAMILY

CHAPTER

CHAPTER 39 HAD

THIS

PALATE 77 WERE CAUCASIAN

OPERATED ON

CLEFTS

45 WERE INCOMPLETE

DETAIL

COMPLETE DISCUSSED

51

UNILATERAL

OF 80

SERIES

IN

ANOMA

CONGENITAL

LIES

IN

THE INCOMPLETE

WAS

CAUCASIAN 29

HAD

LEFT

CLEFTS

NEGRO

FH

45

HAD ASSOCIATED

10

THERE WERE 12 FEMALE

33

MALES

IN

FT

HAD INCIDENTS

OF CLEFTS

CP

44

WERE

16

RIGHT

AND

HAD

OCA IN

THE

FH

HAD INCIDENTS

OF CLEFTS

THERE COMPLETE CIATED

FEMALE

NEGRO

CAUCASIAN

IS

NO

CLEFT

PERCENT

HAD

CP

IN

LIPS

IN

FT

IN

AND 83

ASSOCIATED

FREQUENT

WITH

PERCENT

CAUCASIAN

74

PERCENT

MALE 26 PERCENT FEMALE

PERCENT

LEFT

20

PERCENT

WITH

FAMILY

19

PERCENT

WITH

FIRST

10

PERCENT

WITH

OTHER

36

OF

TRIMESTER

PALATE

CLEFTS

INCIDENT

CONGENITAL

IN

COMPLETE

SERIES

RIGHT

HISTORY

INCOMPLETE

OF COMPLETE

PERCENT NEGRO

PERCENT

LEFT

WERE HAD

OCA

HAD

BETWEEN

TOTAL

96

CLEFTS

22

RIGHT

AND

PERCENT

PERCENT

LIP

13

33

AND

PARAMETERS EXCEPT THAT ASSO

49

64

488

MALE

WAS 38 TIMES MORE

PERCENTAGES OF

26

THE FOLLOWING

OF INCOMPLETE

CP

HAD ASSOCIATED

29

DIFFERENCE

SIGNIFICANT

CLEFT PALATE

22

35

CLEFTS

COMPLETE

ANOMALIES

CLEFTS

LIP

CLEFTS CLEFTS

CASES WITHOUT

REFINEMENTS

CASE O1T

BD

OCTOBER

FH

NO

FT

UNEVENTFUL

OCA

NONE

MONTHS

AT

OP

RA WITHOUT

EARLY

MING OF

AT

MONTHS LIP BORDER VERMILION

EXCISION

SION

REFINEMENTS

FREE

REVISIONS

SCAR

1957

CLEFTS

AT

12

NOSE

YEATS LIP

NOSE

REVISION

ALAR

ALAR

AND

RIM

FREE

RIM

TRIM

EXCI

BORDER

EXCISION

NORMAL ALAR BASE EXCISION

DEFOTMITY AND EARLY RESULTS

ORIGINAL

PUBLISHED

25600

PLAST

IN

RECONSTR

SURG

1960

YEATS

COMMENT

AN EARLY

ROTATIONADVANCE

MENT WITHOUT REFINEMENTS THAT PTODUCED 14

ST

YEARS

GOOD

LIP

AND NOSE

STILL

EARLY

BD

OCTOBER

FH

NO CLEFTS

FT

BLEEDING

OCA

NONE

RA

AT

OP MENTS

EARLY

DIGIRARION

RA

WITHOUT

ON WEAK

LOWER LIP

UPPER SCAR MUCOSAL ROLLDOWN

SIDE NOSE ALAR BASE

CLEFT

AND

INTER

YEARS LIP

VY

VY ADVARI SIDE

IN

II

EXCI

CRESCENT

POSTERIORLY

AT

REFINE

VERMILION

SIDE

AND

REVISION

CASE

MONTHS

CLEFT

REVISIONS

REFINEMENTS

1957

29

ALAR RIM

STON

WITHOUT

CASES

ALAR

MEDIAL

WEDGE

ON

CLEFT

ON

EXCISION

NORMAL SIDE

MONTHS

2T

DEFORMITY AND EARLY RESULT

ORIGINAL

PUBLISHED

PART

IN

RECONSTR

SURG

1960

25602

YEARS

IC

II

IC

COMMENT THE LATERAL FREN

FLAP

THE

ROTATION

PRODUCED ATTENUATION VERMILION

LATERAL

SECONDARY CC4LLLU IOR

ADVANCEMENT OF THE

INTO

VY

THIS

OF THE

REQUIRED

ROLLDOWN AND

ME DOING

CC CI4

GAP

RIMA

MUCOSAL TRANSPOSITION

FINALLY

TCCS

YCJATV TO

THE

WEAK SIDE YEARS

490

CC CCC

JIARLY

CASES

WITHOUT REFINEMENTS

CASE

SEPTEMBER 26

FH

NO

FT

AUTO

1958

CLEFTS

ACCIDENT

2ND

IN

MONTH

RA

AT

MONTHS WITHOUT

OP

WEDGE OUR OF RIM

REFINEMENTS

NASAL

ALAR

LINING

CLEFT

CRESCENT

VERMILION

OVERLAPPING NONCLEFT SIDE

MONTHS

HP

AND

SP

FLAP

FOR

HARD

AT

VOMERIAN

YEAR

AND

PALATE

FLAP

PUSHBACK

REVISIONS

AT

TOOTH

PROMINENT

IN

VY

AREA MID

EXTRACTED

YEARS

PREMAXILLARY

OF VERMILION

TUBER

COMMENT THE OUTWARD ROTATION

OF

AND RERROPOSIRION

OF

THE PREMAXILLA THE MAXILLA

HAVE

ON THE

BENEFITED

CLEFT

AN

BY

WOULD

SIDE

ADHESION

THE

NASAL

DEFORMITY WAS STUBBORN THE

MUS

WHICH

CLE

DID

IT

BUNCHING

MENT

RESTING

WITH ROLL

FINEMENTS

THE

LATERAL

IS

LIP

ELE

OVER THE PROMINENT PRODUCED

BULGING WHICH

TIME FLAP

IN

HAS

PREMAXILLA NATURAL

NOR HAVE

THE

LACK

IS

AN

IMPROVING

OF THE

WHITE

NOTICEABLE MODERN RE

AND EXTENSIONS WOULD HAVE

IMPROVED THE EARLY RESULT AS WOULD THE

YEARS

MORE

RECENT

NOW BEING USED

MUSCLE

SURGERY

EARLY

BD

OCTOBER 17

FH

NO

FT

UNEVENTFUL

OCA

MIDLINE

RA

AT 22

OP

EATLY

MENTS

1958

UPPER

SINUS

LIP

MONTHS

WITHOUT

22 MONTHS

MONTHS

REFINE SKIN

VESRIBULAR

VERMILION

FROM

OVERLAP

ALAR RIM CRESCENT EXCI

SIDE

CLEFT

SLON

OF

REVISIONS

SIDE

CLEFT

LIP

POSTOPERATIVE

YEAR

ROLLDOWN

OF MIDLINE

EXCISION

VY

MUCOSA ON UPPER

SINUS

DEFORMITY AND EARLY RESULT

ORIGINAL

IN

PUBLISHED

PLAST

RECONSTR

SURG

1960

25599

CONTRACTION 212

MONTHS

PRESENT

AT

POSROPETA

BUT GONE BY MONTHS OLD TIVE

SKIN

COMMENT

OF THE UPPER

LINE

BEEN REPORTED ARURE

IT

IS

ASSOCIATION

LIP

IN

EXCEPT

SIX

HAS

IN

SINUS LIP

IS

IN

THE

RARE

MID

HAVING

TIMES IN THE LITER

NEVER BEEN RECORDED WITH

THIS

CLEFT

OF THE

CASE

12

II

492

CASE

CLEFTS

EXCESS

EXCISED

WITHOUT REFINEMENTS

CASES

YEARS

22

MONTHS POSROPERARIV

REFINEMENTS

CASE

JANUATY

NO FT

UNEVENTFUL

OCA

NONE

AT

3‰ MONTHS

ROT

OP

MONTHS

WITH

HC

ADV WITH WR

HP

VOMER

SP

1962

16

CLEFTS

FOR

ALAR

FLAP AT 10

MONTHS

PUSHBACK WITH RIGHT

AT 13

COL

WEH

RIM

ISLAND

FLAP

MONTHS ILIAC

BLOCKS

OVER MAXILLA

BONE

CANCELLOUS

AND CHIPS

ACROSS

UNDER

AJAR

AND

CLEFT

BASE

AT

YEARS

REVISIONS ION

WEEKS POSTOPERATIVE

YEAR

6YEARS

LIP

SCAR

NOSE

REVISION

EXCISION ALAR

VERMIL

RIM

REDUC

TURN

ORIGINAL DEFORMITY AND EARLY RESULT PUBLISHED

3332

IN

MAST

RECONSTR

SURG

1964

COMMENT ORIGINAL NASAL DEFORMITY SO SEVERE THAT WITHOUT PRIMARY AR CARTILAGE REQUIRE

CORRECTION

WILL

EVENTUALLY

SECONDARY RHINOPLASRY YEARS OF AGE

AT 16

EARLY

REFINEMENTS

MARCH 27 PATERNAL

1962 CLEFT

GREARAUNT

AND PALATE

LIP

FT

CASE

UNEVENTFUL HEMANGIOMA

CAPILLARY THE

OF

CHEEK

42

RA

MONTHS

ROT WITH BC OP ADV FLAP TIP TAKEN FROM WT

USED

FLAP

EXCISION

HP

ALAR

DFJ

WEEKS

CLOSURE

FLAP

COL

RIM CRESCENT

CONTRACRURE AT

VOMER

FOR

VESTIBULE

10

AT

MONTHS

SR

PUSHB WITH

RIGHT

ISLAND FLAP

MONTHS

AT 13

HARD

REVISIONS

AND

TWICE FOR

PALATE

CLOSURE LIP BY

AND

FILLED

THEN

CLOSED

FISRULA

USED TONGUE

FINALLY

MOBILIZED

VERMILION

LATERAL

FLAP FIRST

ADVANCEMENT

OUR BY

VY

TOLL

DOWN YEARS

DEFORMITY AND EARLY RESULT

ORIGINAL

IN

PUBLISHED

PLAST

RECONSIR

SURG

1964

3334

COMMENT

TIP

OF ADVANCEMENT FLAP

TAKEN FROM NASAL VESTIBULE

PRIMARY

PROCEDURE PRODUCED ATTENUATED VET MILION ERAL

II

494

ON

CLEFT

SIDE

REQUIRING

SECONDARY MUCOSAL

MENTS

IR

WEEKS POSTOPERATIVE

AR 4‰ MONTHS

SEV

ADVANCE

511

YEARS

SFR

AIV

REFINEMENTS

EARLY

CASE FL FI

MONTHS

32 MONTHS

BD

JUNE

FH

NO CLEFTS

FT

PTOMAINE

OCA

12

1962

RA

AT

POI

ALAR

HP

CONGENITAL

BECAUSE

DEFORM

WITHOUT

COMMENT PRIMARY ROTATIONADVANCE

REFINEMENTS

RIM EXCISION

SONING HEART

MONTHS

RA

OP

YEAR

AND

SP

OUT WITH

SURGERY POSTPONED

OF SEVERE

MENT WITHOUT

HEART

REFINEMENTS CARRIED

GREAT

CIRCULATORY

CONCERN FOR POOR OF PATIENT

CONDITION

DEFORMITY

PERFORMED ELSEWHERE

SUBSEQUENTLY

ITY

RLY

REFINEMENTS

CASE

MONTHS JANUARY 14

FR FT

NO

TOOTH TION

NON

OCA

1963

CLEFTS

NONE

INFEC

MONTHS

ROT WITH

OP EXTRAC

AND

AR

YEARS

ADV WITH WR

REVZSZONS

BC

FOR

ALAR

RIM

COL EXCI

ION

AT

LIP

YEARS

NOSE

EXCISIONS

ALAR

VERMIL RIM EXCI

SIONS

SION

HP PALATE

AND

AT

AND VOMER

HARD PALATE FISRULA

MONTHS FLAP

CLOSURE

SOFT

OF

COMMENT

NOT

SEEMS AND WILL SIONS

IF

EVER

AS EASY DESERVE

SEEN

AGAIN

CLEFT

MINOR

AS

IT

REVI

REFINEMENTS

EARLY

BD

JANUARY 20

RH

NO

FT

UNEVENTFUL

OCA

NONE

1963

CLEFTS

RA

AT

OP

ROT WITH

MONTHS

312

BC

FOR

COL

POSTERIOR

MU

TO

CLEFT

SIDE

ALAR RIM WEB EXCISION

AND

EX

ADV WITH WR COSAL

TRANSPOSITION

OF

CISION

REVISIONS

MONTHS

YEARS

THE LINING

MONTHS POSTOPER

LIP

ARIVEVERMILION SION

NOSE

ALAR

BASE

NASAL

CASE

FREE YEARS

BORDER EXCI

POSTOPERATIVE INTO

TRANSPOSITION

THE

FLOOR

DEFORMITY AND EARLY RESULT

ORIGINAL PUBLISHED

52624

IN

1965

ASSOC 21914

FLA

AND

MED

ASSOC

AM MED WORN

1966 YEARS

COMMENT ALAR BASE DRIFTING

REQUIRED

SECONDARY TRANSPOSITION FINALLY COURAGED ME TO ADVANCE THE

EN ALAR

BASE ON TOP OF THE ADVANCEMENT FLAP AND LATER DENUDE ITS TIP AND SUTURE IT

TO

THE

SEPTUM FOR

STRONG ALAR

BASE TIE YEARS II

496

99 99

49 999

99979 99979

937

99

3797999

97

99

99

99

997

11

999

91

999999

99999

99

9999

9999

999

REFINEMENTS

BARLY

CASE

10

MONTHS

DAYS

MONTHS

10

BD

JULY

26

FH

NO

CLEFTS

FT

UNEVENTFUL

OCA

MUCOUS LOWER

SP

1963

AT

MONTHS

10

SURE AT

YEARS

SOFT PALATE

DO

PHARYNGEAL FLAP TO

SOFT PALATE

PITS

OF

HP

AR

YEARS

VOMER FLAP CLOSURE

YEARS

ORIGINAL DEFORMITY AND EARLY RESULTS PUBLISHED IN PLAST

OF HARD PALATE

LIP

POSTOPERATIVE

RECONSTR CLEFT

TRANS 4TH

RECONSTR

LIP

SURG 1969

SURG

42343

AND

PALATE

MT

CONGR

AND PLAST AND

1968 BY

GRABB

ROSENSTEIN AND BZOCH 1971

RA

AT

OP

ROT WITH

FOR

COL

MONTHS

REVISIONS

BC

10

ADV WITH WR

ALAR RIM WEB EXCISION DEFICIENT RESULTED

ATTENUATED

IN

BG

AT

AND CHIPS 13

CLEFT

SIDE

MONTHS

RIB GRAFTS TO

SPLIT

ONLAY MAXILLA

INTO

ALAR

RIM EXCISION

MONTHS LIP UPPER

AND

VY

CLEFT

SIDE

AT

SCAR EXCISION

ROILDOWN OF MUCOSA

ON

CLEFT

COMMENT

SEVERE

AND MAXILLARY TRICKS

DEFICIENCY

TISSUE REQUIRED

INCLUDING

MUCOUS PITS AND

EXCISION

REEXCISION

CORRECTED

THIS

AT

AT

YEARS

DEFORMITY

MONTHS FINALLY

OF

LIP

SEVERAL

BONE GRAFTING

ENDED UP WITH GOOD RESULT

ELEMENT

CLEFT

VERMILION ON

NOSE

BUT

EARLY

REFINEMENTS

BD FH

FEBRUARY 27

FT

UNEVENTFUL

OCA

NONE

NO

RA

AR

OP

ROT

SURE

MONTHS

BC

WITH

FOR

ALAR

HARD

FLAP

ISLAND

BONE GRAFT

ILIAC

YEARS

AR

YEARS

AND

EXCISION

NOSE

ALAR

OF VESTIBULE

OF UPPER SCAT AND

REVISION

DO

FLAP

UNDER ALAR BASE

MAXILLA

RESISIONS

SOFT PALATE

MONTHS

13

WITH

MONTHS

DAYS

CLOSURE

AT

TERIOR

COL

RIM WITH

EXCISION

AT 82 TO

1964

AT 10 MONTHS VOMER

PALATE

SP

11

CLEFTS

ADV WITH WR ELLIPTICAL

HP

CASE

MUCOSAL

LIP

VY

MUDOWN

RIM

ON

POS CLEFT

SIDE

MONTHS

YEARS

YEARS

II

YEARS

WIDE

COMMENT

NASAL DISTORTION

WITHOUT

SEEN

IN

EARLY

AND EVENTUALLY

DOWN AND 14

WHICH WAS ROTATED

DIFFICULTY

FLAP BOLSTERING

WITH

CLEFT

OF

LACK OF MUCOSAL THE

CLEFT

POSTOPERATIVE REQUIRED

MAXILLARY

SIDE

IS

PHOTO

VY

ROLL

BONE GRAFTING YEARS

498

REFINEMENTS

CASE

12

WEEKS POSTOPERATIVE

MONTHS POSTOPERATIVE

BD

YEARS

OCTOBER 20

HEALING LIP CONTRACTURE

1964

GRADUALLY

MOTHERS PARER COUSIN

NAL LIP

FT

CLEFT

AND PALATE

VIRAL

CA

YEARS

INFECTION

AT

AT

WEEKS

MONTHS AND

HP SP

13

AR

OP

ROT WITH BC

FOR

COL

ALAR RIM

NO

POSTERIOR

TRANSPOSITION SIDE

MUCOSAL TO

SPLIT

RIB

GRAFTS TO

MAXILLA AT

EARLY

LIP

CONTRACRURE

MARKED BUT GRADUALLY ALMOST SYMMETRICAL

AR

YEARS

VERMILION REVISIONS EXCISION

FLAP

SURG

CONGR

COMMENT ORIGINAL DEFORMITY SEVERE

REVISIOM

NONCLEFT

MT

1969

THE

MINOR

EXCISION

RECONSTR

MONTHS

MONTHS

ADV WITH WR

TRANS 4TH

PUBLISHED IN

LEFT OPEN UNTIL YEARS PUSHBACK WITH ISLAND FLAP AT

YEARS

RA

ORIGINAL DEFORMITY AND EARLY RESULT

PLAST

YEARS

BG

NONE

RELAXED

ALAR BASE

LIP NOSE

SCAR ALAR

REVISIONS

AND

NASAL CORRECTION

RIM

16

TRANSPOSITION

YEATS

SETTLED

REQUIRING

WAS UNTIL

ONLY

YEARS FURTHER WILL BE REQUIRED AT

AT

EARLY

REFINEMENTS

BD

JANUARY

FH

NO

FT

UNEVENTFUL

OCA

NONE

RA

AT

13

1965

CLEFTS

MONTHS

ROT WITH

OP ADV WITH WR

BC

TRANSPOSITION

REVISIONS

LIP

FREE

NOSE

SIDE

VANCEMENT

FOR

COL

WEEKS POSTOPERATIVE

MEDIAL MUCOSAL

POSTERIOR

CLEFT

CASE

TO

CLEFT

SIDE

BORDER TRIM ON

VY

AHR BASE

AT

MEDIALLY

AD

YEARS

YEARS

COMMENT THE ORIGINAL TION

NASAL

DISTOR

WITH THE ALAR CREASE EXTENDING

INTO

KINK IN

PROBLEM

PERSISTENT CORRECTED REVISION

THE ALAR

PRIMARILY AT

16

YEARS

RIM IT

SO WILL OR

CAUSED

WAS NOR REQUIRE

SOONER YEARS

500

IJ

JARLY

REFINEMENTS

CASE

14

FEBRUARY 24

RH

NO

FT

AUTO

1965

CLEFTS

FRIGHT

AROUND

TIME

OF CONCEPTION

OCA

NONE AT

MONTHS

ROT WITH BC OP FOR COL ADV WITH WR POSTETIOR MU TRANSPOSED FROM MEDIAL TO

COSA

24 MONTHS

272

MONTHS

CLEFT

SIDE

HP

AT

YEAR

VOMER FLAP AT TIME

OF PUSHBACK

SP

PUSHBACK WITH ISLAND

AT

REVISIONS ORONASAL

YEARS

FISTULA

LIP

SCAR

FLAP

RT

CLOSURE OF EXCISION

44

YEAR

COMMENT SEVERE PRIMARILY

ORIGINAL NASAL DISTORTION BUT AS IT WAS NOT CORRECTED WITH

LAGE RHINOPLASTY NECESSARY 7YEARS

LIFT AT

OF THE ALAR CARTI 16 YEARS WILL BE

EARLY

REFINEMENTS

BD

MARCH

91965

PH

PATERNAL

3RD

COUSIN

CASE

15

CLEFT

LIP

FT

UNEVENTFUL

OCA

NONE

RA

AR

OP

ROT

MONTHS

BC

WITH

COL

FOT

ADV WITH WT RESULT GOOD BUT SLIGHT SIDE

HP

OF MUCOSA OF

DEFICIENCY

FREE

CLEFT

BORDER

AR

MONTHS

VOMER

FOR

FLAP

MONTHS

MONTHS

HARD PALATE CLOSURE

SPAR

11

MONTHS SOFT

BACK WITH ISLAND FISRULA

BC

CLOSED

AR

5Y

OVER MAXILLA INTO

CHIPS

AT

YEARS BONE GRAFT

ILIAC

YEARS

UNDER ALAR BASE WITH THE CLEFT

YEARS NOSE

AT

REVISIONS

TAKEN OUT OF ALAR BASE INTO VESTIBULE MUCOSAL

PUSH

PALATE

FLAP

FOR RELEASE

ROLLDOWN

FLAP

TRANSPOSED

FOR

LIP

VY

LIP

FREE

MONTHS

YEARS

BORDER

ORIGINAL DEFORMITY AND EARLY RESULTS PUBLISHED

42536 ATE

IN

1968

RECONSTR

AND

CLEFT

GRABB

BY

LIP

SURG

AND PAL

ROSENSTEIN

AND

BZOCH 1971

II COMMENT II

NON

THAT

CLEFT

WITH

SEVERE

WAS EFFECTIVELY

DIS

ROT

YEARS

CORRECTED

WITH THE PRIMACY ROTATIONADVANCE

MENT PROCEDURE MINOR

REVISIONS

NECESSITATING AT

ONLY

YEARS YEARS

502

US

JAS

REFINEMENTS

EARLY

CASE

16

MONTHS YEAR

EARLY

CONTRACRUREGRADUALLY

RELAXED

11

BD

1966

MAY FARBERS MOTHER TWINS

BAD AND

BAD

FT

OF MUCOSA FROM MEDIAL SIDE CUR OFF

GRAND

ONE

CLEFT

LIP

RA

TEAL

ALVEOLAR

MONTHS

WITH

MUCOPERIOS

AND BURIAN

BC

ADV

POSTERIOR

WITH

AND

FLAP FOR

WR

TRANSPOSITION

ANTERIOR LATER

YEARS

FROM

REVISIONS AR YEARS LIP ADVANCEMENT ON CLEFT SIDE GRAFT

OF MUSCLE

TRANSPOSITION

RIB

ACROSS

INTO

THE

MAXILLA

BASE

SP

RENDOUS

YEARS CLOSED

AND ALAR RIM

MONTHS

ORIGINAL

DEFECT

NECESSITATING

MUCOSAL ROLLDOWN VERMILION

PUSHBACK WITH ISLAND

FISRULA

NOSE

MUCUSAL AND FREE ALAR

BASE

REVISIO

INSERTED

COMMENT SPLIT

AND

CLEFT

ALAR

FLAP AT

PALATE

BURIAN

REVERSED

MAXILLA

AR

UNDER

ANTERIOR

MUCOSA BOL

MONTHS SCREWPLATE

15

BG

ROT WITH COL

AT

BLEEDING DURING

AR

CLEFT

MEDIAL SULCUS

HP

FLAPS

BY

TO SPREAD

NONE

OP CLOSED

STERED

AND PALATE

TRIMESTER

OCA

SO

INADVERTENTLY

FREE

WAS HOT

SECONDARY TO BALANCE THE

BORDER

REFINEMENTS

EARLY

OCTOBER 14

CASE

17

12

1966

NO CLEFTS

FH FT

UNEVENTFUL

OCA

NONE

AT

MONTHS

2‰ AND

FLAPS

ANTERIOR

PALATE

WITH VOMER SEPRAL AND

CLOSED

BACKED

LATERAL

WEEKS

WEEKS

RURBINARE

WITH

II

MUCOSA AR 32

MONTHS

ROT WITH BC FOR COL OP ADV WITH WR ALAR RIM EXCI SION

BG

AR

MONTHS

13

MUCOSAL FLAP

ISLAND

AR 18 MONTHS

BONE

AND INTO CLEFT

COVERED WITH BURIAN

SP

RIB

SPLIT

MAXILLA

GRAFTS TO

PUSH

FLAP

BACK OF PALATE HYPOPLASRIC MAXILLA RHODONRIA

IN

NOTED AND OR WITH

ACTION

SOME

IMPROVEMENT

DEFORMITY AND EARLY RESULT

ORIGINAL

IN

PUBLISHED

RECONSTR

COMMENT

WIDE

EARLY RESULT

WITH

CLEFT

NON

YET EARLY ANTERIOR

SURE

USING

MONTHS IN

BENEFITED

GOOD

WITH ROTATIONADVANCE

MENT WITHOUT PRIMARY

SULTED

YEAR

SURG

1968

42537

21

PLAST

HYPOPLASRIC

TO

CORREC

PALATE

AND

RURBINATE

BONE GRAFT

NASAL

AT

MAXILA

MAXILLA

DO 13

RE

BEING

BY ORTHODONTIA YEARS

14

II

II

LII

504 LII

EARLY

REFINEMENTS

CASE

18

414

DECEMBER 24

54

FH

NO

FT

UNEVENTFUL

1966

CLEFTS

NONE

AR

MONTHS

ROT

OP

HC

WITH

ADV WITH WR DIGITATION

HP

MONTHS

POSTERIOR

AND SP2

CLOSURE

AT

FOT

COL

MUCOSAL INTER TO

CLEFT

SIDE

MONTHS

14

OF HARD PALATE

NASAL

AND COVERED

WITH ANTERIOR

MUCOPERIOSREAL FLAP PUSHBACK WITH ISLAND FLAP

RQ

COMMENT

THE

DEFICIENCY

UPPER PORTION OF LATERAL IS

MONTH POSROPERA EARLY LIP

CONTRACRURE

10

MONTHS

REFLECTED

IN

THE

FROM POSTOPERATIVE

YEARSGOOD

RESULT

WHICH SUBSIDED BY

HAVE

ONTHS

YEARS

VARIOUS

THE

STAGES

PHOTO TO

LATE

CLEFT FILLED

EDGE MUSCLE FLAP COULD OUR THIS ROOV PP

FOR SLIGHTLY WILL

LIP

IN

ELEMENR

DESERVE

UER GING

BETTER

BALANCE THE NOSE

REVISION

AT

16

YEARS

EARLY

REFINEMENTS

BD

FEBRUARY 21

FH

NO CLEFTS

FT

UNEVENTFUL

OCA

NONE

RA

AT

OP

ROT WITH

19

1969

MONTHS

BC

ADV WITH WR COSAL FLAP

CASE

TO

CLEFT

FOR

SIDE

COL

MU

POSTERIOR ALAR

32 MONTHS

MONTHS

RIM

EXCISION

EARLY

CONTRACTURE

SUBSIDED

BY

MONTHS

COMMENT

CLOSURE OF

PROJECTING

PREMAXILLA

LUMP PUMMELING THE EXPLAINS

LESS

OF UNION AND

THAN IDEAL LATERAL

OVER

THE

SO

THAT

THE

LIP

PROBABLY

LIP

UPPER SCAR

DRIFTING

OF ALAR

BASE SECONDARY CORRECTIONS WILL NOT DIFFICULT YEARS

II

506

MONTHSEARLY SUBSIDED BY

CONTRA

MONTHS

EARLY

REFINEMENTS

CASE

20

FH

DECEMBER

12

MATERNAL

COUSIN

FT

OCA

NONE

AD

WEEKS

AT

DERMINED

LIP

MEDIAL

TURN

FROM

FLAP

CLEFT

WITHOUT

FLAP

UNDER

TUCKED UNDER

AND SUTURED TO MEDIAL

ELEMENT

RA

AR

OP

CLOSURE OF ALVEOLAR AND

MONTHS

TENOR HARD PALATE OSREAL

FOR RIOR

HP

ROT

LAYER

MUCOSAL

BC

WITH

ADV WITH WR

COL

ALAR RIM

WITH

AN

WITH

MUCOPERI AND MUCOSA OF ADHESION

FLAPS

2ND

FOR

POSTE

TRANSPOSITION

FLAP

EXCISION HARD

POSRERIOT

CLOSED

PALATE

MUCOSA OF NASAL LAYER

SP2 PUSHBACK WITH ISLAND WEEK POSTOPERATIVE

UN

LIP

BACK VERMILION

SIDE

LATERAL

MINING

MONTHS

WITH

AND PALATE UNEVENTFUL CLEFT

WEEKS

1969

FLAP

14

AT

MONTHS

NONE BUT IMPROVING

REVISIONS

WITH

GROWTH

COMMENT LIP

SEVERELY

AND MAXILLA

NASAL

DISTORTION

ADHESION METER

WIDE

CLEFT

IN

WITH SUCH MARKED BENEFITED

MORE BACKCUT

BY

OF

REQUIREMENT

AN

MILLI

THAN

PLACED SCAR SLIGHTLY LOWER IN

USUAL

THE LIP

TWOLAYERED CLOSURE OF THE ALVEOLUS AND

HARD

ANTERIOR

MONTHS CAUSED NOSTRIL

ON

GROWTH THIS

INITIAL

CLEFT IS

AT

PALATE

REDUCTION IN

SIDE

IMPROVING

BUT AS

WITH SEEN

RECENT

ADJUNCTS

ALAR

LIFT

CASE

21

1971

APRIL

FH FT

NO

OCA

NONE

AD

WITHOUT PRIMARY

CLEFTS

UNEVENTFUL

MONTH

AR

RA

MONTHS LATER

OP

ADHESION

MATERIAL

BC

FOR

ROT WITH WITH

WR

NOT USED

MUCOSAL IN

POSTERIOR

ALVEOLAR

RERDIGIRARION NASAL

FLOOR CLOSED

OSREAL

FLAPS

ADV

COL

AND

CLEFT

WIRH

AND LINED WITH

LABIAL

FLAP

ALAR RIM

WEB

NUDED AND TRANSPOSED AS

FLAP

FROM SULCUS

NASAL

HP

MONRH

MUCOPERI

TIP

ANDSP

AT

MONTHS

13

MONTHS

COMMENT BY

AN

USING

CLEFT

SEVERE

ADHESION

THE

WHICH

IS

IN

ROTATION

THE

AND

BE NECESSARY

508

EARLY

THE

CARRIED

CONTRACRURE

SUBSIDING

OF ADHESION MATERIAL IMPROVED

WAS

EARLY

GRADUALLY

WITHOUT

MATERIAL

ROTATIONADVANCEMENT OUR RESULTING

IMPROVED

THEN

ADHESION

WOULD RESULT

READVANCEMENT

USE HAVE RE

MAY

MONTH

MONTHS

POSTOPERATIVE

RA

ECENT

ADJUNCTS

WITHOUT PRIMARY

ALAR

CASE

LIFT

16

APRIL

22

1971

FH

NO

FT

UNEVENTFUL

OCA

NONE

CLEFTS

MONTHS

AD

AT

WEEKS WITH SLIGHT FTEEING ON CLEFT SIDE

FROM MAXILLA AR

MONTHS

WITH BC OP FOR COL ADV WITH WR POSTERIOR MU ROT

COSA

INRERDIGIRARION

TO

WEEKS

WEEKS POSTOPERATIVE

HP

ARROW SCAR

EVEN

NEVER COM

RECOVERED

PLETELY

WEEKS POSTOPERATIVE

AND TRANS

WITH CATGUT REACTION

HEALING AT

SIDE

CLEFT

SALAR RIM DEEPIT HELIALIZED

AND

SP

AT

HACK AND ISLAND

MONTHS PUSH

17

AND VOMER

FLAP

FLAP

WITH ANTERIOR MUCOPERIOSREAL COVER

WJE COMMENT WIDE ADHESION

CLEFR

BENEFITED

WENT WELL BUT REACTION SUTURES RING

IN

IMPROVE

509

TO

CATGUT

WEEKS INCREASED

AT

UPPER PORTION WHICH

NOTICEABLE

BY AN

RORATIONADVANCEMEN

AT

WITH

YEATS YEARS

OR

BUT

SCAR IS

STILL

SHOULD

BE REVISED

COMPLETE

CLEFT

CASE

23

MONTHS

NINNRHS

4Y MONTHS

POSTOPERATIVE

CONTRACTURE

MONTHS

LIP

MONTHSNO

LACERATION

PRIMARY

ALAR

LIFT

MAY 14

FH

MOTHER

HAD SE

CLEFT

CLOSED

WITH

VERE

BILATERAL

MUCOPERIOSREAL FLAPS

ROT

WITH

CLEFT

OF

BC

LIP

AND

OCA

FOR

ALAR

PALATE

FT

ALVEOLAR

OP

MUCH EMO

FLAP

RIONAL

POSED

NONE

STRESS

TO

COL

ADV WITH WR

ROTATED

BASE

FROM

MEDIAL CLEFT

VERMILION

FLAP

510

OF

BOW

VERMILION

ELEMENT SIDE

FROM

MENT USED AFTER DENUDED RUBERCIE

AGAIN

BUT

COMMENT ALLS WELL THAT ENDS WELL

MONTHS

AT

1971

LACERATED

ONLY CHEEK

WAS DONE

BD

YEARS

TRANS

POSTERIORLY LATERAL

ELE

TO INCREASE

COMPLETE CLEFT

CASE

24

23

JUNE

1971

FH

NO CLEFTS

FT

UNEVENTFUL

OCA

NONE

AD AT

SP

MONTHS ADHESION ETEATED

AT

MONTHS

SOFT PALATE

SPLIT

AND SUTUTED ALVEOLUS

MONTHS

OLUS

MONTHS

SEPTAL

PALATE

CLOSURE

FLAP

AND ANTETIOT

OF ALVE

POTTION OF HATD

COVERED WITH MUCOSAL SCTAPS

FTOM ADHESION

RA

ATLMONTHS WITH BE WITH

INTO

ALAR BASE

DENUDED

AND

LOWER INFERIOR DENUDED INTO

MONTHS ADHESION

MONTHS

HP YEAR

WR

AND

FOR

MUCOSAL

RELEASE

AJAR

SUTURED TO

CLEFT

SIDE

TRANSPOSED

THE TIP AT YEAR VOMERINE

UNDER

OPPOSITE

COL

TISSUE BASE

SEPTUM AJAR RIM AS

FLAP

FLAP

TUCKED

MUCOPERIOSTEAL

EDGE

COMMENT AR ALVEOLAR SURE

311

MONTHS

TWO LAYERED

CLOSURE DEFINITIVE

LIP

AND SOFT PALATE CLOSURE

DO

COMPLETE

BD

JULY

FH

NO CLEFTS

FT

UNEVENTFUL

OCA

NONE

AD

AT

13

CLEFT

1971

WEEKS AT

MONTHS

ROT WITH

OP

ADHESION

BC

FOR

ALAR BASE

FLAP

AT

DAYS

RIM DENUDED AND TRA

ALAR

POSED AS

AD

ADV WITH

VANCED TOWARD SEPTUM

SP

COL

DENUDED AND INSERTED

UNDER ALAR BASE

WR

CASE 25

16

INTO

CREASE

MONTHS

SOFT

PALATE

CLOSED

HP

LEFT

OPEN

WEEKS

COMMENT

PRIMARY

ALAR

LIFT

HAVE BEEN DONE AND WILL

SHOULD BE DONE

SECONDARY PROCEDURE BEFORE

AS

SCHOOL AGE

512

MONTHS

WEEKS POSTOPERATIVE

COMPLETE CLEFT

CASE

26

22

AUGUST

FH

NO

1971

CLEFTS

FT

UNEVENTFUL

OCA

NONE

AD

MONTH

AT

MEDIAL

ELEMENT FTEED FTOM MAXILLA

MONTH

MILION

FTOM

FLAP

SUTUTED WITHOUT

KA

LATETAL

UNDET

OF ADHESION AND

BC

WITH WR

ADVANCED

OF

TO

ADV

SEPTUM NASAL

MUSCLE

SIDE

CLEFT

TELEASE

DENUDED

ALAT BASE

TIP

MEDIAL EDGE INSETTED DET

POTTION

EDGE USED TO

FOT COL

FOOT CLOSED MONTHS

LATETAL

CLEFT

OF ALAT BASE

VESTIBULE

ROT WITH

AND

ELEMENT

MONTHS

MUCOSA FROM

LINE

ELEMENT

LIP

MEDIAL

UNDETMINING

AT

OP

LIP

VET

INTO

FROM

FLAP

FTEE

ALAT TIM

HOR EXCI

SION

SP

SOFT

TIME OF

HP

PALATE LIP

SPLIT

AND SUTUTED AT

CLOSURE

CLOSURE OF HARD PALATE AT 12‰ WITH VOMER FLAP

MONTHS

12

LYEAR

II

CCMMENT

JUNCTS OFT

THIS

WIDE

CLEFR

INCLUDING

PALATE

TISSUE

CLOSURE

AT

THE

TIME

OF

USE OF ADHE

TO RELEASE THE

VESTIBULAR

LINING

OF THE ALAR BASE AND LINE NASAL

FLOOR

MUSCLE FLAP

NONCLEFT EDGE INTO ULTIMATE

513

AD

AN EARLY ADHESION

ROTATIONADVANCEMENT SION

HAD THE

OF MOST OF THE MODERN

BENEFIT

RESULT

INSERTION CLEFT

SIDE

FROM

THE

SHOULD BE GOOD

CLEFT

COMPLETE

BD

OCTOBER

RH

NO

FT

UNEVENTFUL

OCA

NONE

AD

WEEKS

AT

LATERAL

1971

NO

WEEK ADHESION MONTH WITH

AT

OP

ALVEOLAR

EDGE

MEDIAL LATERAL

WITH

BC

ADV

RIP

MEDIAL

DEFECT

WEEKS

UNDER

CLOSED

FLAPS

ADHESION

FROM

FLAP

WITH

MUCOSAL

AND

MUCOSAL

ADV WITH

MM

LENGTHENED

RIP

FROM VESTI

SIDE

EACH

BOLSTERED

LATEST

SYMMETRICAL MARY ALAR

ALAR

THIN MONTHS

WR

MUCOSAL EDGE

USED FOR ALVEOLAR

AND RELEASE OF

BOW

TO

BY MUSCLE FROM

ELEMENT

ALL

ROT

FLAP

KEEP COMMISSURE

COMMENT FLAPS

AFTER

LATERAL

FOR COL

MM PEAK

RECREATED

WEEKS

ALAR BASE RELEASE CLOSED

WITH

23

AFTER

MONTHS

MUCOPERIOSREAL

TO

K

UNDERMINING

SEPARATED

SLIGHT

RA

BULE

27

CLEFTS

SEGMENT

CLEFT

CASE

CLEFT

CLOSURE

BASE REASONABLY

NASAL RIP

WITHOUT

PRI

LIFT

1Y

514

YEARS

MONTHS

COMPLETE

CLEFT

CASE 28

DECEMBER 30

FH

FATHERS

1971

FATHER

CLP

SONS SON HAD

23

HAD

FATHERS

FT

UNEVENTFUL

OCA

NONE

UNCLES

CLP

WEEKS

AD

AR

MONTH MEDIAL LATERAL

UNDERMINED

RA

AT

OP

AND

MUCOPERIOSTEUM

PREMAXILLARY

FREED

TO CLOSE

TENOR CLEFT MUCOSAL USED FOR SECOND

PARING

COL

AN FLAPS

ROT WITH

LAYER

FOR

ADV WITH WR

OF ALAR BASE

TIP

NOT

MONTHS

SEPTAL

BC

ELEMENT

ELEMENT

DENUDED

AND

SUTURED TO SEPTUM

MONTHS

YEAR

COMMENT ONE OF THE CASES WITH THE UPPER

LATERAL

PRESENT

IN

ARROW AND

ARROW FINALLY

LYEAR

515

MUSCLE

THE

THIS

STILL

DEFORMITY AT

PRESENT

RECURRING

CAUSED ME TO

EDGE MUSCLE FLAP

NO

LATERAL

IN

DEPRESSION

OPERATION

DEFICIENCY

ORIGINAL

YEAR

USE

DEFORMITY

FILL

THE

MEDIAL OUR THIS PRIMARY

SECONDARY ALAR

CASE

LIFT

29

YEAR

WEEKS

20

20 MONTHS

BD

AUGUST

FH

NO

FT

UNEVENTFUL

MONTHS

OCA

NONE

NO

AD

AT

RA FOR

516

HP

CLEFTS

VOMER

FLAP

CLOSURE

YEAR AT

17

COL

ALAR

REVISION

BC BASE

AJAR

LIFT

PRIMARILY DIFFICULT

AT

17

MONTHS ALAR BASE

ADVANCED AND ALAR CARTILAGE

AD

ADV WITH WR

ATTEMPT

COMMENT

TO

LIFT

REDUCE THE SEVERITY DISTORTION

THE

NASAL

FINAL

WORK FOR AGE 16

BUT YEARS

IN

OF

LEAVING

UNUSUALLY

HAD DELAYED REQUIRES

AT

ATTEMPT AND ALAR BASE POSITIONING

MONTHS

ROT WITH

VANCED

CLOSURE OF SOFT PALATE AT

1971

WEEKS AT

OP

20

20 MONTHS

MONTHS

DIFFICULT

PRIMARY CORRECTION

FURTHER

WORK

NOSE BUT

FLAP

STRAP

ALAR

LIFT

CASE

30

MONTH MONTHS

BD

JULY 27

1966

FH

RA

AT

PATETNAL

AUNT

OP

ROT WITH

HAD COMPLETE OF

CLEFT

AND

LIP

PALATE

FT

UNEVENTFUL

OCA

NONE

MONTHS

ADV WITH WR CORRECTION

BY

MONTHS ORAL

PALATE

SEPTUM FROM FOR

PLATE

T7

ANTERIOR

NASAL

CHONDRO

ALAR

CARTILAGE

HAGERRYMYLIN PINNED IN

MONTHS

MODIFICATIONS

VOMER BINARE

LAYER

BY BALBER

MUCOSA PROSTHETIC

ORIGINAL PUBLISHED

42539

1968

PLAST

CLEFT

THAT

HAD

SURGERY ALVEOLAT

FLAP FLAP

AND

WITH

COVETED WITH

MONTHS

RUT

BEFORE

LIP

STRAP

SCREWPLATE

DEFORMIRY AND EARLY RESULT IN

IN

CLOSED PRIMARY RADICAL NASAL CORREC TION WITH CHONDROMUCOSAL FLAP

FROM FLAP

WIDE

AND ANRERIOT PALATE CLOSED

IN LATERAL

TURBINATE

2ND

PRIMARY

MUCOSAL FLAP OF ALAR CATRILAGE SU TURED WITH COTTON TO SEPTUM AND OPPOSITE

CLOSURE

AND

COL

FOT

BIPEDICLE

LATER

AR

COMMENT

BC

RECONSIR

SURG

AND SUTURED TO SEPTUM BONE GRAFT AT MAXILLARY YEARS SPITE OF THESE INNOVATIONS

RIENT

LIFTED

PA

SEEMS TO BE DEVELOPING WELL

STRAP

NO

FT

UNEVENTFUL

OCA

NONE

WITH

CASE

LIFT

31

10 1966

AUGUST

FH

FITTED

ALAR

FLAP

CLEFTS

FEEDING

PLATE

BY

BALBET MCNEILBURSTON

RA

MONTHS

AT

WITH

ROT

OP ADV WITH WT

BC

FOT

AND

COTTECTION MATGINAL

DROMUCOSAL STRAP CUT

FREE

WEEKS

INTETCAT

FORMED CHON

INCISIONS

RILAGINOUS

COL

NOSE PTIMARY

WHICH

FLAP

WAS

AND SURUTED TO

LATERALLY

OPPOSITE ALAR CARTILAGE AND SEPTUM WITH NYLON

MYLINHAGERTY MONTHS

SCREWPLATE BALBER

AT

AR 10 MONTHS

REVISIONS TIVE

ORONASAL

BASE

TRANSPOSITION

BU SP

RIB

SPLIT

AND INTO

CLEFT

CLOSED

HP

CLOSED

AT AT

BY

CLOSED ALAR

FISRULA

ATIVE

LIP

TURE

GRAFT

ACROSS MAXILLA

AT

19

MONTHS

21

MONTHS

29

MONTHS

POSTOPERA

POSROPER

CONTRAC

MONTHS RIVELIP

SMOOTHED OUT

MONTHS

YEARS

COMMENT PRIMARY RADICAL NASAL COR RECRION

WITH CHONDROMUCOSAL STRAP

FLAP ADVANCEMENT BALANCED THE NASAL TIP

QUITE

WELL EARLY

LIP

CONTRACTION

SOON SMOOTHED OUT WITH GOOD BAL ANCE YEARS

518

POSROPERA HAS

YEARS

RECENT

32

ADJUNCTS

AND ALAR

LIFT

CASE

32

MONTHS

BD

OCTOBER 20

PH

NO

1966

MUCOSAL HAP SUTURED WITH NYLON TO ALAR CARTILAGE AND SEPTUM ADV

CLEFTS

UNEVENTFUL

CA

RH

WR

ALAR RIM

NONE

COMMENT OF THE

WEB EXCISION

QUIRED AID

REVISIONS

RA

AT

ROT WITH

OP FOR

MONTHS

COL

CISION

RECENT

ALAR

LIP

BC RIM

FREE IN

MONTHS

VERMILION

POSTOPERATIVE EXCISION

ELLIPTICAL

BORDER NOSE

THE

DIFFERENCE

IN

TWO PEAKS OF THE RADICAL

OF THE

WITH

ROTATION

BACKCUR

ACHIEVED WITHOUT

HEIGHT

BOW

BUT

RE THE

WAS

IT

DIFFICULTY

OF

EXCISION

ELLIPTICAL

OF ALAR RIM WEB

ALLOWED CHONDRO

ADJUNCTS

AND ALAR

LIFT

CASE

33

MONTHS

NOVEMBER

FR

NO

CLEFTS

FT

UNEVENTFUL

OCA

NONE

18

1970

AT

OP

ROT

MONTHS WITH

COMMENT

BC

FOR

PROJECTING

THROUGH SION

ALAR

INTERCARTILAGINOUS CARTILAGE

NYLON TO SEPTUM ALAR RIM EXCISION

SUTURED

LIP

WAS CLOSED

COL

MCI WITH

ADV WITH WR

PREMAXILLA

CULTY ALAR CARTILAGE

OVER

WITHOUT

THE DIFFI

WAS LIFTED UP BURIED NYLON SEPTUM WITH SUTURE WITH REASONABLE BALANCE TO TO

THE TIP

RECENT

ADJUNCTS

AND ALAR

34

MONTHS

MONTHS

46

CASE

LIFT

WEEKS POSTOPERATIVE

SEVERE

EARLY

MONTHS

HYPER

POSTOPERATIVE

POSTOPERATIVE

MONTHS

IMPROVING

EVEN BERTET

POSTOPERATIVE

TROPHY 1970

APRIL

NO FT

MORHET HAD RASH MONTHS

CA

CONGENITAL ESO

CORRECTION

AR

OP VOMER PALATE CLEFT

520

TIME CLOSURE

FLAP

BUT

OPEN

LEFT

OF

RURED

TO SEPTUM AND OPPOSITE

HP RA

OF HARD ALVEOLAR

ROT

WITH

INTERCARTILAGI

INCISION

AT 18

AND

CARTILAGE

SU ALAR

WITH NYLON ONE THROUGH

ANDTHROUGH AR 10 MONTHS

SP

SUTURE ISLAND

MONTHS

WITH SEVERE

MONTHS SO NO ADHESION

INCISION

ALAR

OF TISSUE

ABSENCE

NOUS

JOINED

COMMENT CUBAN PATIENT

MEMBRANOUS

SEPRAL

CARTILAGE

TROPIA

ADV WITH WR

FOR COL

NASAL

CLEFTS

AT

BC

EARLY

PHY

RESULT

IMPROVED FLAP

PUSHBACK

FIRST

AT

EXCELLENT

WITH GRADUAL HYPERTRO

OF SCAR MORE

BEFORE BUT

SEEN

BY 18

THAN SEEN

MONTHS

EVER

GREATLY

RECENT

ADJUNCTS

AND ALAR

LIFT

CASE

35 01

OCTOBEI

FH FT

NO

22

1970

CLEFTS

UNEVENTFUL MOTHET

38

FATHER 56

OCA AD

NONE

AT

DAYS

RA

AT

OP

LARGE SKOOG PETIOSTEAL

FOT

MONTHS

21A

2ND LAYER CLOSURE FOT

SUTURE

COL

ADV WITH WR TO

FLAP

FLAP

AND

LIFT

BASE

WITH

ADVANCED

POSTERIOR

ATTENUATED

ALAR RIM

HP

ALAR

ALAR

FLAP

ROT WITH

MUCOSAL

LATERAL

SIDE

EXCISION

SP

AR 13 MONTHS VOMER

AND ISLAND

REVISION

AT

FISRULA

NOSE

18

FLAP

PUSHBACK

MONTHS CLOSURE OF

ALAR

WITH DENUDED TIP EXCISION

BASE ADVANCEMENT ALAR RIM

MARGIN

LYEAR

COMMENT THIS CASE HAD OSREAL FLAP YEARS

FROM THE MAXILLA

BE REVIEWED

LATER

ON THIS

LARGE

PEN

AND WILL BASIS

EVEN DURING INSTITUTED

THE

INTO

OF THE

MANY

AT

LATEST

TUBES CLOSURE OF THE ADHESION

BIRTH

12

AT

MONTHS

AND

SOFT PALATE

CREATION

INSERTION

HIGH MUCOSAL

OF

OF LIP

THE EXTENDED

WITH

BACKCUT

ADVANCEMENT MEMBRANOUS

SEPTAL

FROM THE

DOME

TO JOIN

THE

LATERAL

FLAP

INTERCARTILAGINOUS FREEING

OF THE

ALAR

MAXILLA

EXPOSURE

CARTILAGE

USED TO ADVANCE

INCISION

EXTENSION COMING UP FROM THE

UP ON

FACILITATED TO

THE

THE LATERAL

FLAP

FILLED

THE

DIMINUITIVE

DIMENSION

73

OF AGE

ACROSS UNDER THE

THIS

28

COVERED THE RAW ALVEOLUS

FLAP

522

RECENT EXAMPLE

MYRINGOTOMY WITH

BILATERAL

ADHES ON

ROTATION

ALAR

AND NOSE BY THE

LIP

MOST

THE

BEEN

CHANGES

73

FLAP

BASE

OF THE IS

HAVE

CHANGES

WERE ACCOMPLISHED

SIX

INCISION

HERE

PRINCIPLE

WEEKS OF AGE

SIX

VOLUME

THIS

THE PRIMARY CORRECTION

ROTATIONADVANCEMENT USING

OF

WRITING

BY INCLUDING

LATERAL

THE

NYLON SUTURE

LIFT

OF THE SLUMPED

SEPTUM DEFECT LIP TIP

IN

THE

NASAL

VESTIBULE

ELEMENT WAS INCREASED OF THE

ALAR

BASE

IN

VERTICAL

THE

LATERAL

DOWN MORE

LIP

THE

THE

FIT

FLAP

LATERAL

CLEFT

AND

BROUGHT

SUBCUTANEOUS

WAS SUTURED

EDGE WAS TRIMMED

ROTATION

SEPTUM

AND

BASE

THE

AT

ELEMENT

LATERAL

TO

TO

CONCAVITY

EDGE FROM UNDER

FLAP DISSECTED

TO THE

ELEMENT WAS TRANSPOSED

UPPER PORTION OF THE

SKIN

OF THE

CONVEXITY

11

WERE DISSECTED

FROM THE MEDIAL

THE MUSCLE DEFECT IN THE

10

FIBERS

TRANSVERSELY

MUSCLE EDGE INTO

MUSCLE

NASAL

SPINE

THE ALAR BASE FLAP

TO CORRECT THE ALAR

FLARE

12

FLAP

13

ALA

MM WIDE

15

WAS INTERDIGITATED

14

SMALL

FLAP

EWHITE

ACROSS THE

POSTERIOR

TO FORM THE

JOINED

ROLL

NOSTRIL

MUCOCUTANEOUS

RIDGE

SILL FLAP

SCAR

MUCOSAL ZPLASTY

ROTATION ADVANCEMENT

7573

SUMMARY BY

THE

SINCE

TIME

THE

THIS CLEFT

FIRST

OF THE INITIAL

FOLLOWUP RESULTS

DESIGN

LIP

IS

PUBLISHED

IT

WILL

BE OVER 20

WAS ROTATED AND ADVANCED THE

CRUDE PROCEDURE IN KOREA 19541955 IN

GENERAL

AWAITING

CONFIDENCE

VOLUME

IN

LATER

THE

EXTENSIONS

SEEM

BE ALMOST

TO

EVALUATION

METHODS

THIS

IS

AS

EARLY RESULTS

LONG

AS

LOST

TO

TODAYS EARLY

AN OVERWHELMING VOTE OF

FUNDAMENTAL

REFINEMENTS

GOOD

YEARS

PRINCIPLES

AND MORE RECENT

AND

ADJUNCTS

BASIC

HAVE

BEEN CLEFTS

ADDED

TO BYPASS

BY NOW YOU SHOULD BE

CROSSING

PARING

AND MORE NASAL PRIMARILY

ADHESION PROMISE

THE

IS

CONSTANTLY BETTER

RADICAL

IN

ALL

MORE

NORMAL POSITION

THE

AND THE AND

LIP

HARD PALATE

INCREASE

CASE IN

THIS

THE

INVESTIGANS

BOOK

MANIPULATION

FASTIDIOUS

OF EACH PATIENT

SCRUTINY

THROUGH

FOR THE ENSUING

NEXT

HAS BEEN

CLEFT

NUN QUAM

AND

DONE

THE

PERFICIENS

CON

SOFT PALATE

HAVE NOT DONE ONE CASE EXACTLY

WAY DO

COM

WITHOUT

PLACING

TISSUE

EARLY

THE PLAN

INFLUENCING

HOPEWILL SEMPER

524

OF

DISCARD

LONGTERM PROGNOSIS

NO

FINESSE

SUFFICIENTLY

NEARLY

GROWTHAND DEVELOPMENT

THE ONE BEFORE AND

YOU

MORE

OF SURGERY WITH

AN EVEN BETTER

EVER LOOKING FOR

IOR

NO

ABSOLUTELY

TIMING

FINAL

THE NASAL DISTORTION

BUT POSTPONEMENT OF

OF THE HEALING THE YEARS

INTO

SEEMS TO BE DECREASING

IN

TO ROTATE

OR THOSE

BEYOND NORMAL LIMITS

COMPONENTS

ECONOMY WITH

SERVATISM

LATERALLY

ABLE

DIFFICULT

COLUMN AND ADVANCE WITH ADEQUACY

THE NORMAL PHILTRUM

BUT WITHOUT

IN

MINE

DISCREPANCIES

POSTOPERATIVE

IN

PARTICULARLY

ABOUT BY OTHERS AND TO ENSURE GREATER

PLAINED CASES

EXECUTION

THE

FACILITATE

TO

CASE LIKE

EXACTLY

NEXT

AS