Controversies in Cleft Rhinoplasty

Steven G. Hoshal, Roberto N. Solis, Travis T. Tollefson

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Rhinoplasty for cleft lip nasal deformities challenges all cleft surgeons. There is great variability of phenotypical anatomy, but iatrogenic changes and scarring from the previous surgeries add another layer of complexity. Rhinoplasties on a patient with cleft lip-palate are technically and intellectually challenging to master requiring a patient-tailored approach. The shape and structure of the nose are changed to improve both function and aesthetic appearance. In the primary setting, nasoalveolar molding is a form of presurgical infant orthopaedics used for preparation before the cleft lip and nose repair. Intermediate stages should be conservative to minimize scarring, while the definitive cleft rhinoplasty utilizes cartilage grafts from septum, ear, or rib to sculpt the nose. Hereinto, we will outline the controversies, the evidence supporting certain techniques, and our preferences.

Original languageEnglish (US)
Pages (from-to)102-111
Number of pages10
JournalFacial Plastic Surgery
Issue number1
StatePublished - Feb 1 2020


  • cartilage graft
  • cleft lip
  • cleft nasal deformity
  • definitive cleft rhinoplasty
  • intermediate cleft rhinoplasty
  • nasoalveolar molding
  • primary cleft rhinoplasty
  • Rhinoplasty

ASJC Scopus subject areas

  • Surgery


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