scholarly journals Cleft Rhinoplasty: A Tug of War

2021 ◽  
Vol 9 (10) ◽  
pp. e3839
Author(s):  
Badr M.I. Abdulrauf
Keyword(s):  
Cleft Rhinoplasty

Cleft Rhinoplasty: Strategies for the Multiply Operated Nose

2018 ◽  
Vol 34 (03) ◽  
pp. 290-297
Author(s):  
Tsung-yen Hsieh ◽  
Raj Dedhia ◽  
Travis Tollefson
Keyword(s):  
Surgical Procedure ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Nasal Deformity ◽  
Internal Lining ◽  
Cleft Rhinoplasty ◽  
Cartilage Grafting ◽  
Definition Of ◽  
Cleft Nasal Deformity ◽  
Maxillary Deficiency

AbstractRhinoplasty, as a surgical procedure to improve the appearance of the nose while preserving or improving function, is complicated and difficult to master. Revision cleft rhinoplasty offers another tier of challenge. The symmetry, proportions, and definition of the nose are affected by the native cleft deformity but also previous surgical scars, cartilage grafts, and skin excisions. Our preferred approach is to use structural cartilage grafting to establish septal and lower lateral cartilage resiliency. Internal lining deficiency is addressed with skin or lining transfer, while excess nasal tip thickness is contoured to improve definition. Of the utmost importance, the cleft nasal deformity cannot be considered in isolation, but rather a combined amalgamation of the lip muscle and scar, dentofacial occlusion, and skeletal maxillary deficiency.

Controversies in Cleft Rhinoplasty

2020 ◽  
Vol 36 (01) ◽  
pp. 102-111 ◽  
Author(s):  
Steven G. Hoshal ◽  
Roberto N. Solis ◽  
Travis T. Tollefson
Keyword(s):  
Cleft Lip ◽  
Great Variability ◽  
Cartilage Grafts ◽  
Aesthetic Appearance ◽  
Cleft Lip Palate ◽  
Cleft Rhinoplasty ◽  
Tailored Approach ◽  
Nasoalveolar Molding

AbstractRhinoplasty 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.

Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar

2013 ◽  
Vol 114 (5) ◽  
pp. 322-326
Author(s):  
N.C. Pausch ◽  
A. Hemprich ◽  
K. Subbalekha ◽  
K. Dhanuthai ◽  
A. Neff ◽  
...  
Keyword(s):  
Cleft Rhinoplasty

Primary Septal Cartilage Graft for the Unilateral Cleft Rhinoplasty

2017 ◽  
Vol 139 (5) ◽  
pp. 1177-1186 ◽  
Author(s):  
Ting-Chen Lu ◽  
Chuan-Fong Yao ◽  
Susie Lin ◽  
Chun-Shin Chang ◽  
Philip Kuo-Ting Chen
Keyword(s):  
Septal Cartilage ◽  
Cartilage Graft ◽  
Cleft Rhinoplasty
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