Three Dimensional Rhinoplasty and Nasal Airway Improvement in Cleft-Nose Deformity

Oommen, John; Koyappathody, Hafiz Muhammed; Kalathingal, Kader; Thamunni, Chandrabose Vellani; Joseph, Subin; Shet, Srivatsa M; Pydi, Rajesh Vardhan; Sivadasan, Anand; Nair, Santhy Mohanachandran; Samantaray, Srikant Aruna; Nithin, R S; Antony, Joe

doi:10.1007/s12070-019-01690-2

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…Our included articles consisted of 11 studies describing primary cleft septoplasty and 17 studies describing secondary cleft septoplasty (Table 2, Table 3). 1,6–32 We defined primary cleft septoplasty as septoplasty performed at primary cleft lip repair. Secondary cleft septoplasty included all septoplasty performed at a secondary cleft lip or nasal revision, with the lowest listed age to be 14 years, “after skeletal maturity,” or “after multiple cleft nasal operations.”…”

Section: Resultsmentioning

confidence: 99%

“Septoplasty” Performed at Primary Cleft Rhinoplasty: A Systematic Review of Techniques and Call for Accurate Terminology

Park

Colon

Arias

et al. 2022

The Cleft Palate Craniofacial Journal

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Objective Primary cleft nasal repair can include septal reconstruction. We hypothesize that primary cleft septoplasty and adult septoplasty have fundamental differences that render these procedures as distinct surgical entities. Design Systematic review of the PubMed, Cochrane, and Embase databases performed on pediatric cleft and general adult septoplasty techniques through December 2021. (PROSPERO ID CRD42022295763) Main Outcome Measures Collected data included information on septal dissection, septal detachment, and management of the bony and cartilaginous septum. Results Twenty-eight pediatric cleft septoplasty and 229 adult septoplasty studies were included. Dissection in primary cleft septoplasty was limited to the anterocaudal septum, while secondary cleft septoplasty and adult septoplasty techniques entailed wide exposures of the cartilaginous septum with or without exposure of the perpendicular plate of the ethmoid. In primary cleft septoplasty, detachment of the septum was mostly limited to the nasal spine and anterior base of the cartilaginous septum, while secondary cleft septoplasty and adult septoplasty included detachment from the vomer, and ethmoid. In the few reports of cartilage excision during primary cleft septoplasty, removal was limited to the anterior inferior border of the septum, while secondary cleft septoplasty and adult septoplasty included excision of the cartilaginous and bony septum. Conclusion Primary cleft septoplasty is distinct from septoplasty performed on facially mature patients. More specifically, septal dissection and detachment are limited to the anterior caudal area during primary lip repair, with rare removal of cartilage or bone. Given these differences, the authors suggest the term “septal reset” to describe septoplasty performed during primary cleft nasal repair.

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