Correction of the cleft-lip nasal deformity

Charles W. Shih, Jonathan M Sykes

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Correction of the cleft-lip nasal deformity is a difficult task that requires a clear understanding of the associated complex anatomic abnormalities. These deformities tend to accentuate as nasal growth continues. Primary tip rhinoplasty in the unilateral deformity improves nasal tip symmetry and decreases the need for intermediate surgery. Intermediate rhinoplasty in the bilateral deformity is performed when nasal tip projection is markedly diminished. In both the unilateral and bilateral deformity, definitive rhinoplasty utilizing the open-structure rhinoplasty approach allows maximum exposure for placement of structural grafts to improve tip projection, definition, support, and function. In this article, the pathologic anatomy of the unilateral and bilateral cleft nasal deformity is described. The philosophy and timing of repair are discussed. Finally, the techniques used by the authors to address both the aesthetic and functional problems are outlined.

Original languageEnglish (US)
Pages (from-to)253-262
Number of pages10
JournalFacial Plastic Surgery
Volume18
Issue number4
DOIs
StatePublished - Nov 2002

Keywords

  • Cleft-lip nasal deformity
  • Cleft-lip rhinoplasty
  • Congenital nasal deformity

ASJC Scopus subject areas

  • Surgery

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