Definitive repair of the unilateral cleft lip nasal deformity

The majority of patients with a unilateral cleft nasal deformity still benefit from additional nasal surgery in their teenage years, despite having undergone a primary nasal repair. However, the secondary nasal deformity of these patients stands in sharp contrast to those of children who have not be...

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Bibliographic Details
Published inPlastic and reconstructive surgery (1963) Vol. 120; no. 5; p. 1348
Main Authors Byrd, H Steve, El-Musa, Kusai A, Yazdani, Arjang
Format Journal Article
LanguageEnglish
Published United States 01.10.2007
Subjects
Algorithms
Cartilage - transplantation
Cleft Lip - surgery
Humans
Maxilla - surgery
Nose - surgery
Rhinoplasty - methods
Ribs - transplantation
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Summary:The majority of patients with a unilateral cleft nasal deformity still benefit from additional nasal surgery in their teenage years, despite having undergone a primary nasal repair. However, the secondary nasal deformity of these patients stands in sharp contrast to those of children who have not benefited from primary repair. The authors' algorithm for the definitive correction of these secondary deformities considers the differences in these two patient groups and defines their indications for rib cartilage grafts and their method of using septal and ear cartilage in the repair. Balancing the muscle forces on the septum and alar cartilage is emphasized in both the primary and secondary repair. Both cartilage malposition and hypoplasia of the lower lateral cartilage complex have been identified as factors contributing to the deformity.
ISSN:1529-4242
DOI:10.1097/01.prs.0000279497.95331.1e