Surgical management of the cleft lip nasal deformity

The cleft lip nasal deformity is a challenging problem for the facial plastic and reconstructive surgeon. The cleft nasal deformity is complex and involves all layers, including skin, cartilage, vestibular lining, and skeletal platform, Correction of the cleft lip nasal defect requires an understanding of the pathologic anatomy of this congenital condition. An understanding of the differences between the unilateral and bilateral cleft nose is also required. In this article, the timing and frequently described techniques used to repair the cleft nasal deformity are discussed. The pathologic anatomy of the unilateral and bilateral cleft nose is outlined. The timing of repair and the effect of repair on nasal growth are described. Finally, the philosophy and techniques used in cleft nasal reconstruction are discussed.